早期接触临床对医学生职业素养培养的价值及作用分析[摘要]目的探?早期接触临床对医学生职业素养培养的价值及作用。方法选取2015年9月～2016年6月的615名医学生，将我校进行早期接触临床活动的441名医学生作为实验组，将未实施早期接触临床，仅采用传统基础理论课程的174例外校医学生作为对照组。比较两组医学生的职业素养各点（对医院的基本医疗流程认识、医疗工作内容深入认识、自身职业素养、对临床知识和技能的掌握、病患沟通技巧）表现情况的评分及实验组医学生参加早期接触临床前后的相关认知情况，并观察两组医学生对早期接触临床活动的评价情况。结果实验组的职业素养各点得分均高于对照组，差异有统计学意义（P<0.05）；实验组医学生参加早期接触临床活动后，其对医院进行志愿者服务的了解度、开展早期接触临床的必要性、综合素养的重要性的认知情况均较参与前提高，差异有统计学意义（P<0.05）；实验组对早期接触临床活动评价的各项评分均高于对照组，差异有统计学意义（P<0.05）。结论实施早期接触临床活动可提升医学生对专业知识的认知度，提高其临床思维能力，并加强人际沟通能力，有利于对医学生职业素养的培养，值得推广应用。[关键词]早期接触临床活动；临床医学；传统教学；应用效果[]R4-4[文献标识码]A[]1674-4721（2017）09（a）-0143-03Valueandfunctionanalysisofearlyexposuretoclinicaltrainingformedicalstudents'professionalaccomplishmentHUANGYun-yeLIYan-激aoXUPing-pingHUANGChunSchoolofMedicine，ShantouUniversityMedicalCollege，GuangdonProvince，Shantou515041，China[Abstract]ObjectiveToinvestigatetheclinicalvalueandeffectofearlycontactoccupationaccomplishmentofmedicalstudentstraining.MethodsFromSeptember2015toJune2016，615medicalstudentsinourCollegewereselected，and441medicalstudentswhowithearlyexposureofclinicalactivityastheexperimentalgroup，while174casesthosewithoutearlycontactwithclinicalandonlywasgiventhetraditionalbasictheorycourseofmedicalstudentsasthecontrolgroup.Theoccupationliteracy（theunderstandingofthebasicmedicalprocedureofhospitalmedicalworkunderstanding，occupationliteracy，masterofclinicalknowledgeandskillsandpatientcommunicationskills）performancescoreofmedicalstudentsinthetwogroupsandthecognitionofearlyclinicalexposureoftheexperimentalgroupbeforeandaftertheobservationwerecompared，andtheclinicalactivitiesontheearlystageofthecontactevaluationofmedicalstudentsintwogroupswasobserved.ResultsTheoccupationliteracyscoreoftheexperimentalgroupwashigherthanthatofthecontrolgroup，thedifferencewasstatisticallysignificant（P<0.05）；theawarenessofearlyexposuretoclinicalactivities，volunteerserviceofthehospitaltounderstand，thenecessityofearlyclinicalcontact，thecognitionofimportanceofcomprehensivequalitiesofmedicalstudentsinexperimentalgroupwasincreasedafterearlyclinicalcontact，thedifferencewasstatisticallysignificant（P<0.05）；thescoresofearlyclinicalactivitiesevaluationoftheexperimentalgroupwashigherthanthatofthecontrolgroup，thedifferencewasstatisticallysignificant（P<0.05）.ConclusionTheimplementationofearlyexposuretoclinicalactivitiescanenhancetheawarenessofprofessionalknowledgeofmedicalstudentsandimprovetheirclinicalthinkingability，andstrengthentheinterpersonalcommunicationability，isconducivetothecultivationofmedicalstudents'occupationaccomplishment，itisworthyofpopularizationandapplication.[Keywords]Earlyexposuretoclinicalactivities；Clinicalmedicine；Traditionalteaching；Applicationeffect当前阶段，医患关系较为紧张，医疗纠纷事件频发，导致医生声誉遭到损坏，医护人员形象在人民群众的心中也不如从前[1]。因此，医护人员不仅需要具备专业的医...