南京大学医学院附属口腔医院
]欧盟EDEMTET项目[610211-EPP-1-2019-1-NL-EPPKA2-CBHE-JP(2019-2020/001-001)],南京大学医学院附属口腔医院3456骨干人才资助项目(0222E311)
Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Nanjing University
Erasmus+ Programme of the European Union: E-Campus for Dental Education Supporting Multidisciplinary Team-based Learning and Evidence-based Treatment Planning[610211-EPP-1-2019-1-NL-EPPKA2-CBHE-JP (2019-2020/001-001)], “3456” Cultivation Program For Junior Talents of Nanjing Stomatological School, Medical School of Nanjing University (0222E311)
“5+3”体系是医学人才培养的新模式，更是一种具有结果导向的培养制度。其主要特征在于院校和医院一体化的临床岗位胜任力培养体系，特别是4年临床培养阶段的规定性，其中包括本科阶段临床实习和规培阶段的临床教学。由于执业医师法的实行，临床教学的阶段性目标有了一定的变化。本文从Miller医学教学阶段性模式角度，分析了“5+3”体系下临床教学阶段性目标的定位调整。进一步强调对本科实习阶段的岗位胜任力指标适当调整，本科阶段的临床实习在临床胜任力培养结果中的意义应定位于展现阶段。由于本科人才发展的多元化，本科实习阶段需要进行分流个性化教学管理，在规培阶段同样需要以学生为中心，实施不同的指导教师下临床实践的模式。
"5+3" system is a new mode of medical personnel training, but also a result-oriented training system. Its main feature is the clinical post competency training system integrated by colleges and hospitals, especially the stipulation of the 4-year clinical training stage, including clinical practice in undergraduate stage and clinical teaching in the training stage. Due to the implementation of the law of medical practitioners, the phased goal of clinical teaching has changed to some extent. From the perspective of Miller's phased mode of medical teaching, this paper analyzed the positioning and adjustment of the phased goal of clinical teaching under the "5+3" system, the competency at undergraduate practice stage should be appropriately adjusted, especially the significance of clinical practice at undergraduate stage should be re-positioned at the presentation stage. Due to the diversified development of undergraduates, it is necessary to carry out individualized teaching management in the undergraduate practice stage. In the planning training stage, it is also necessary to take students as the center and implement different clinical practice models under the guidance of teachers.
