通过对西安交通大学临床医学系2006级7年制,2004级、2005级5年制,2005级、2006级口腔系眼科临床见习课的教学改革与探索,分析了眼科见习教学中存在的一些影响因素,包括医疗体制改革和医学模式转变的因素、授课时间安排与学生自身因素、眼部疾病诊断对专科检查设备依赖性强等因素。针对这些因素,总结了以下几个方面的对策:尊重患者,建立良好医患关系,取得患者的同意和配合;专科检查,教师示教,学生互为"模型",增强动手能力;合理安排见习课时间,强化重点难点内容;利用多媒体技术优势,弥补不能参观手术的不足等。给学生更多接触患者的机会、实际操作的机会,培养学生的临床思维能力和与患者的沟通交流能力,让理论知识在临床见习中得到印证,在提高临床见习质量的基础上,提高眼科学教学效果。

Several influencing factors of ophthalmological novitiate were analyzed through the teaching reform and exploration in clinical novitiate in seven-year medical student of clinical medicine in 2006 grade,fiver-year students in 2004 and 2005,and students of stomatology in 2005 and 2006 grade,such as reform of medical care system and changes in medical model,arrangement for time of course and student’s own right,and the strong dependence of diagnosis of eye diseases on special inspection equipment.The strategies for the factors listed above were also summarized as respecting patients, obtaining the patient’s consent and cooperation by setting up a good physician-patient relationship;improving the hands-on ability by teaching and practicing on each other; reasonable arrangements for time of course and emphasizing focal and difficult points,and making up the shortage of not visiting operation by taking advantage of multimedia technology.It’s the best way to improve the effect of teaching in ophthalmology based on the increase of quality in novitiate that gives more chance to students of contacting with patients and practice,developing the ability of clinical thinking and communicating with patients,verifying the theory in clinical novitiate.

R77-4