胜任力导向医教协同教学对医学生实践能力的影响
Effect of Competency-Oriented Medical-Educational Collaborative Teaching on Medical Students’ Practical Ability
DOI: 10.12677/ae.2026.161094, PDF,    科研立项经费支持
作者: 辛 静:山东第二医科大学附属医院浮烟山院区内科,山东 潍坊;李 敖:山东第二医科大学附属医院教学部,山东 潍坊;刘 静*:山东第二医科大学附属医院浮烟山院区重症医学科,山东 潍坊
关键词: 胜任力导向医教协同临床实践教学医学生实践能力Competency-Oriented Medical-Educational Collaboration Clinical Practice Teaching Medical Students Practical Ability
摘要: 目的:评估以胜任力为导向结合医教协同模式的临床实践教学对医学生能力发展的作用。方法:纳入2024年1月至2024年12月期间于山东第二医科大学附属医院实习的80名临床医学专业学生作为研究样本,通过随机数字表法将其分配至观察组与对照组,每组40名。对照组接受常规临床实习指导模式,观察组实施以胜任力为核心的医教协同实践教学模式。对两组学生的临床实践能力得分及教学满意程度进行对比分析。结果:教学干预结束后,观察组学生在临床操作技能掌握、诊疗思维能力、临床实践能力总分方面的得分均高于对照组,差异具有统计学意义(P < 0.05)。结论:以胜任力为导向的医教协同临床实践教学模式能够提升医学生的临床实践能力水平,改善整体教学效果,值得推广应用。
Abstract: Objective: To evaluate the effect of competency-oriented clinical practice teaching combined with the medical-educational collaboration model on the competency development of medical students. Methods: Eighty clinical medicine students who interned at the Affiliated Hospital of Shandong Second Medical University from January 2024 to December 2024 were included as research samples. They were divided into an observation group and a control group with 40 students in each group using the random number table method. The control group received the conventional clinical internship guidance model, while the observation group implemented the competency-centered clinical practice teaching model integrated with medical-educational collaboration. Results: After the teaching intervention, the scores of the observation group in terms of mastery of clinical operation skills, diagnostic and treatment thinking ability, and total score of clinical practice ability were all higher than those of the control group, with statistically significant differences (P < 0.05). Conclusion: The competency-oriented clinical practice teaching model combined with medical-educational collaboration can improve the clinical practice ability of medical students and enhance the overall teaching effect, which is worthy of promotion and application.
文章引用:辛静, 李敖, 刘静. 胜任力导向医教协同教学对医学生实践能力的影响[J]. 教育进展, 2026, 16(1): 681-687. https://doi.org/10.12677/ae.2026.161094

参考文献

[1] Bhattacharya, S. (2023) Competency-based Medical Education: An Overview. Annals of Medical Science & Research, 2, 132-138. [Google Scholar] [CrossRef
[2] 步玉兰, 李家秋, 蹇兆成, 等. 医教协同多元化实习模式对医学生临床实践能力及满意度的影响[J]. 中国卫生产业, 2024, 21(23): 21-23+31.
[3] 谢瑜珠. 医教协同背景下临床医学专业实践教学体系构建与实践[J]. 襄阳职业技术学院学报, 2025, 24(3): 55-59.
[4] 洪澄英, 刘晓君, 穆雪鹍, 等. 以岗位胜任力为导向的模拟教学在内科实习医师基础技能培训中的初步应用[J]. 中国高等医学教育, 2024(8): 106-108.
[5] 黄钟炼, 朱艺麟, 赵迪, 等. 以岗位胜任力为导向的骨科临床实习新模式的应用研究[J]. 继续医学教育, 2025, 39(6): 92-95.
[6] 赵月华, 杨海燕, 朱海玲, 等. 岗位胜任力为导向的临床医学专业实践教学研讨[J]. 中国卫生产业, 2024, 21(11): 209-212.
[7] 解福臣, 张太哲, 邱兆磊, 等. 以职业胜任力为导向的多元化教学法在急诊外科临床带教中的应用[J]. 中华全科医学, 2024, 22(4): 682-684+689.
[8] 吕高飞, 蒋磊, 李羽佳. 泌尿外科实习教学中以职业胜任力为导向的多元化教学法的应用研讨[J]. 中国卫生产业, 2024, 21(20): 148-151.
[9] 李晓静. 基于胜任力导向的案例式教学对口腔科带教实习生学习兴趣及思维能力的影响[J]. 中国医药指南, 2024, 22(30): 186-188.
[10] 陈强, 王桂林. 医教协同联合PBL教学模式在全科医学生乳腺甲状腺外科实习带教中的应用[J]. 西部素质教育, 2024, 10(2): 161-164.
[11] 刘艳菊. 医教协同育人视域下的临床教学模式建设及实践路径研究[J]. 学周刊, 2024(16): 50-53.
[12] La Chimea, T., Kanji, Z. and Schmitz, S. (2020) Assessment of Clinical Competence in Competency-Based Education. Canadian Journal of Dental Hygiene, 54, 83-91.
[13] Gonzalo, J.D., Wolpaw, D.R., Cooney, R., Mazotti, L., Reilly, J.B. and Wolpaw, T. (2022) Evolving the Systems-Based Practice Competency in Graduate Medical Education to Meet Patient Needs in the 21st-Century Health Care System. Academic Medicine, 97, 655-661. [Google Scholar] [CrossRef] [PubMed]
[14] 朱婧, 王雨倩, 张莉, 等. 基于胜任力导向的Mini-CEX联合DOPS在儿科模拟医学教学中的应用[J]. 卫生职业教育, 2024, 42(17): 48-52.
[15] Torralba, K.D., Jose, D. and Katz, J.D. (2020) Competency-Based Medical Education for the Clinician-Educator: The Coming of Milestones Version 2. Clinical Rheumatology, 39, 1719-1723. [Google Scholar] [CrossRef] [PubMed]
[16] 沈佳杰, 蔡春耘, 周燕飞. 以培养核心能力为导向的团队教学法对急诊科护生岗位胜任力的影响[J]. 中国高等医学教育, 2023(8): 122-123.
[17] Han, S.Y., Lee, S.H. and Chae, H. (2022) Developing a Best Practice Framework for Clinical Competency Education in the Traditional East-Asian Medicine Curriculum. BMC Medical Education, 22, Article No. 398. [Google Scholar] [CrossRef] [PubMed]
[18] 金刚, 徐静怡, 姜春明, 等. 基于七大核心维度的临床医学教师岗位胜任力模型的构建与实践[J]. 高校医学教学研究(电子版), 2024, 14(2): 3-8.