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1. 第二军医大学训练部医学教育教研室
2. 第二军医大学附属长征医院
3. 第二军医大学训练部部办
纸质出版日期:2017,
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鲁娟, 陈海燕, 郭玉峰. 医学实习生临床实践操作数量的调查分析[J]. 中华医学教育探索杂志, 2017,16(5).
Survey and Analysis of Quantity of Clinical Practice in Medical Trainees[J]. 2017,16(5).
目的 调查医学生实习期间临床实践操作数量,分析其现状特点和存在问题,为实习教学管理部门提供参考。方法 2016年6月,由专人负责,集中调查某军医大学所有实习结束返回学校的学员。共发放问卷515份,回收有效问卷479份,回收率为93.0%。应用自编问卷,分别请学员以匿名方式填写自己在过去一年实习中在不同科室、以不同身份操作的次数,并对不同性别、专业、类别实习生群体的操作数量进行方差分析 和SNK检验(两两比较)。结果 医学生在外科做一助、二助的次数最多,平均分别为5.70和5.29人次;而在专科各种操作均较少(<2.85人次)。不同专业、不同类别的医学生在内科作为第二助手操作数量有统计学差异(F=2.646,2.682,P=0.008,0.031),SNK检验显示海军全科医学专业学员(5.81)、战士学员(4.59)操作数量最多;不同专业、类别实习生在专科做第一助手数量有统计学差异(F=2.166,2.765,P=0.029,0.027),药学学员(3.33)和临床医学专业学员(3.22)、战士学员(3.03)最多。结论 医学实习生临床实践操作数量具有以外科最多,与性别无关等特点;在操作机会较多的科室不同学生群体的差异不明显;而在操作比较少的科室,主动性较强的学员动手操作数量更多,因此要加强这些科室实习学员积极性的调动。应客观看待医学生临床实践操作数量,在教师指导下、在保障患者安全的基础上进行操作
Objective To survey the quantity of clinical practice of medical trainees in practice
analyze the status characteristics and main problems
and put preference for practice teaching administrative departments. Methods In June 2016
all students finishing intership in some military medical university were gathered and surveyed by the person in charge. 515 questionnaires were provided and 479 valid results were collected (93.0%). Using self-made questionnaires
the students were asked to anonymously fill out the quantity of clinical practice by themselves respectively in different department and in various capacities
and then the quantity were compared in different genders
specialties and sorts with Analysis of Variance and SNK test ( pairwise comparison). Results The numbers of clinical practice as first assistants and second assistants in surgical medicine were the most
which were 5.70 and 5.29 in average
while those in specialty medicine were the least(all <2.85 in various capacitie). The quantity of clinical practice in different specialties and sorts as second assistants in internal medicine showed statistical significance (F=2.646
2.682
P=0.008
0.031) and SNK test showed that those in navy general practice medicine(5.81) and soldiers(4.59) operated more. The quantity of clinical practice in different specialties and sorts as first assistants in special medicine showed statistical significance (F=2.166
2.765
P=0.029
0.027) and SNK test showed that those specialtied in pharmacy(3.33) and clinical medicine(3.22) and soldiers(3.03) operated more. Conclusion The quantity of clinical practice of medical trainees has characteristics with surgical medine most and no links with genders. The quantity was not different in departments with more operation chances
while different in departments with less chances and the students with higher motivations operated more. Therefore the motiviations of medical trainees in those departments should be advanced. The quantity of clinical practice in medical trainees should be looked upon objectively and the operations should be done under the guide of the teachers and on the basis of considering the security of patients.
医学生实习生临床实践操作数量调查
Medical studentsTraineesClinical PracticeQuantitySurvey
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