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近年来,首都医科大学附属北京儿童医院为配合临床课程教学,对教学方法进行了改革.根据不同的教学内容,分别采取集中大课讲授;小组授课,以病例为主导、以问题为中心;学生主讲;临床诊断思路教学等多种教学方法.传统大课讲授可以凝练教学内容,适用于理论性强、知识点密集的临床基础和疾病学总论;以病例为中心的讨论式教学,可以锻炼学生分析、解决问题的能力,适用于理论和临床思维并重的疾病学各论;学生上讲台可以调动他们学习的主动性,培养自我获取知识的能力,适用于部分简单的疾病;临床诊断思路教学以提高临床分析能力为主要教学目标,适用于实习的巡诊中.临床不同阶段的不同教学内容,其教学目的 亦不尽相同,只有综合应用各种教学方法,才能达到最佳的教学效果.“,”For the past few years, our hospital has done some exploration in the teaching method with clinical teaching reform:According to different teaching content , we have taken different teaching methods, such as knowledge delivery with lectures;group teaching, medical ease and problem-based;student-centered;training of clinical thinking of diagnosis, and so on. There are different clinical teaching con- tents and purposes at different clinical stages, however only integrated application of various teaching meth- ods should be adopted in order to achieve the best teaching effects.