The impact of tutorial system established for clinical practice teaching

Objective To explore the impact of tutorial system established for clinical practice teaching during the stage of undergraduate course education of clinical medicine.Methods The tutorial system workstations were established in the one of two affiliated hospitals of our medical college.The study took three intact classes of 2007 grade undergraduate clinical medicine major as subjects,the second class as experimental group receiving the tutorial system clinical practice teaching during one academic year in addition to the original teaching plan and the first and third classes as comparison group receiving the original teaching plan.The objective structure clinical examination (OSCE) was carried out as clinical practice intermediate inspection in the three classes at the end of the eighth term after tutorial system clinical practice teaching during the sixth and seventh terms and the questionnaire was given out in experimental group for inquiry.The result of questionnaire and OSCE was analyzed and the achievement was compared with the experimental group and comparison group.Results The positive response rate to those 35 questions in the questionnaire was 81.1％,the suspicious about obtaining tacit knowledge was 14％ and the negative was 5％.The reliability standardized,average difficulty,differentiate,and validity of OSCE were 0.721,0.67,0.41,and 0.41 respectively.The score of the 2nd class was (79.03±6.31)while that of the 1st and 3rd classes were (73.24±9.04) and (74.21 ±8.18) respectively and the difference was significant and P＜0.05.Conclusions It is necessary and feasible that tutorial system model of teaching is carried out for clinical practice teaching in undergraduate course education of clinical medicine.The clinical practical capability can be improved by the tutorial system clinical practice teaching.The reliability,difficulty,differentiate,and validity of OSCE are reliable in principle. Key words: Clinical medicine ;  Practice teaching;  Tutorial system ;  Evaluation