新医科背景下中医专业临床实习教学体系构建的思考

Reflections on the Construction of the Clinical Internship Teaching System for Traditional Chinese Medicine Majors under the Background of the New Medical Model

摘要: 新医科建设是应对新一轮科技革命和健康中国战略需求的重要教育变革，对中医人才培养提出新的要求。临床实习作为中医学专业学生从理论学习过渡到独立临床实践的核心环节，其体系设计直接决定人才培养的实际效果。本文通过阐释新医科内涵及其对中医临床实习的要求，系统梳理当前中医临床实习面临的经典理论与临床实践融合不足、实习资源配置不均衡、教学模式固化、评价反馈机制不健全等问题，提出坚持中医主体地位、推动多学科交叉融合、强化岗位胜任力导向、深化医教协同的核心理念。在此基础上，从实习内容模块设计、教学模式创新、资源平台拓展、师资队伍建设和考核评价机制等方面构建适应新医科要求的中医临床实习体系，以期为中医临床教学改革提供参考。

Abstract: The construction of the new medical model is an important educational reform to respond to the new wave of technological revolution and the Healthy China strategy, which puts forward new requirements for the training of traditional Chinese medicine (TCM) talents. Clinical internships, as a core stage for TCM students to transition from theoretical study to independent clinical practice, have a system design that directly determines the actual effectiveness of talent cultivation. This paper explains the connotation of the new medical model and its requirements for TCM clinical internships, systematically reviews current issues such as the insufficient integration of classical theory and clinical practice, uneven allocation of internship resources, rigid teaching models, and incomplete evaluation and feedback mechanisms. It proposes core concepts including upholding the principal status of TCM, promoting multidisciplinary integration, strengthening competency-oriented guidance, and deepening medical-education coordination. On this basis, the paper constructs a TCM clinical internship system that meets the requirements of the new medical model from the perspectives of internship content module design, innovation in teaching models, expansion of resource platforms, faculty development, and assessment and evaluation mechanisms, aiming to provide a reference for TCM clinical teaching reform.