導(dao)語：中(zhong)醫學專業臨(lin)床實習(xi)質量(liang)監控體系探討一文(wen)來源于網友上傳，不代表(biao)本(ben)站觀(guan)點，若需(xu)要原創文(wen)章(zhang)可咨詢客(ke)服(fu)老師，歡迎參考(kao)。

摘要：中醫學專業本科學生臨床實習能力水平的高低是評價醫學教育質量的重要指標之一，如何提高中醫學專業學生臨床實習質量，確保實踐型、創新型、創業型的綜合性中醫人才的培養效果，需要建立起完整、有效的臨床實習質量監控體系，實現(xian)對(dui)中醫學(xue)專業臨床(chuang)實習質量的(de)有(you)效監控(kong)。作為高等中醫藥(yao)院(yuan)校，多年(nian)來(lai)筆者學(xue)校在(zai)長(chang)期的(de)臨床(chuang)實習管理過程中，不斷采取各種舉措大力加強學(xue)生(sheng)臨床(chuang)實習工作，積極創造條(tiao)件，采取有(you)力措施將各項工作落到實處，深入、全面地(di)做(zuo)好臨床(chuang)實習質量監控(kong)工作。

關鍵詞：中醫學專業；臨床實(shi)習；質量監控體系；研究

中(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)是實(shi)踐(jian)性學(xue)(xue)科(ke)，決(jue)定了(le)中(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)人(ren)(ren)才培(pei)(pei)養必須(xu)以臨床(chuang)(chuang)(chuang)實(shi)踐(jian)訓練為(wei)核心，臨床(chuang)(chuang)(chuang)實(shi)習(xi)作為(wei)中(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)人(ren)(ren)才培(pei)(pei)養的重要(yao)教學(xue)(xue)環節，是中(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)專(zhuan)(zhuan)業(ye)學(xue)(xue)生(sheng)綜合運(yun)用基礎理論知識和專(zhuan)(zhuan)業(ye)技(ji)能的重要(yao)階(jie)段，其通過在臨床(chuang)(chuang)(chuang)實(shi)踐(jian)中(zhong)(zhong)不(bu)斷提升知識運(yun)用能力(li)(li)、動手能力(li)(li)、獨(du)立分析問題(ti)和解(jie)決(jue)問題(ti)的能力(li)(li)，實(shi)現從(cong)醫(yi)(yi)(yi)學(xue)(xue)生(sheng)向臨床(chuang)(chuang)(chuang)醫(yi)(yi)(yi)師角色(se)的重要(yao)轉換。如何提高(gao)中(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)專(zhuan)(zhuan)業(ye)學(xue)(xue)生(sheng)臨床(chuang)(chuang)(chuang)實(shi)習(xi)質(zhi)量(liang)，確保實(shi)踐(jian)型、創(chuang)新型、創(chuang)業(ye)型的綜合性中(zhong)(zhong)醫(yi)(yi)(yi)人(ren)(ren)才的培(pei)(pei)養效(xiao)果，一直以來(lai)都是各中(zhong)(zhong)醫(yi)(yi)(yi)藥院(yuan)校積極思考和探索的問題(ti)，要(yao)解(jie)決(jue)中(zhong)(zhong)醫(yi)(yi)(yi)藥人(ren)(ren)才培(pei)(pei)養質(zhi)量(liang)問題(ti)，需要(yao)建(jian)立起完整、有(you)(you)效(xiao)的臨床(chuang)(chuang)(chuang)實(shi)習(xi)質(zhi)量(liang)監控(kong)體(ti)系，實(shi)現對(dui)中(zhong)(zhong)醫(yi)(yi)(yi)學(xue)(xue)專(zhuan)(zhuan)業(ye)臨床(chuang)(chuang)(chuang)實(shi)習(xi)質(zhi)量(liang)的有(you)(you)效(xiao)監控(kong)。

1臨床實習質量監控體系研究背景

高等醫學教育長期以來都十分重視臨床實習，確保臨床實習“教學質量”成為各高校的關注重點，并開展了促進臨床實習教學質量提高和監控的各式研究。川北醫學院在長期的質量監控研究中把科學合理的質量標準作為實施質量控制的前提，認為沒有質量標準的監控是無目的的監控[1]。浙江醫學高等專科學校引進把以人為本、以過程為本、以質量為本作為管理理念的ISO9000質量管理體系，通過過程管理，監控并反饋實習效果，提高實習質量[2]。安徽新華學院藥學院從臨床實習文件、實習流程、實習監管和實習考核4個環節對畢業實習質量監控體系進行了初步分析研究[3]。湖北中醫藥大學藥學院張怡等老師從管理模式、信息反饋方式、畢業實習質量評價、制度保障這4個方面對如何構建畢業實習質量監控和信息反饋體系進行了探討，認為(wei)(wei)畢(bi)(bi)(bi)業實習(xi)(xi)(xi)(xi)質(zhi)(zhi)量監(jian)控和(he)(he)信(xin)息(xi)反饋體系(xi)(xi)的(de)(de)成功構建將打破傳統教(jiao)(jiao)學(xue)管理模(mo)式，加快學(xue)校(xiao)的(de)(de)教(jiao)(jiao)學(xue)管理信(xin)息(xi)化建設(she)，提高教(jiao)(jiao)學(xue)管理的(de)(de)質(zhi)(zhi)量和(he)(he)效能[4]。南京(jing)醫科大(da)學(xue)就把“臨床(chuang)提升”作為(wei)(wei)發展戰略，注重(zhong)校(xiao)院協(xie)同，完善(shan)醫學(xue)生(sheng)臨床(chuang)實踐能力培養體系(xi)(xi)，并(bing)認為(wei)(wei)對臨床(chuang)教(jiao)(jiao)學(xue)的(de)(de)檢查是落實教(jiao)(jiao)學(xue)質(zhi)(zhi)量監(jian)控的(de)(de)必(bi)要手(shou)段[5]。第(di)三(san)(san)軍醫大(da)研究表(biao)明，對臨床(chuang)實習(xi)(xi)(xi)(xi)質(zhi)(zhi)量效果(guo)的(de)(de)評價，宜從實習(xi)(xi)(xi)(xi)條件、實習(xi)(xi)(xi)(xi)過(guo)程和(he)(he)實習(xi)(xi)(xi)(xi)效果(guo)三(san)(san)方(fang)面進行，并(bing)以其(qi)中的(de)(de)臨床(chuang)實習(xi)(xi)(xi)(xi)效果(guo)作為(wei)(wei)重(zhong)點[6]。廣州醫學(xue)院通過(guo)由(you)學(xue)院組織的(de)(de)畢(bi)(bi)(bi)業考試加強了對畢(bi)(bi)(bi)業實習(xi)(xi)(xi)(xi)質(zhi)(zhi)量的(de)(de)全面監(jian)控[7]。江(jiang)西中醫藥(yao)大(da)學(xue)認為(wei)(wei)臨床(chuang)實習(xi)(xi)(xi)(xi)考核是檢驗(yan)臨床(chuang)實習(xi)(xi)(xi)(xi)效果(guo)的(de)(de)重(zhong)要途徑之一(yi)，對發現(xian)臨床(chuang)實習(xi)(xi)(xi)(xi)薄弱環(huan)節(jie)、提高臨床(chuang)實習(xi)(xi)(xi)(xi)質(zhi)(zhi)量具有重(zhong)要意(yi)義(yi)[8]。

2中醫學專業臨床實習質量監控體系的建立

中(zhong)(zhong)醫(yi)學專(zhuan)業(ye)本(ben)科學生臨(lin)(lin)床實(shi)習(xi)(xi)(xi)能力(li)水(shui)平的(de)(de)高(gao)低(di)是(shi)評價中(zhong)(zhong)醫(yi)藥(yao)教(jiao)(jiao)育質量的(de)(de)重要(yao)指標之一。中(zhong)(zhong)醫(yi)臨(lin)(lin)床實(shi)踐(jian)教(jiao)(jiao)學作(zuo)為高(gao)等(deng)中(zhong)(zhong)醫(yi)教(jiao)(jiao)學的(de)(de)重要(yao)組成部分，對培養學生的(de)(de)實(shi)踐(jian)動手能力(li)、知(zhi)識運用和創新能力(li)、中(zhong)(zhong)醫(yi)臨(lin)(lin)床思(si)維能力(li)、適(shi)應社會能力(li)，具有極其重要(yao)的(de)(de)意義[9]。作(zuo)為高(gao)等(deng)中(zhong)(zhong)醫(yi)藥(yao)院校，多年來福(fu)建中(zhong)(zhong)醫(yi)藥(yao)大學在長期的(de)(de)臨(lin)(lin)床實(shi)習(xi)(xi)(xi)管理過(guo)程中(zhong)(zhong)，積(ji)極探(tan)索臨(lin)(lin)床教(jiao)(jiao)學管理方法，采取各種舉措大力(li)加強(qiang)學生臨(lin)(lin)床實(shi)習(xi)(xi)(xi)教(jiao)(jiao)學管理工作(zuo)，強(qiang)烈(lie)感(gan)受(shou)到建立起中(zhong)(zhong)醫(yi)學專(zhuan)業(ye)臨(lin)(lin)床實(shi)習(xi)(xi)(xi)質量監控體系，是(shi)不(bu)斷提高(gao)臨(lin)(lin)床實(shi)習(xi)(xi)(xi)質量的(de)(de)關鍵(jian)，是(shi)培養出合格的(de)(de)中(zhong)(zhong)醫(yi)臨(lin)(lin)床醫(yi)生的(de)(de)必然要(yao)求。

2.1建立臨床實習質(zhi)量監控管理(li)機(ji)制

建(jian)(jian)(jian)立學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)校-學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)院-醫(yi)院三級質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)控(kong)(kong)(kong)管(guan)理(li)(li)機(ji)制(zhi)，學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)校教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)務處主要(yao)負(fu)責臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)踐(jian)(jian)(jian)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)宏(hong)觀管(guan)理(li)(li)，負(fu)責臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)踐(jian)(jian)(jian)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)建(jian)(jian)(jian)設、組(zu)織與(yu)協調等(deng)工(gong)(gong)作，構建(jian)(jian)(jian)完善的(de)(de)(de)(de)(de)實(shi)(shi)(shi)(shi)(shi)踐(jian)(jian)(jian)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)體(ti)系(xi)，根據中(zhong)(zhong)醫(yi)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)專(zhuan)(zhuan)(zhuan)業(ye)人才(cai)培(pei)(pei)(pei)養(yang)(yang)(yang)目(mu)(mu)標(biao)(biao)的(de)(de)(de)(de)(de)要(yao)求，制(zhi)定(ding)明確的(de)(de)(de)(de)(de)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)目(mu)(mu)標(biao)(biao)和標(biao)(biao)準(zhun)，督(du)導學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)院和臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)踐(jian)(jian)(jian)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)基(ji)(ji)地各項實(shi)(shi)(shi)(shi)(shi)際(ji)(ji)工(gong)(gong)作的(de)(de)(de)(de)(de)實(shi)(shi)(shi)(shi)(shi)施；通過(guo)問卷(juan)調查、實(shi)(shi)(shi)(shi)(shi)地考(kao)察、教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)巡視反饋等(deng)方(fang)(fang)式(shi)，充分了解(jie)各實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)醫(yi)院的(de)(de)(de)(de)(de)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)條件、教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)科(ke)研情(qing)況、師(shi)資隊伍(wu)建(jian)(jian)(jian)設等(deng)，積(ji)極發揮(hui)醫(yi)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)協同(tong)作用，遴選(xuan)綜合(he)(he)實(shi)(shi)(shi)(shi)(shi)力強的(de)(de)(de)(de)(de)優質(zhi)(zhi)(zhi)(zhi)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)資源，嚴格管(guan)理(li)(li)，規(gui)范運行。學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)院負(fu)責臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)踐(jian)(jian)(jian)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)目(mu)(mu)標(biao)(biao)和標(biao)(biao)準(zhun)的(de)(de)(de)(de)(de)具(ju)體(ti)落實(shi)(shi)(shi)(shi)(shi)以及臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)過(guo)程(cheng)(cheng)(cheng)中(zhong)(zhong)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生的(de)(de)(de)(de)(de)具(ju)體(ti)管(guan)理(li)(li)工(gong)(gong)作，及時溝通和反饋臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)踐(jian)(jian)(jian)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)效果；醫(yi)院重點實(shi)(shi)(shi)(shi)(shi)施質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)過(guo)程(cheng)(cheng)(cheng)控(kong)(kong)(kong)制(zhi)，形成(cheng)醫(yi)院、科(ke)室(shi)(shi)、帶教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)“三位(wei)一(yi)(yi)體(ti)”的(de)(de)(de)(de)(de)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)理(li)(li)模(mo)式(shi)，從院領(ling)導、科(ke)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)科(ke)、教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)研室(shi)(shi)到臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)，分工(gong)(gong)明確、責任到人。建(jian)(jian)(jian)立臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)保(bao)障體(ti)系(xi)，包(bao)括(kuo)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)指導組(zu)、臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)督(du)導組(zu)等(deng)，建(jian)(jian)(jian)立了“監(jian)(jian)督(du)—反饋—整(zheng)改(gai)(gai)”的(de)(de)(de)(de)(de)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)保(bao)障長效機(ji)制(zhi)，確保(bao)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)不斷提(ti)高。在(zai)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)控(kong)(kong)(kong)管(guan)理(li)(li)機(ji)制(zhi)完善過(guo)程(cheng)(cheng)(cheng)中(zhong)(zhong)，除了構建(jian)(jian)(jian)實(shi)(shi)(shi)(shi)(shi)踐(jian)(jian)(jian)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)體(ti)系(xi)外，還要(yao)結(jie)合(he)(he)教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)實(shi)(shi)(shi)(shi)(shi)際(ji)(ji)，設置教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)控(kong)(kong)(kong)目(mu)(mu)標(biao)(biao)。教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)控(kong)(kong)(kong)目(mu)(mu)標(biao)(biao)，可以為(wei)監(jian)(jian)控(kong)(kong)(kong)過(guo)程(cheng)(cheng)(cheng)提(ti)供方(fang)(fang)向指引，進而(er)有效避免教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)過(guo)程(cheng)(cheng)(cheng)與(yu)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)過(guo)程(cheng)(cheng)(cheng)中(zhong)(zhong)的(de)(de)(de)(de)(de)軌(gui)跡(ji)偏移問題。就(jiu)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)而(er)言，臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)醫(yi)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)專(zhuan)(zhuan)(zhuan)業(ye)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)控(kong)(kong)(kong)的(de)(de)(de)(de)(de)主要(yao)目(mu)(mu)的(de)(de)(de)(de)(de)在(zai)于(yu)提(ti)升教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)，為(wei)醫(yi)療建(jian)(jian)(jian)設培(pei)(pei)(pei)養(yang)(yang)(yang)專(zhuan)(zhuan)(zhuan)業(ye)型、技(ji)能型的(de)(de)(de)(de)(de)高素(su)質(zhi)(zhi)(zhi)(zhi)人才(cai)。因此，監(jian)(jian)控(kong)(kong)(kong)系(xi)統在(zai)實(shi)(shi)(shi)(shi)(shi)際(ji)(ji)應用中(zhong)(zhong)不能流于(yu)形式(shi)，一(yi)(yi)方(fang)(fang)面，要(yao)結(jie)合(he)(he)實(shi)(shi)(shi)(shi)(shi)際(ji)(ji)考(kao)慮(lv)研究(jiu)與(yu)論證基(ji)(ji)礎(chu)上，不斷改(gai)(gai)革與(yu)創(chuang)新監(jian)(jian)控(kong)(kong)(kong)方(fang)(fang)法，進而(er)提(ti)出切實(shi)(shi)(shi)(shi)(shi)有效的(de)(de)(de)(de)(de)監(jian)(jian)控(kong)(kong)(kong)管(guan)理(li)(li)方(fang)(fang)法；另一(yi)(yi)方(fang)(fang)面，結(jie)合(he)(he)具(ju)體(ti)落實(shi)(shi)(shi)(shi)(shi)情(qing)況科(ke)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)制(zhi)定(ding)監(jian)(jian)控(kong)(kong)(kong)目(mu)(mu)標(biao)(biao)，以此來(lai)達(da)到預期控(kong)(kong)(kong)制(zhi)目(mu)(mu)的(de)(de)(de)(de)(de)。在(zai)目(mu)(mu)標(biao)(biao)設定(ding)過(guo)程(cheng)(cheng)(cheng)中(zhong)(zhong)，要(yao)充分考(kao)慮(lv)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)醫(yi)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)專(zhuan)(zhuan)(zhuan)業(ye)特點與(yu)本校學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生實(shi)(shi)(shi)(shi)(shi)際(ji)(ji)情(qing)況，在(zai)此基(ji)(ji)礎(chu)上科(ke)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)規(gui)劃(hua)與(yu)合(he)(he)理(li)(li)組(zu)織監(jian)(jian)控(kong)(kong)(kong)目(mu)(mu)標(biao)(biao)，為(wei)高素(su)質(zhi)(zhi)(zhi)(zhi)人才(cai)培(pei)(pei)(pei)養(yang)(yang)(yang)奠定(ding)良好基(ji)(ji)礎(chu)，為(wei)實(shi)(shi)(shi)(shi)(shi)現(xian)專(zhuan)(zhuan)(zhuan)業(ye)化人才(cai)培(pei)(pei)(pei)養(yang)(yang)(yang)目(mu)(mu)標(biao)(biao)貢獻力量(liang)(liang)(liang)(liang)(liang)。另外，此監(jian)(jian)控(kong)(kong)(kong)管(guan)理(li)(li)機(ji)制(zhi)目(mu)(mu)標(biao)(biao)定(ding)位(wei)要(yao)建(jian)(jian)(jian)立在(zai)優質(zhi)(zhi)(zhi)(zhi)醫(yi)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)服(fu)務基(ji)(ji)礎(chu)上，要(yao)求實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)生不僅要(yao)具(ju)備過(guo)硬(ying)的(de)(de)(de)(de)(de)臨(lin)(lin)(lin)床(chuang)(chuang)(chuang)醫(yi)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)知識(shi)，還要(yao)建(jian)(jian)(jian)立高尚的(de)(de)(de)(de)(de)職業(ye)情(qing)操，進而(er)有效滿足教(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)提(ti)升的(de)(de)(de)(de)(de)基(ji)(ji)礎(chu)需求。

2.2修(xiu)訂實(shi)習大綱和臨床(chuang)技能考(kao)核(he)標(biao)準

根(gen)(gen)據中(zhong)(zhong)醫學(xue)(xue)(xue)(xue)專(zhuan)業培養方案和國家執業醫師考(kao)(kao)試(shi)要(yao)求，修(xiu)訂專(zhuan)業實(shi)(shi)(shi)習(xi)大綱，凸顯中(zhong)(zhong)醫學(xue)(xue)(xue)(xue)專(zhuan)業特色，合(he)理安排(pai)臨(lin)床(chuang)(chuang)實(shi)(shi)(shi)習(xi)計劃，加(jia)強(qiang)中(zhong)(zhong)醫特色門診教學(xue)(xue)(xue)(xue)，強(qiang)化(hua)中(zhong)(zhong)醫思(si)(si)維(wei)訓(xun)練，提(ti)高中(zhong)(zhong)醫臨(lin)床(chuang)(chuang)實(shi)(shi)(shi)踐(jian)技(ji)能(neng)；優化(hua)臨(lin)床(chuang)(chuang)教學(xue)(xue)(xue)(xue)環(huan)節(jie)，科(ke)(ke)學(xue)(xue)(xue)(xue)設(she)置自選實(shi)(shi)(shi)習(xi)科(ke)(ke)室(shi)周數，學(xue)(xue)(xue)(xue)生可根(gen)(gen)據自身實(shi)(shi)(shi)習(xi)情況和興趣愛(ai)好進行知識體系的(de)強(qiang)化(hua)或補缺補漏。進一(yi)步(bu)規(gui)范臨(lin)床(chuang)(chuang)實(shi)(shi)(shi)踐(jian)教學(xue)(xue)(xue)(xue)內容(rong)及考(kao)(kao)核標準(zhun)，明(ming)確實(shi)(shi)(shi)習(xi)輪轉科(ke)(ke)室(shi)及各(ge)科(ke)(ke)實(shi)(shi)(shi)習(xi)基本(ben)(ben)要(yao)求，包括對(dui)實(shi)(shi)(shi)習(xi)科(ke)(ke)室(shi)的(de)教學(xue)(xue)(xue)(xue)內容(rong)、入科(ke)(ke)教育、科(ke)(ke)室(shi)帶教內容(rong)及出科(ke)(ke)考(kao)(kao)核等(deng)方面做出詳細(xi)規(gui)定。采用(yong)(yong)量(liang)化(hua)質量(liang)監(jian)控指標，對(dui)臨(lin)床(chuang)(chuang)思(si)(si)維(wei)、應診表現(xian)、基本(ben)(ben)技(ji)能(neng)操作、醫患(huan)溝通以及人文(wen)素(su)質等(deng)各(ge)個(ge)實(shi)(shi)(shi)習(xi)環(huan)節(jie)設(she)置量(liang)化(hua)評分(fen)表，賦(fu)予(yu)一(yi)定的(de)分(fen)值(zhi)，各(ge)科(ke)(ke)實(shi)(shi)(shi)習(xi)完(wan)成后進行出科(ke)(ke)考(kao)(kao)核，考(kao)(kao)核不(bu)合(he)格，應予(yu)補考(kao)(kao)。實(shi)(shi)(shi)習(xi)結(jie)(jie)束，在(zai)統一(yi)站點設(she)置、統一(yi)考(kao)(kao)試(shi)命題(ti)、統一(yi)評價標準(zhun)的(de)“三(san)統一(yi)”前提(ti)下，組織OSCE臨(lin)床(chuang)(chuang)技(ji)能(neng)考(kao)(kao)試(shi)，建(jian)立(li)有效的(de)考(kao)(kao)試(shi)反饋(kui)機制，將(jiang)考(kao)(kao)試(shi)結(jie)(jie)果運(yun)用(yong)(yong)到臨(lin)床(chuang)(chuang)教學(xue)(xue)(xue)(xue)評價當中(zhong)(zhong)，以促進臨(lin)床(chuang)(chuang)教學(xue)(xue)(xue)(xue)質量(liang)的(de)提(ti)高，也(ye)是(shi)臨(lin)床(chuang)(chuang)教學(xue)(xue)(xue)(xue)質量(liang)監(jian)控體系的(de)重要(yao)一(yi)環(huan)。

2.3強(qiang)化師(shi)資培訓(xun)，規(gui)范臨床教學工作

建(jian)(jian)設一支(zhi)學(xue)(xue)歷(li)層次(ci)較高(gao)(gao)、能(neng)力較強(qiang)(qiang)(qiang)、工(gong)作(zuo)(zuo)作(zuo)(zuo)風良好的(de)(de)(de)(de)臨(lin)床(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)(xue)師(shi)資隊伍(wu)是提(ti)高(gao)(gao)臨(lin)床(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)(xue)質(zhi)(zhi)量(liang)的(de)(de)(de)(de)核心，通(tong)過加(jia)強(qiang)(qiang)(qiang)臨(lin)床(chuang)(chuang)師(shi)資隊伍(wu)培養力度(du)，不(bu)斷提(ti)高(gao)(gao)教(jiao)(jiao)(jiao)職工(gong)整體素質(zhi)(zhi)，同(tong)時(shi)也要加(jia)強(qiang)(qiang)(qiang)醫(yi)院(yuan)教(jiao)(jiao)(jiao)學(xue)(xue)管(guan)理人員的(de)(de)(de)(de)培訓，提(ti)高(gao)(gao)臨(lin)床(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)(xue)管(guan)理水平(ping)和業務(wu)能(neng)力對保證臨(lin)床(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)(xue)質(zhi)(zhi)量(liang)同(tong)樣(yang)具有重要作(zuo)(zuo)用。學(xue)(xue)校組建(jian)(jian)專(zhuan)家庫，通(tong)過征詢基地(di)(di)醫(yi)院(yuan)意見和建(jian)(jian)議，組織(zhi)業務(wu)水平(ping)高(gao)(gao)、有較高(gao)(gao)威望的(de)(de)(de)(de)專(zhuan)家、教(jiao)(jiao)(jiao)授、優秀教(jiao)(jiao)(jiao)師(shi)定期(qi)前往各(ge)地(di)(di)區進行(xing)片區式教(jiao)(jiao)(jiao)學(xue)(xue)及管(guan)理培訓，開展專(zhuan)題講座、現(xian)場示范教(jiao)(jiao)(jiao)學(xue)(xue)，總(zong)結交流臨(lin)床(chuang)(chuang)實(shi)習帶教(jiao)(jiao)(jiao)和管(guan)理經驗(yan)等。通(tong)過多途(tu)徑(jing)、多方位、多步驟(zou)立體了解各(ge)基地(di)(di)醫(yi)院(yuan)臨(lin)床(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)(xue)各(ge)環節(jie)的(de)(de)(de)(de)運行(xing)管(guan)理情況，重點(dian)抓好臨(lin)床(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)(xue)質(zhi)(zhi)量(liang)，實(shi)現(xian)精準指(zhi)導(dao)，幫助指(zhi)各(ge)基地(di)(di)采取(qu)有效(xiao)措施(shi)加(jia)強(qiang)(qiang)(qiang)教(jiao)(jiao)(jiao)學(xue)(xue)組織(zhi)建(jian)(jian)設，明確工(gong)作(zuo)(zuo)思路，增強(qiang)(qiang)(qiang)教(jiao)(jiao)(jiao)學(xue)(xue)意識，健全各(ge)項教(jiao)(jiao)(jiao)學(xue)(xue)規章制度(du)，規范教(jiao)(jiao)(jiao)學(xue)(xue)管(guan)理。

2.4加強基地檢查(cha)和評審，全面提升臨床教學工作

臨(lin)(lin)床(chuang)(chuang)(chuang)實(shi)(shi)習質(zhi)量保障體(ti)系涉及優(you)化(hua)基地(di)建設(she)(she)與(yu)(yu)管(guan)理、完善(shan)質(zhi)量監控與(yu)(yu)評(ping)價系統[10]。因教(jiao)(jiao)(jiao)學(xue)基地(di)等(deng)級、師資(zi)(zi)水平、管(guan)理模式(shi)(shi)等(deng)不同，存在著教(jiao)(jiao)(jiao)學(xue)模式(shi)(shi)、帶(dai)教(jiao)(jiao)(jiao)方(fang)式(shi)(shi)、考(kao)試模式(shi)(shi)等(deng)的差異(yi)，導致各臨(lin)(lin)床(chuang)(chuang)(chuang)基地(di)的教(jiao)(jiao)(jiao)學(xue)質(zhi)量參差不齊[11]。由學(xue)校領(ling)導帶(dai)隊(dui)，臨(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)專家、行(xing)政管(guan)理人員(yuan)等(deng)共同組(zu)成教(jiao)(jiao)(jiao)學(xue)檢(jian)(jian)查(cha)團隊(dui)，以定(ding)期檢(jian)(jian)查(cha)與(yu)(yu)非定(ding)期巡視相結合(he)的方(fang)式(shi)(shi)，按教(jiao)(jiao)(jiao)學(xue)基地(di)建設(she)(she)計劃，依據臨(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)基地(di)評(ping)估(gu)(gu)指標(biao)體(ti)系和專業檢(jian)(jian)查(cha)項(xiang)目(mu)標(biao)準(zhun)，通過(guo)查(cha)閱(yue)資(zi)(zi)料、實(shi)(shi)地(di)走(zou)訪(fang)、師生座談、現(xian)場考(kao)核等(deng)形式(shi)(shi)從醫(yi)院教(jiao)(jiao)(jiao)學(xue)基本(ben)條件(jian)、臨(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)管(guan)理、教(jiao)(jiao)(jiao)學(xue)實(shi)(shi)施情況(kuang)、實(shi)(shi)習生管(guan)理、臨(lin)(lin)床(chuang)(chuang)(chuang)帶(dai)教(jiao)(jiao)(jiao)能力及師資(zi)(zi)管(guan)理等(deng)方(fang)面(mian)，對(dui)(dui)醫(yi)院的臨(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)各個環節(jie)進行(xing)綜(zong)合(he)考(kao)察(cha)和判斷，對(dui)(dui)教(jiao)(jiao)(jiao)學(xue)基地(di)建設(she)(she)進行(xing)監督、檢(jian)(jian)查(cha)和評(ping)估(gu)(gu)，結果及時反(fan)饋到(dao)教(jiao)(jiao)(jiao)學(xue)基地(di)，建立競爭、淘汰機(ji)制(zhi)和評(ping)估(gu)(gu)表彰(zhang)獎勵制(zhi)度，以提高臨(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)基地(di)自身建設(she)(she)的自覺性、自律性，從全(quan)局(ju)上改進教(jiao)(jiao)(jiao)學(xue)工作，推(tui)動臨(lin)(lin)床(chuang)(chuang)(chuang)教(jiao)(jiao)(jiao)學(xue)工作水平的全(quan)面(mian)提高。

2.5構建實習(xi)管理網(wang)絡，強化實習(xi)生(sheng)管理

實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)是臨(lin)(lin)床(chuang)(chuang)實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)的(de)(de)(de)執行(xing)(xing)對(dui)象，是質(zhi)(zhi)(zhi)量(liang)(liang)監(jian)控(kong)系(xi)統是否有(you)(you)效(xiao)的(de)(de)(de)最佳體(ti)現者。學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)基礎理(li)(li)(li)論(lun)知識(shi)不扎(zha)實(shi)(shi)(shi)(shi)、實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)積極性(xing)不高、臨(lin)(lin)床(chuang)(chuang)技能(neng)操作弱等(deng)原因都直接影(ying)響實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)質(zhi)(zhi)(zhi)量(liang)(liang)。實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)質(zhi)(zhi)(zhi)量(liang)(liang)的(de)(de)(de)高低(di)會直接影(ying)響醫(yi)學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)崗(gang)位(wei)勝(sheng)任(ren)(ren)力(li)培養(yang)(yang)[12]，醫(yi)學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)崗(gang)位(wei)勝(sheng)任(ren)(ren)力(li)包含醫(yi)學(xue)(xue)(xue)(xue)知識(shi)、臨(lin)(lin)床(chuang)(chuang)技能(neng)和患者診療、職業(ye)精神和素質(zhi)(zhi)(zhi)、科學(xue)(xue)(xue)(xue)性(xing)和臨(lin)(lin)床(chuang)(chuang)探究、人(ren)(ren)際和溝通(tong)能(neng)力(li)等(deng)在(zai)內的(de)(de)(de)7個(ge)(ge)領域[13]。從關(guan)心實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)成(cheng)長(chang)及教(jiao)(jiao)(jiao)(jiao)(jiao)育(yu)著手，既(ji)要(yao)(yao)關(guan)心學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)學(xue)(xue)(xue)(xue)習(xi)(xi)(xi)、生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)活(huo)問(wen)題，又要(yao)(yao)跟蹤掌握(wo)學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)的(de)(de)(de)身心健康(kang)狀況(kuang)，加(jia)強人(ren)(ren)文(wen)關(guan)懷。構(gou)建(jian)(jian)完整的(de)(de)(de)實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)管理(li)(li)(li)網(wang)(wang)絡(luo)(luo)(luo)，搭建(jian)(jian)校(xiao)(xiao)院教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)管理(li)(li)(li)交(jiao)流平臺，提高實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)管理(li)(li)(li)科學(xue)(xue)(xue)(xue)性(xing)和時(shi)效(xiao)性(xing)。以(yi)(yi)學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)輪轉(zhuan)科室落實(shi)(shi)(shi)(shi)為(wei)目標(biao)(biao)(biao)、過(guo)程管理(li)(li)(li)為(wei)抓(zhua)手，以(yi)(yi)實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)基地建(jian)(jian)設為(wei)保(bao)障，最終實(shi)(shi)(shi)(shi)現臨(lin)(lin)床(chuang)(chuang)實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)質(zhi)(zhi)(zhi)量(liang)(liang)的(de)(de)(de)提升(sheng)，并通(tong)過(guo)實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)全(quan)過(guo)程數據(ju)的(de)(de)(de)有(you)(you)效(xiao)反饋(kui)為(wei)人(ren)(ren)才(cai)培養(yang)(yang)方案的(de)(de)(de)改進(jin)(jin)、人(ren)(ren)才(cai)培養(yang)(yang)目標(biao)(biao)(biao)的(de)(de)(de)達成(cheng)提供有(you)(you)效(xiao)支撐，促進(jin)(jin)教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)改革與(yu)產教(jiao)(jiao)(jiao)(jiao)(jiao)融合(he)的(de)(de)(de)建(jian)(jian)設。在(zai)構(gou)建(jian)(jian)實(shi)(shi)(shi)(shi)習(xi)(xi)(xi)管理(li)(li)(li)網(wang)(wang)絡(luo)(luo)(luo)過(guo)程中，學(xue)(xue)(xue)(xue)校(xiao)(xiao)可(ke)(ke)借(jie)(jie)助網(wang)(wang)絡(luo)(luo)(luo)平臺與(yu)信(xin)(xin)息(xi)(xi)工具為(wei)學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)構(gou)建(jian)(jian)信(xin)(xin)息(xi)(xi)網(wang)(wang)絡(luo)(luo)(luo)反饋(kui)渠道，讓學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)可(ke)(ke)以(yi)(yi)結合(he)教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)授課情況(kuang)進(jin)(jin)行(xing)(xing)在(zai)線評(ping)(ping)(ping)(ping)課，教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)也可(ke)(ke)以(yi)(yi)借(jie)(jie)助網(wang)(wang)絡(luo)(luo)(luo)平臺進(jin)(jin)行(xing)(xing)教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)監(jian)控(kong)，結合(he)反饋(kui)結果，提出行(xing)(xing)之(zhi)(zhi)有(you)(you)效(xiao)的(de)(de)(de)解決策(ce)略。為(wei)體(ti)現出線上教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)評(ping)(ping)(ping)(ping)價(jia)體(ti)系(xi)的(de)(de)(de)客觀性(xing)與(yu)全(quan)面性(xing)，可(ke)(ke)設置(zhi)(zhi)一級(ji)指(zhi)標(biao)(biao)(biao)及二級(ji)指(zhi)標(biao)(biao)(biao)，結合(he)不同(tong)分(fen)段設置(zhi)(zhi)不同(tong)指(zhi)標(biao)(biao)(biao)體(ti)系(xi)，將百分(fen)制、評(ping)(ping)(ping)(ping)價(jia)表等(deng)模(mo)式(shi)引(yin)(yin)進(jin)(jin)考核體(ti)系(xi)。在(zai)教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)評(ping)(ping)(ping)(ping)價(jia)體(ti)系(xi)中，可(ke)(ke)設置(zhi)(zhi)教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)互(hu)評(ping)(ping)(ping)(ping)監(jian)控(kong)體(ti)系(xi)，引(yin)(yin)導教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)相(xiang)(xiang)互(hu)評(ping)(ping)(ping)(ping)價(jia)與(yu)監(jian)控(kong)，教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)之(zhi)(zhi)間可(ke)(ke)進(jin)(jin)行(xing)(xing)相(xiang)(xiang)互(hu)聽(ting)課，對(dui)他(ta)人(ren)(ren)教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)活(huo)動(dong)(dong)進(jin)(jin)行(xing)(xing)記錄與(yu)分(fen)析(xi)，以(yi)(yi)此促使教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)不斷增長(chang)教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)經驗，提升(sheng)個(ge)(ge)人(ren)(ren)業(ye)務能(neng)力(li)。在(zai)學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)評(ping)(ping)(ping)(ping)價(jia)體(ti)系(xi)中，學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)可(ke)(ke)以(yi)(yi)問(wen)卷形式(shi)對(dui)教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)線上教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)進(jin)(jin)行(xing)(xing)評(ping)(ping)(ping)(ping)價(jia)。對(dui)此，學(xue)(xue)(xue)(xue)校(xiao)(xiao)可(ke)(ke)設置(zhi)(zhi)針(zhen)對(dui)性(xing)評(ping)(ping)(ping)(ping)價(jia)平臺，讓學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)輸入個(ge)(ge)人(ren)(ren)密碼便可(ke)(ke)進(jin)(jin)入系(xi)統進(jin)(jin)行(xing)(xing)評(ping)(ping)(ping)(ping)價(jia)；在(zai)評(ping)(ping)(ping)(ping)價(jia)過(guo)程中，為(wei)學(xue)(xue)(xue)(xue)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)展(zhan)示教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)照片與(yu)相(xiang)(xiang)關(guan)信(xin)(xin)息(xi)(xi)，以(yi)(yi)確(que)保(bao)評(ping)(ping)(ping)(ping)價(jia)活(huo)動(dong)(dong)的(de)(de)(de)針(zhen)對(dui)性(xing)與(yu)準確(que)性(xing)；當(dang)評(ping)(ping)(ping)(ping)價(jia)活(huo)動(dong)(dong)結束后，可(ke)(ke)將其納入教(jiao)(jiao)(jiao)(jiao)(jiao)師(shi)(shi)教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)評(ping)(ping)(ping)(ping)優指(zhi)標(biao)(biao)(biao)中，以(yi)(yi)此形成(cheng)及時(shi)反饋(kui)。這樣不僅(jin)能(neng)夠降低(di)教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)管理(li)(li)(li)成(cheng)本，還可(ke)(ke)以(yi)(yi)有(you)(you)效(xiao)提升(sheng)辦(ban)公效(xiao)率(lv)，進(jin)(jin)而構(gou)建(jian)(jian)出學(xue)(xue)(xue)(xue)校(xiao)(xiao)信(xin)(xin)息(xi)(xi)化(hua)(hua)、現代化(hua)(hua)教(jiao)(jiao)(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)監(jian)控(kong)體(ti)系(xi)。

2.6樹立質量意識，形成全員參(can)與(yu)質量監控體系

實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)體(ti)(ti)系(xi)(xi)(xi)(xi)(xi)(xi)是(shi)(shi)一(yi)(yi)項復雜的(de)(de)(de)(de)系(xi)(xi)(xi)(xi)(xi)(xi)統(tong)工程(cheng)，需(xu)(xu)要(yao)(yao)(yao)(yao)多(duo)(duo)(duo)方力量(liang)(liang)(liang)(liang)(liang)的(de)(de)(de)(de)參(can)與(yu)(yu)(yu)(yu)和配合(he)[14]。就(jiu)目(mu)前中(zhong)(zhong)醫學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)專業臨(lin)床(chuang)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)而言，其(qi)(qi)不僅(jin)需(xu)(xu)要(yao)(yao)(yao)(yao)政(zheng)府發揮正向引(yin)導(dao)(dao)作用(yong)(yong)，同(tong)時(shi)也需(xu)(xu)要(yao)(yao)(yao)(yao)社(she)(she)會(hui)組織的(de)(de)(de)(de)積(ji)極參(can)與(yu)(yu)(yu)(yu)，以(yi)(yi)此(ci)(ci)(ci)強化實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)監(jian)(jian)(jian)督(du)，同(tong)時(shi)也需(xu)(xu)要(yao)(yao)(yao)(yao)全(quan)(quan)(quan)體(ti)(ti)師(shi)生(sheng)(sheng)的(de)(de)(de)(de)廣泛參(can)與(yu)(yu)(yu)(yu)，以(yi)(yi)此(ci)(ci)(ci)確保實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)的(de)(de)(de)(de)不斷(duan)提(ti)升。全(quan)(quan)(quan)員(yuan)參(can)與(yu)(yu)(yu)(yu)的(de)(de)(de)(de)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)理(li)(li)(li)論在(zai)(zai)(zai)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)體(ti)(ti)系(xi)(xi)(xi)(xi)(xi)(xi)建(jian)(jian)(jian)設中(zhong)(zhong)的(de)(de)(de)(de)應用(yong)(yong)主(zhu)(zhu)要(yao)(yao)(yao)(yao)體(ti)(ti)現在(zai)(zai)(zai)以(yi)(yi)下(xia)幾點：一(yi)(yi)是(shi)(shi)樹立良好的(de)(de)(de)(de)醫學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)觀(guan)。全(quan)(quan)(quan)面(mian)(mian)(mian)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)管(guan)(guan)(guan)(guan)理(li)(li)(li)理(li)(li)(li)論起(qi)源于企業管(guan)(guan)(guan)(guan)理(li)(li)(li)中(zhong)(zhong)的(de)(de)(de)(de)管(guan)(guan)(guan)(guan)理(li)(li)(li)理(li)(li)(li)念，其(qi)(qi)注重(zhong)以(yi)(yi)客(ke)戶為(wei)(wei)主(zhu)(zhu)導(dao)(dao)，所(suo)(suo)有(you)的(de)(de)(de)(de)產品與(yu)(yu)(yu)(yu)服務均建(jian)(jian)(jian)立在(zai)(zai)(zai)客(ke)戶滿意基礎(chu)上。將(jiang)其(qi)(qi)應用(yong)(yong)在(zai)(zai)(zai)臨(lin)床(chuang)醫學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)管(guan)(guan)(guan)(guan)理(li)(li)(li)過(guo)程(cheng)中(zhong)(zhong)，其(qi)(qi)所(suo)(suo)面(mian)(mian)(mian)臨(lin)的(de)(de)(de)(de)客(ke)戶便是(shi)(shi)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)、患者(zhe)及社(she)(she)會(hui)，因(yin)(yin)(yin)(yin)此(ci)(ci)(ci)在(zai)(zai)(zai)臨(lin)床(chuang)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)管(guan)(guan)(guan)(guan)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)中(zhong)(zhong)，要(yao)(yao)(yao)(yao)時(shi)刻以(yi)(yi)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)、患者(zhe)與(yu)(yu)(yu)(yu)社(she)(she)會(hui)需(xu)(xu)求(qiu)(qiu)為(wei)(wei)依據，不斷(duan)優化與(yu)(yu)(yu)(yu)調整(zheng)制度體(ti)(ti)系(xi)(xi)(xi)(xi)(xi)(xi)的(de)(de)(de)(de)相(xiang)(xiang)關(guan)內(nei)(nei)容。二是(shi)(shi)構(gou)建(jian)(jian)(jian)全(quan)(quan)(quan)方位(wei)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)模(mo)式(shi)(shi)。影(ying)響(xiang)臨(lin)床(chuang)醫學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)的(de)(de)(de)(de)因(yin)(yin)(yin)(yin)素較多(duo)(duo)(duo)，從主(zhu)(zhu)觀(guan)層(ceng)(ceng)面(mian)(mian)(mian)分(fen)(fen)析(xi)，影(ying)響(xiang)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)的(de)(de)(de)(de)主(zhu)(zhu)體(ti)(ti)主(zhu)(zhu)要(yao)(yao)(yao)(yao)涉(she)及帶教(jiao)(jiao)(jiao)教(jiao)(jiao)(jiao)師(shi)、學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)、院(yuan)校(xiao)(xiao)(xiao)管(guan)(guan)(guan)(guan)理(li)(li)(li)者(zhe)等(deng)人(ren)員(yuan)。從臨(lin)床(chuang)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)過(guo)程(cheng)層(ceng)(ceng)面(mian)(mian)(mian)分(fen)(fen)析(xi)，影(ying)響(xiang)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)的(de)(de)(de)(de)主(zhu)(zhu)體(ti)(ti)主(zhu)(zhu)要(yao)(yao)(yao)(yao)包括學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)各(ge)階段考核(he)成(cheng)(cheng)(cheng)(cheng)績(ji)(ji)、實(shi)(shi)(shi)(shi)(shi)踐操作技能、實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)等(deng)。從教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)層(ceng)(ceng)面(mian)(mian)(mian)分(fen)(fen)析(xi)，其(qi)(qi)主(zhu)(zhu)要(yao)(yao)(yao)(yao)包括過(guo)程(cheng)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)與(yu)(yu)(yu)(yu)過(guo)程(cheng)外監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)兩大類。這就(jiu)表明在(zai)(zai)(zai)構(gou)建(jian)(jian)(jian)臨(lin)床(chuang)醫學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)模(mo)式(shi)(shi)過(guo)程(cheng)中(zhong)(zhong)，要(yao)(yao)(yao)(yao)充分(fen)(fen)考慮(lv)多(duo)(duo)(duo)個相(xiang)(xiang)關(guan)影(ying)響(xiang)因(yin)(yin)(yin)(yin)素，構(gou)建(jian)(jian)(jian)全(quan)(quan)(quan)方位(wei)的(de)(de)(de)(de)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)模(mo)式(shi)(shi)。三是(shi)(shi)構(gou)建(jian)(jian)(jian)全(quan)(quan)(quan)員(yuan)參(can)與(yu)(yu)(yu)(yu)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)模(mo)式(shi)(shi)。中(zhong)(zhong)醫臨(lin)床(chuang)醫學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)體(ti)(ti)系(xi)(xi)(xi)(xi)(xi)(xi)的(de)(de)(de)(de)構(gou)建(jian)(jian)(jian)，不僅(jin)需(xu)(xu)要(yao)(yao)(yao)(yao)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)評(ping)(ping)估(gu)相(xiang)(xiang)關(guan)人(ren)員(yuan)與(yu)(yu)(yu)(yu)監(jian)(jian)(jian)督(du)管(guan)(guan)(guan)(guan)理(li)(li)(li)人(ren)員(yuan)的(de)(de)(de)(de)支持，同(tong)時(shi)也需(xu)(xu)要(yao)(yao)(yao)(yao)院(yuan)校(xiao)(xiao)(xiao)領導(dao)(dao)、相(xiang)(xiang)關(guan)管(guan)(guan)(guan)(guan)理(li)(li)(li)部(bu)門(men)的(de)(de)(de)(de)認可(ke)，因(yin)(yin)(yin)(yin)此(ci)(ci)(ci)在(zai)(zai)(zai)構(gou)建(jian)(jian)(jian)過(guo)程(cheng)中(zhong)(zhong)，要(yao)(yao)(yao)(yao)加強與(yu)(yu)(yu)(yu)各(ge)部(bu)門(men)、各(ge)機構(gou)的(de)(de)(de)(de)協調與(yu)(yu)(yu)(yu)管(guan)(guan)(guan)(guan)理(li)(li)(li)，結合(he)實(shi)(shi)(shi)(shi)(shi)際實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)需(xu)(xu)求(qiu)(qiu)，改進(jin)(jin)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)模(mo)式(shi)(shi)。但(dan)目(mu)前多(duo)(duo)(duo)數院(yuan)校(xiao)(xiao)(xiao)在(zai)(zai)(zai)構(gou)建(jian)(jian)(jian)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)體(ti)(ti)系(xi)(xi)(xi)(xi)(xi)(xi)時(shi)，容易忽略學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)、患者(zhe)、社(she)(she)會(hui)等(deng)方面(mian)(mian)(mian)的(de)(de)(de)(de)特(te)殊(shu)需(xu)(xu)求(qiu)(qiu)，進(jin)(jin)而使(shi)其(qi)(qi)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)成(cheng)(cheng)(cheng)(cheng)效不高。因(yin)(yin)(yin)(yin)此(ci)(ci)(ci)，在(zai)(zai)(zai)構(gou)建(jian)(jian)(jian)過(guo)程(cheng)中(zhong)(zhong)，學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)校(xiao)(xiao)(xiao)要(yao)(yao)(yao)(yao)以(yi)(yi)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)基本(ben)需(xu)(xu)求(qiu)(qiu)為(wei)(wei)核(he)心，充分(fen)(fen)發揮對學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)的(de)(de)(de)(de)引(yin)導(dao)(dao)與(yu)(yu)(yu)(yu)激勵作用(yong)(yong)；以(yi)(yi)家(jia)長意向為(wei)(wei)指導(dao)(dao)，學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)期結束后向家(jia)長匯報學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)在(zai)(zai)(zai)校(xiao)(xiao)(xiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)習(xi)(xi)(xi)(xi)(xi)(xi)情(qing)況與(yu)(yu)(yu)(yu)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)情(qing)況，要(yao)(yao)(yao)(yao)求(qiu)(qiu)家(jia)長填寫相(xiang)(xiang)關(guan)意見；以(yi)(yi)社(she)(she)會(hui)實(shi)(shi)(shi)(shi)(shi)際需(xu)(xu)求(qiu)(qiu)為(wei)(wei)主(zhu)(zhu)導(dao)(dao)，學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)校(xiao)(xiao)(xiao)通過(guo)社(she)(she)會(hui)渠道獲取畢業生(sheng)(sheng)就(jiu)業信(xin)息與(yu)(yu)(yu)(yu)基本(ben)情(qing)況，充分(fen)(fen)挖掘醫院(yuan)對人(ren)才的(de)(de)(de)(de)具(ju)體(ti)(ti)需(xu)(xu)求(qiu)(qiu)，以(yi)(yi)此(ci)(ci)(ci)為(wei)(wei)基礎(chu)強化教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)體(ti)(ti)系(xi)(xi)(xi)(xi)(xi)(xi)的(de)(de)(de)(de)完善與(yu)(yu)(yu)(yu)調整(zheng)。四是(shi)(shi)構(gou)建(jian)(jian)(jian)全(quan)(quan)(quan)過(guo)程(cheng)的(de)(de)(de)(de)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)模(mo)式(shi)(shi)。多(duo)(duo)(duo)數學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)校(xiao)(xiao)(xiao)主(zhu)(zhu)要(yao)(yao)(yao)(yao)以(yi)(yi)期末考試為(wei)(wei)主(zhu)(zhu)要(yao)(yao)(yao)(yao)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)，教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)評(ping)(ping)估(gu)手(shou)(shou)段，將(jiang)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)的(de)(de)(de)(de)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)期末考試成(cheng)(cheng)(cheng)(cheng)績(ji)(ji)作為(wei)(wei)評(ping)(ping)估(gu)重(zhong)要(yao)(yao)(yao)(yao)依據，此(ci)(ci)(ci)手(shou)(shou)段缺(que)少一(yi)(yi)定的(de)(de)(de)(de)客(ke)觀(guan)性與(yu)(yu)(yu)(yu)全(quan)(quan)(quan)面(mian)(mian)(mian)性，難(nan)以(yi)(yi)客(ke)觀(guan)體(ti)(ti)現學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)的(de)(de)(de)(de)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)效果，無法全(quan)(quan)(quan)面(mian)(mian)(mian)展示學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)的(de)(de)(de)(de)具(ju)體(ti)(ti)實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)情(qing)況。即便學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)可(ke)以(yi)(yi)參(can)與(yu)(yu)(yu)(yu)到(dao)評(ping)(ping)教(jiao)(jiao)(jiao)考核(he)中(zhong)(zhong)，但(dan)由于人(ren)為(wei)(wei)主(zhu)(zhu)觀(guan)因(yin)(yin)(yin)(yin)素影(ying)響(xiang)，學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)難(nan)以(yi)(yi)提(ti)出客(ke)觀(guan)準確的(de)(de)(de)(de)評(ping)(ping)估(gu)結果，無法體(ti)(ti)現質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)的(de)(de)(de)(de)實(shi)(shi)(shi)(shi)(shi)質(zhi)(zhi)(zhi)性成(cheng)(cheng)(cheng)(cheng)效。因(yin)(yin)(yin)(yin)此(ci)(ci)(ci)，學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)校(xiao)(xiao)(xiao)要(yao)(yao)(yao)(yao)實(shi)(shi)(shi)(shi)(shi)施實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)過(guo)程(cheng)的(de)(de)(de)(de)全(quan)(quan)(quan)面(mian)(mian)(mian)化監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)，將(jiang)學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)各(ge)節(jie)點各(ge)時(shi)期的(de)(de)(de)(de)考核(he)成(cheng)(cheng)(cheng)(cheng)績(ji)(ji)、實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)成(cheng)(cheng)(cheng)(cheng)果、實(shi)(shi)(shi)(shi)(shi)踐成(cheng)(cheng)(cheng)(cheng)果等(deng)內(nei)(nei)容納入(ru)考核(he)與(yu)(yu)(yu)(yu)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)體(ti)(ti)系(xi)(xi)(xi)(xi)(xi)(xi)中(zhong)(zhong)，除教(jiao)(jiao)(jiao)師(shi)、學(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)生(sheng)(sheng)進(jin)(jin)行評(ping)(ping)價外，要(yao)(yao)(yao)(yao)將(jiang)院(yuan)校(xiao)(xiao)(xiao)領導(dao)(dao)、醫院(yuan)管(guan)(guan)(guan)(guan)理(li)(li)(li)部(bu)門(men)、實(shi)(shi)(shi)(shi)(shi)習(xi)(xi)(xi)(xi)(xi)(xi)教(jiao)(jiao)(jiao)師(shi)等(deng)納入(ru)考核(he)主(zhu)(zhu)體(ti)(ti)范圍中(zhong)(zhong)，進(jin)(jin)而構(gou)建(jian)(jian)(jian)出系(xi)(xi)(xi)(xi)(xi)(xi)統(tong)化、全(quan)(quan)(quan)面(mian)(mian)(mian)化的(de)(de)(de)(de)質(zhi)(zhi)(zhi)量(liang)(liang)(liang)(liang)(liang)監(jian)(jian)(jian)控(kong)(kong)(kong)(kong)(kong)(kong)(kong)(kong)體(ti)(ti)系(xi)(xi)(xi)(xi)(xi)(xi)。

3結語

中(zhong)醫(yi)學(xue)專業(ye)臨(lin)(lin)(lin)床(chuang)(chuang)實習(xi)質量(liang)(liang)監控體系(xi)的研究(jiu)是一項(xiang)系(xi)統工程(cheng)，在(zai)醫(yi)教(jiao)(jiao)協同背景下深(shen)化(hua)醫(yi)學(xue)人才培養改(gai)革，該校(xiao)以臨(lin)(lin)(lin)床(chuang)(chuang)教(jiao)(jiao)學(xue)基地建(jian)設為抓(zhua)手(shou)，加大經費投(tou)入(ru)，激勵基地教(jiao)(jiao)學(xue)投(tou)入(ru)熱情，在(zai)改(gai)善教(jiao)(jiao)學(xue)條(tiao)件、加強臨(lin)(lin)(lin)床(chuang)(chuang)技能(neng)實訓中(zhong)心建(jian)設、改(gai)革人才培養模式、提(ti)升教(jiao)(jiao)學(xue)能(neng)力(li)等(deng)方面(mian)提(ti)供支(zhi)持。健全學(xue)校(xiao)與醫(yi)院協調機(ji)制(zhi)，密切學(xue)校(xiao)與醫(yi)院合作，強化(hua)醫(yi)德素養、中(zhong)醫(yi)藥思維、科學(xue)思維和(he)臨(lin)(lin)(lin)床(chuang)(chuang)實踐能(neng)力(li)培養。樹立“以教(jiao)(jiao)學(xue)為中(zhong)心、以醫(yi)療(liao)為基礎、以科研為先導”的指導思想，實現教(jiao)(jiao)學(xue)、醫(yi)療(liao)、科研三者的有機(ji)結合，積(ji)極創造條(tiao)件，采取有力(li)措施將各項(xiang)工作落到實處，只有這樣才能(neng)深(shen)入(ru)、全面(mian)地做(zuo)好臨(lin)(lin)(lin)床(chuang)(chuang)實習(xi)質量(liang)(liang)監控工作，才能(neng)充分保證和(he)逐步(bu)提(ti)高(gao)(gao)高(gao)(gao)校(xiao)中(zhong)醫(yi)學(xue)專業(ye)臨(lin)(lin)(lin)床(chuang)(chuang)實習(xi)質量(liang)(liang)。

作(zuo)者：周媛 單位：福(fu)建中醫藥大學教務處