Jun 262011
 


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At present, secondary medical vocational education is at the stage of social development, grasp the pulse of the times, changing the concept of education, strengthen basic education, reform of course system and teaching model to develop continuing education, to accommodate the demand for health and diversity of talent in modern society.

  Facing the challenge of rapid development of 21st century medical science, secondary medical vocational education reform is imperative. Middle medical vocational education should change simple to discipline for Center, and only attention knowledge taught of education thought and too specialization, and single mode of of concept, in focus on quality education and lifelong education, meet modern social of education thought of guidance Xia, in accordance with the foundation solid, knowledge width, and ability strong, and quality high of overall requirements, construction up can full fired students learning initiative and innovation spirit, can makes students in full growth of while personality get full development, to knowledge, and ability, and quality organic combination and the integrated improve of, open, and diversification of middle medical vocational education mode.

  First, strengthening basic education.

  Secondary medical vocational education are mainly training meet the social needs of medical personnel, emphasizes practical, but if neglected development of students ‘ basic quality, one-sided emphasis on practicality, not conducive to the overall development of students ‘ characters. In an increasingly competitive, technology development of the 21st century, personal qualities, in particular, scientific and cultural quality is important, however, due to various reasons, this lack of general awareness in secondary medical vocational education. In secondary medical education in the country, professional education, light of humanities education is more common, such as mathematics, physics, chemistry, language based culture did not receive due attention. Can be seen from the present course, the underlying cultural and educational links are weak. Especially in the last two years, because of too much emphasis on practice teaching and professional practice greatly increased, and culture classes are the basis of a reduced cut again. Basic course, in itself, with system, in the system while learning basic cultural knowledge, often accompanied by students thinking ability, quality and improvement of the quality of thinking, which is critical to students ‘ personal and social development. Inadequate foundation of science, culture and education, students will understand, have an impact analysis, thinking and judgement, hindering students on courses of study. In addition, due to the rapid development of medical science, each medical student after graduation still needs to be constantly learning and improving work processes, only in this way to continued development of the appropriate community health requirements, and this requires strong autonomous learning ability, this self-regulated learning ability is a must have basic requirements in the information age, is the ability to ensure the continued development of a person’s life. But because of the lack of basic knowledge of and the restriction of various subjective and objective factors, in current vocational medical students ‘ self-learning ability is very limited. Therefore, from the educated of the all-round, harmonious and sustainable development of perspective, secondary medical education should embody the concept of lifelong education, to train students to not only have good professional technology, needed for students to lay a solid foundation for further learning and development in the future, this requires that should really pay attention to and strengthen the underlying culture.



  Second, the reform of curriculum system, optimization of curriculum structure.

  From the perspective of curriculum and structure, lack of professional structure level characteristics of existing secondary medical vocational education, in pursuit of specialization, based on the curriculum, dominated by traditional biomedical model, students are essentially passive recipients of knowledge, and their poor ability and creativity. Facing the future social development demands on personnel structure, secondary medical vocational education curriculum should focus on the training objective of reforms under the new situation. Today’s trend of curriculum reform: strengthening the comprehensive combination of education and labour, the Millennium development goals is not only attention to the individual rank development, also pay attention to emotion, will, and moral development; more reasonable of course content, course forms diversified. Secondary medical education reform should also be development toward comprehensive and diversified. Social development requirements of secondary medical education should foster high ethics, range of knowledge, to meet the social needs of health care, preventive medicine personnel and thinking ability with doctors. Therefore, secondary medical vocational education should focus on characteristics of primary medical services and the current trend of development of community health service, around the face of 21st century training objectives, optimization of curriculum structure. First, should abandon the kind of excessive tendency to base and specialization, cancel those aging course knowledge has continuously added with new knowledge of the course. Secondly, break the interdisciplinary boundaries as possible in the course settings, enhance permeability and harmony of teaching content. Again, should follow the laws of cognition, in accordance with the principle of gradual and orderly progress, strengthening the relationship between the order and consistency. Foundation discipline is professional of Foundation, reform Foundation discipline as constantly strengthening combination, is bound effect courses of learning, therefore, optimization Foundation discipline from system, and science, and overall of views departure, strengthening discipline between of widely contact, by deleting to those repeat, and complex of content, enhanced practicality content, reform before and after courses separation, and Foundation and clinical out of courses structure, should let students early contact clinical, and contact social. Finally, humanities and additional content such as document retrieval, to prepare students to engage in social activities, treatment, health education ability of interpersonal relationship.
  Third, the reform of teaching model, improving the quality of teaching.

  21st century talent specification, requirement must establish training objectives of the new situation, and to achieve a new goal you must reform the traditional teaching model. Compared to traditional teaching model of tedious, inheritance only one-sided emphasis on knowledge, knowledge transfer function of teachers only, failed to play a role to guide, inspire students to learn creative, have less emphasis on cultivation of students ‘ creativity and ability. In this mode of teaching, students on knowledge just passively accepting, few people go to active research and teaching related materials and books, self-study ability is poor, poor ability to analyze and solve problems. As the traditional biomedical models to modern biological, psychological and social transformation of medical pattern and system reform of the secondary medical education, the overall optimization, strengthening quality education, foster innovative medical talents of high quality are objectives and directions for future secondary medical education. To this end, should promote creative teaching, that it abandoned the traditional teaching model through elicitation, discovery teaching mode to foster student’s creative ability in the first place. Teachers to be creative in teaching, first of all, on the transfer of knowledge, should deepen the process-oriented, that is, teachers should pay attention to guiding students to master the knowledge formation process, understand the basis for its produce and interlinkages with other knowledge, and so on. Teachers guide students to process as a learning-oriented focus, which contains a very rich set of creative exploration and problem-solving mindset, research methods, to enable students to acquire a spirit of creativity, effectively contribute to the development of intelligence. Secondly, in teaching, should try to make their aptitude. In teaching, should exert different effects of different students, to awaken their colorful personalities, and differences between student induction of many sides, at multiple levels, to meet students ‘ individual learning needs. Again, thinking the image is the basis of divergent thinking. Teachers should be good at creating a variety of teaching methods, lively teaching organization, effectively making full use of modern teaching means, be good to select with emotional color textbook, avoiding formulaic to express their own judgment. Finally, teachers should strive to improve their ability and level of education theory of learning and teaching practice of effective training.

  Four, the strengthening of education after graduation, developing continuing education.

  Development of high-tech era, put new demands on the traditional medical model. Replacement of faster, students from the school of education knowledge and skills quickly become obsolete, resulting in increasingly unable to meet the need. Continued education became increasingly prominent in modern education an important part, played a pivotal role in the development of the individual. To meet the needs of social development, should strengthen the education and development of continuing education after graduation. According to the regional health planning, through various channels to establish a training base and adopt a flexible approach, block release, or on-the-job training time can be long or short. Training should emphasize application, stress practical results, according to the needs of trainees, training purposes and learning Foundation, design and a variety of “bridging” course, an organization can be taken according to content, and other factors in the course of small lectures, discussions, case studies, and other forms of advice and practice. Also, training who in training in the should for area actual, made meet local demand of operation, in accordance with the talent demand to for design, and arrangements courses and organization teaching, avoid not necessary of repeat learning, and and work practice phase convergence, makes was training who can combination job, on training of purpose, and significance and content has correctly of understanding, and can transformation for work, and learning in the of consciously action. By developing continuing education for various theoretical knowledge on the medical staff on the re-education, improving on the technology, capacity and training, is to accelerate the effective ways to train high quality talent.

  Secondary medical education reform is a systematic project, should follow the medical education theory, practice innovation raise, breakthroughs in practice, firmly grasp the concept of quality education, sustainable development, lifelong education and other critical issues, emancipate our minds, boldly make innovations, so that the secondary medical vocational education adapt to the needs of the 21st century development.

  The “References”

  [1] Guo Yongsong, Lv Shiting. Comprehensive reform in the course of study in Humanities and medicine [j]. Medical education, 2000, (5).

  [2]. Tao xingzhi’s thought of curriculum and curriculum reform [j]. Curriculum · textbook · teaching methods, 2005, (5).

  [3] Yuan Li. Talking about the medical training of divergent thinking abilities in teaching of Nursing Science [j]. Health professional education, 2006 (10).



  One Response to “Secondary Medical Vocational Education”

  1. 中等医学职业教育的教学改革与实践
      【摘要】目前中等医学职业教育正处在社会发展转变阶段,应把握住时代发展的脉搏,转变教育观念,加强基础教育,改革课程体系、教学模式,大力发展继续教育,以适应现代社会对卫生人才多样性的需求。

      【关键词】医学 职业教育 教育改革 教学质量

      面对21 世纪医学科学迅猛发展的挑战,中等医学职业教育改革势在必行。中等医学职业教育应转变单纯以学科为中心、只重视知识传授的教育思想以及过分专业化、单一模式化的观念,在注重素质教育和终身教育等符合现代社会的教育思想的指导下,按照基础扎实,知识面宽、能力强、素质高的总体要求,构建起能充分激发学生学习主动性和创新精神,能使学生在全面成长的同时个性得到充分发展,把知识、能力、素质有机结合及综合提高的,开放式、多样化的中等医学职业教育模式。

      一、加强基础教育。

      中等医学职业教育主要是培养适应社会需要的医技人才,强调实用性,但如因此而忽视学生基本素质的培养,片面强调实用性,则不利于学生基本素质的全面发展。在竞争日益激烈,科技日益发展的21 世纪,个人素质,特别是科学文化素质显得尤为重要,但由于各方面的原因,这一点在中等医学职业教育中普遍认识不足。在国内的中等医学教育中,重专业教育、轻人文教育的现象较为普遍,数、理、化、语文等基础文化没有得到应有的重视。从目前的课程设置中可以看出,基础文化教育环节十分薄弱。特别是近两年来,由于过于强调实践教学,各专业的实习时间大大增加,而基础文化课时则一减再减。基础课程本身就具有系统性,在系统学习基础文化知识的同时,往往伴随着学生思维能力、思维品质及自身素质的提高,这对学生个人和社会发展来说都是至关重要的。基础科学文化教育的不足,会对学生的理解、分析、思考及判断能力产生影响,妨碍学生对专业课的学习。另外,由于医学科学的高速发展,每个医学生毕业后仍需要在工作过程中不断学习和提高,唯有这样才能适当不断发展的社会卫生事业的要求,而这需要有较强的自主学习能力,这种自主学习能力是信息时代必须具备的基本要求,是保证一个人一生不断发展的基本能力。但由于基础知识教育的不足以及各种主客观因素的制约,当前中职医学生的自学能力非常有限。因此,从受教育者全面、和谐、可持续性发展的角度出发,中等医学教育应体现终身教育观念,不仅应培养学生具有良好的职业技术,还需为学生今后进一步的学习和发展打下坚实的基础,这就要求应切实重视和加强基础文化教育。

      二、改革课程体系,优化课程结构。

      从课程体系和结构上看,现有的中等医学职业教育缺乏专业结构层次特点,在课程安排上追求专业化、基础化,传统生物医学模式占主导地位,学生基本上是知识被动接受者,其动手能力、创造性较差。面对未来社会发展对人才结构的要求,中等医学职业教育的课程设置应围绕新形势下的培养目标进行改革。当今课程改革的趋势为:加强综合教育并与劳动结合,对个体的全面发展目标不仅是重视名次发展,还重视情感、意志、思想道德的发展;课程内容日趋合理,课程形式日趋多样化。中等医学教育改革也应朝着综合、多样化方向发展。社会的发展要求中等医学教育应造就医德高尚、知识面广、能满足社会需要的医疗保健、预防医学人才和具有全面思维能力的医生。因此,中等医学职业教育应注重基层医疗卫生服务的特点,以及当前社区卫生服务发展的趋势,围绕面对21 世纪的培养目标,优化课程结构。首先,应抛弃那种过分基础化和专业化的倾向,取消那些知识已老化的课程,不断增添具有新知识的课程。其次,在课程设置中尽可能打破学科间界限,加强教学内容的渗透性和融洽性。再次,应遵循认知规律,按照循序渐进的原则,加强学科间的有序性和连贯性。基础学科是专业的基础,改革基础学科如不断加强优化组合,势必影响专业课的学习,因此,优化基础学科应从系统、科学、整体的观点出发,加强学科间的广泛联系,删去那些重复、繁杂的内容,增强实用性内容,改革前后课程分离、基础与临床脱节的课程结构,应让学生早期接触临床、接触社会。最后,应增设人文学科和文献检索等内容,以培养学生从事社会活动、处理人际关系、卫生宣传教育等能力。
      三、改革教学模式,提高教学质量。

      21 世纪的人才规格,要求必须确立新形势的培养目标,而要达到新的培养目标则必须改革传统教学模式。传统的教学模式比较单调乏味,只片面强调知识传承,教师只起知识传导的作用,没能起到引导、启发学生进行创造性学习的作用,也不太注重学生创造能力和动手能力的培养。在这种教学模式下,学生对知识只是被动地接受,很少有人去主动研究与课堂教学有关的材料和书籍,自学能力也差,分析问题和解决问题的能力也较差。随着传统生物医学模式向现代生物、心理和社会医学模式的转变,对中等医学教育进行系统改革、整体优化,加强素质教育,培养高素质创新型医学人才是今后中等医学教育的目标和方向。为此,应提倡创造性教学,即应废弃传统的教学模式,通过采取启发式、探索式等教学模式,把培养学生创造力放在首位。教师要做到创造性地教学,首先,在知识的传授上,应加深面向过程,即教师应重视引导学生掌握知识的形成过程,理解其产生的基础以及与其他知识的相互联系等。教师引导学生以面向过程作为学习重心,其中蕴涵着十分丰富的创造探索和解决问题的思维方式、研究方法,必然能使学生获得一种创造精神,有效地促进智力的发展。其次,在教学上,应尽量做到因材施教。在教学中,应对不同的学生施加不同的影响,以唤醒他们丰富多彩的个性,并针对学生间的差别开展多侧面、多层次的诱导,以满足不同的学生个性化学习的需要。再次,形象性思维是发散思维的基础。教师应善于创造丰富多彩的教学方式,采取生动活泼的教学组织形式,有效地充分利用现代化教学手段,善于选择带有情绪色彩的教材,避免公式化地表达自己的判断等。最后,教师应努力提高自己的创造素质和水平,开展教育理论的学习和教学实践的有效训练。

      四、加强毕业后的教育,大力发展继续教育。

      高科技时代的发展,对传统的医学模式提出了新的要求。知识更新的速度越来越快,学生从学校教育得到的知识和技能很快就会变得陈旧,以致越来越无法满足工作需要。继续教育成为现代教育中日益突出的一个重要环节,在个人的发展历程中起着举足轻重的作用。为适应社会发展的需要,应加强毕业后教育和大力发展继续教育。根据区域卫生规划,多渠道地建立培训基地,采取灵活多样方式,可脱产进修,也可在职培训,时间可长可短。在培训内容上应强调学以致用,讲求实效,根据培训对象的需要、培训目的以及学习基础,设计各种各样的“搭桥”课程,在课程组织上可根据内容及其他因素采取小讲座、讨论、案例分析、求教与实习等多种形式。另外,培训者在培训中应针对地区实际,提出切合本地需求的操作,按照人才需求来进行设计、安排课程并组织教学,避免不必要的重复学习,并与工作实践相衔接,使被培训者能够结合本职工作,对培训的目的、意义和内容有正确的理解,并能转化为工作、学习中的自觉行动。通过大力发展继续教育,对各类医务人员进行理论知识上的再教育、技术上的再提高、能力上的再培养,是加速培养高素质人才的有效途径。

      中等医学教育改革是一项系统工程,应遵循医学教育理论,以创新提升实践,以实践取得突破,紧紧抓住素质教育观、可持续发展观、终身教育观等关键问题,解放思想,大胆创新,以便使中等医学职业教育适应21 世纪发展的需要。

      【参考文献】

      [1]郭永松,吕世亭。医学与人文社会科学综合课程的改革研究报告[J]。医学教育,2000,(5)。

      [2]成尚荣。陶行知课程思想与基础教育课程改革[J]。 课程·教材·教法,2005,(5)。

      [3]袁俐。浅淡内科护理学教学中发散性思维能力的培养[J]。卫生职业教育,2006(10) .

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