| 摘要: |
| ［摘要］目的 比较昆明医科大学附属口腔医院5年制口腔医学专业本科生综合临床实习与传统临床实习的效果．方法 昆明医科大学附属口腔医院2009级和2010级口腔医学专业本科生共150人，随机分成A、B 2组，A组69人（其中2009级30人，2010级39人）进行综合实习，B组81人（其中2009级37人，2010级44人）进行传统实习，毕业考试采用客观结构化临床考试（OSCE）方法考核其实践技能，对口腔专业知识进行综合笔试，成绩用SPSS进行配对t检验，检验标准α =0 .0 5．结果 2009级A组学生理论考试成绩优于B组（P＜0.05），A、B 2组临床技能考核差异无统计学意义（P＞0.05）．2010级A、B组理论成绩和实践技能差异无统计学意义（P＞0.05）．2009级与2010级比较，理论成绩、实践技能考核第2站成绩均差异有统计学意义（P＜0.05），2009级理论成绩优于2010级，但实践技能考试中专科技能考试弱于2010级．结论 综合实习临床教学模式与传统实习临床教学模式均能取得较好效果，2种教学模式需要互相渗透，以执业医师资格考试标准为导向的临床实习有助于学生临床技能的提高． |
| 关键词: ［关键词］口腔 临床实习 毕业考 改革 |
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| 基金项目:［基金项目］云南省教育厅科学研究基金资助项目（2014Y186）；昆明医科大学教研教改重点特色课题（2013JY_Z03） |
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| Comparison of Clinical Training Outcomes between the Synthetic and Traditional Teaching Modes |
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XIONG Ping
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（Dept. of Prosthodontics，The Affiliated Stomatology Hospital of Kunming Medical University，Kunming Yunnan 650031，China）
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| Abstract: |
| ［Abstract］Objective To evaluate the clinical training outcomes from two clinical practice modes for undergraduate students. Methods Total two grades 2009 and 2010， 150 undergraduate students were randomly divided into two groups: 69 students in group A and 81 students in group B. The synthetic teaching mode was applied in group A，and group B received the traditional teaching mode. The Objective Structure Clinical Examination （OSCE） and a written comprehensive examination were used to evaluate the training outcomes by T test analyzed by SPSS 17.0（α= 0.05）. Results The theoretical level of 2009 grade students was better than that of 2010 grade （P < 0.05）. The clinical practice skills of the two groups had no significant difference（P > 0.05）. There were no significant differences between two groups in theoretical and clinical training（P > 0.05）. Comparing with the 2010 grade，the theoretical level of the 2009 was better，but the clinical skill level was weaker. Conclusion Synthetic teaching mode and traditional teaching mode both achieved good outcomes. In order to obtain better comprehensive progresses，the two teaching modes need to be combined. The orientation by following the requirements of oral practicing qualification examination may enhance the clinical skills of the students. |
| Key words: ［Key words］Oral Clinical practice Undergraduate examination Reform |