呼吸内科临床实习教学实践中存在教师职业倦怠、专业知识水平不高、教学能力不足；医学生在实习中产生担心、自卑、惶恐的心理、滋生厌学情绪；患者及家属担心成为“试验品”，拒绝实习行为等问题。针对这些问题，提出对教师表彰和奖励，肯定其教学水平；组织教师参加学术会议、讲座等拓展其专业知识面以提高教师综合素质。同时，通过采用PBL教学、应用多媒体技术和网络平台、重视基本操作技能训练、完善出科考核、设立教学档案、重视医患沟通等途径，提高临床教学质量，培养实习生的临床思维能力，帮助其向临床医生角色转变。%After years of respiratory medicine clinical practice teaching , we have discovered that there exist some problems such as teachers' job burnout, teachers' lowprofessional knowledge level of clinical teaching and lack of teaching ability, medical students' fear, low self-esteem, psycho-logi-cal fear and emotional weariness breeding as well as the patients and their family members ' refusal of practice because of their worrying about being a test and so on. To solve these problems , we have put forward some proposals such as recognizing and rewarding teachers to affirm their teaching levels , organizing teachers to participate in academic conferences, seminars, etc. to expand their professional knowledge in order to improve their overall quality. And at the same time, we have adopted PBL teaching method, applied multimedia technology and network platforms, put emphasis on basic skills training, the improvementof departmental rotation assessment, the establishment of teaching files and doctor-patient communication and other ways to improve clinical teaching quality and develop interns' clinical thinking ability to help them transitto clinicians.
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