目的: 了解目前医学生在血液科临床实习的现状,研究影响其对血液学的学习兴趣及血液科实习满意度的因素,为提升医学生对血液学及其他专业学科的兴趣提供线索。方法: 设计血液学临床实习现况调查表,随机抽取上海交通大学医学院附属瑞金临床医学院2009级至2012级共240名医学生进行血液学实习期间教学现况调查,研究学生对血液学理论知识的掌握程度、带教医师的带教频率及带教模式,以及临床实践操作机会对其学习兴趣及实习满意度的影响。结果: 在接受调查的医学生中,实习后对血液学感兴趣者占41.4%,对血液科的带教情况及实习满意者占40.6%,总体认可的占44.3%,另有15.1%的学生感到不满意。每周得到2次及以上带教的学生,其学习兴趣及满意度均高于每周仅得到1次及以下带教的医学生(P<0.001)。结论: 血液学专业性较强,内容复杂抽象,带教医师的指导对于临床医学生学习血液学知识非常重要。带教教师需加强带教责任感,改进带教方式,教学医院应保证临床医学生一定的实践操作机会,以提高其对血液学的学习兴趣,提升教学效果。

Objective: To investigate the current teaching situation of hematology, and to explore teaching methods for improving interest and satisfaction in inmedical students. Methods: A questionnaire of present teaching situation of hematology was designed, and 240 medical students who were receiving medical clinical practice teaching in Ruijin Hospital were recruited and surveyed. Master degrees in knowledge of hematology theory, teaching frequency and teaching methods were explored, as well as effect of clinical practice opportunities on learning satisfaction and interests in students. The software SPSS 23.0 was used to analyze statistics. Results: Overall 41.4% of students were interested in hematology after clinical practice, while 40.6% of students showed satisfaction in hematology. Compared with those who were taught less than twice a week, students who receive teather's guide at least twice a week were more interested in hematology. Conclusions: Since hematology is a subject quite difficult to understand, it is important to improve the way of teaching, and combine theories with clinical practice to achieve better teaching effectiveness, which may stimulate students' interest and promote independent learning in learning hematology.