《临床实习面临新题问的应对措施》由会员分享，可在线阅读，更多相关《临床实习面临新题问的应对措施（69页珍藏版）》请在金锄头文库上搜索。
1、临床实习面临新问题的 应对措施许海涛Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.临床实习是将医学基础理论与临床实践相结合的桥梁，同时，也是将医学生培养成为临床医生的关键环节。 Eval
2、uation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.近年来，随着医疗环境 的改变、新的医疗相关法律、法 规的相继出台、以及医学模式的 转变，医患关系发生的新变化， 社会对实习同学的偏见以及病人 对学生
3、的不信任态度，给临床实 习和实习教学带来了新的困难和 影响。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.临床实习学生在心理素质、职业道德、学习主动性、角色 转变、考研就业等方面存在的
4、新 问题，给临床实习教学带来更大 的难度。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.一、面临的新问 题和困难 Evaluation only.Evaluation only. Cr
5、eated with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.1创建群众满意医院、 构建和谐医院给学生实习带 来的影响： Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Cl
6、ient Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.在新型医患关系的作用下 ，临床实习带教时，只有在患者 知情同意的基础上，才能进行示 教、观察和操作，尤其是操作， 患者往往十分不愿意。有的教学 医院为了确保医疗质量、让患者 满意，或者为了减少医疗纠纷， 不让学生“动手”操作。 Evaluation only.Evaluation only
7、. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.实习带教老师也为了不成 为病人的投诉对象，对风险不大 甚至毫无风险的操作都不让学生 进行。使学生本应在病人身上进 行的临床技能操作被无情的剥夺 ，远远达不到临床实习的目的。 Evaluation onl
8、y.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.新医疗法规给学生实 习带来的影响 Evaluation only.Evaluation only. Created with Aspose.Slides for .NE
9、T 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.卫生部颁发的新医疗事 故处理条例明确规定很多原来 实习生可以自己“动手”的项目 ，现不再允许实习学生操作，如 入院记录、首次病程记录、主任 医师（科主任）查房记录等必须 由本院医师完成。 Evaluation only.Evaluation only. Created wi
10、th Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.病历书写是医学生临床实 习的一个重要内容，也是成为一 个好医生的形象工程，在某些特 殊情况下，病历书写的正确与否 ，将为医疗官司的胜负提供最有 力的原始证据，实习生失去了规 范化的培训，将为今后单独从事 医疗工作带来弊端。 E
11、valuation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.实习学生失去了病案书写 中记录这些关键内容的权利，使 带教老师对学生不再下达“强制 ”性指令，导致了学生病史采集 不熟练，医患语言沟通能力不强
12、 ，体格检查内容丢三落四，检查 手法生硬等。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 医学院校大规模扩招 后给学生实习带来的影响 Evaluation only.Evaluati
13、on only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.我国高等医学院校已面临 实习基地少，实习学生多的压力 。医学院校为了能完成学生的实 习教学任务，要么采取各实习点 增加实习生人数，要么将一些不 具备良好实习条件的医院硬行拓 展成为实习医院
14、，使实习学生的 实习质量难于得到有效保障。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.学生向教育管理部门投诉 最多和最突出的问题是：“实习 学生多、带教老师少，学生“动 手”机会少，
15、医院带教意识差， 少数医院带教条件欠缺”。实习 医院反映较多的是学生的学习意 识差，缺乏主动性，怕吃苦，基 础理论差别较大，沟通能力不强 等。Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd
16、.4医院现代化数据化管 理给学生实习带来的影响 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.虽然大部分实习生掌握了 一定的计算机应用技术，但是， 还有少部分学生不知如何操作计 算机，给学生书写病历、开检查 单、查看实验结果等带来了困难 。 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Cop
