| Since the reforming and opening policy was carried out,the higher education in China has gained an outstanding achievement and has basically formed a socialism higher education system with complete disciplines and various levels and teaching methods. The education system also has cultured a great number of advanced talents and experts who play a great role in the economical construction,scientific advancement and social development in China.The quality enhancement is one of the core tasks of higher education and a basic requirement for building a strong country of higher education development.It is a new mission of state social and economic development,a new hope of Chinese people and new requirement of the self-development of higher education in a scientific way.Since liberation of China,the medical education has been developed in high speed and gained an outstanding achievement in practice. Based on the particular feature of the medical education and the development law,a complete education system,which includes basic education,post-graduate education and further education,has been built and a management and operation system for medical education has been formed. Since 1960, a great number of qualified medical and healthcare talents have been cultured and in 2010 there were altogether 600 million of the healthcare troop with 200 million of physicians and nurses. The rate of physicians per 1000 people rose to 1.3 from 0.1 in the time of founding of P R China and reached the average level of the world.However,compared with the level in advanced countries,the medical education has a great deal of problems in education idea and concept,the life long education,the regulation of programs,the curriculum system with accurate setting of the principles and objectives, the suitability of contents,teaching methods and ways and so on. At present,there are great chances and challenges facing by medical higher education in China for the complete changes in economical system and ways of development would further intensify the reforming of the medical higher education. The living and development of schools depends highly on their suitability to market economy and more importantly on the quality and effectiveness of the operation of the school. In 2009,the National Education Ministry and the Ministry of Health jointly promulgated the Suggestions on Enhancing the Medical Education quality by Improving Medical Education Work.which put forwards 13 suggestions that unifying the ideas, enhancing quality, increasing input,strenthening practice,intensifying programs and gaining sound effects, and the“enhancing quality”was put as the top priority.The culture of the clinic students is the core part the higher education and the clinical teaching is most important stage in the process. The quality of clinical teaching is key to culture qualified physicians who may meet the needs of economical and social development. To continuously improve the clinical teaching quality,the education experts worldwide are carrying on great deal of reseach consisiently and thoroughly.A teaching hospital is an important platform for clinical medicine teaching in military medical universities and its quality affects the quality the talent directly and the process of military medicine in China. It is significant in stimulating the teaching input,condition improvement,teaching quality regulation and quality enhancement in teaching hospital affiliated to the military medical universities if we inherit the basic idea of assessment in teaching work in militay schools to evaluate periodically the clinical teaching quality in military medical universities.To realize the envison and practice teaching assessment regularly, the first thing is construct a scientific and feasible evaluation indicator system.The clinical teaching quality belongs to the field of education quality which is affected by many factors. At present,there is various understanding on the definition and connotation of the education and clinical teaching quality. In this study, we reviewed a great deal of literature and summed up the conception of clinical teaching quality. On the basis of that,we constructed an evaluation indicator system with high reliability and validity which is also feasible in teaching hospital affiliated to military medical universities to provide basic condition and tools for regular clinical teaching evaluation in military medical universities and improve the mordenization of the healthcare course of national defence and military medicine.In this study, we applied the methods and tools such as literature review, expert interview, questionnaire investigation, Delphi survey and the analytic hierarchy process (AHP) and conducted the theoretical research on the clinical teaching quality and made interpretation of objectives of training medical students of military medical university and reviewed the literature on evaluation of clinical teaching quality wordwide. By conducting questionnaire investigation and Delphi survey on evaluation of clinical teaching quality in military medical university, we have constructed the indicator system for evaluating the clinical teaching quality in teaching hospital affiliated to military medical universities. The whole study falls into six parts:In the first part,we made a systematical review on the education evaluation worldwide and medical schools and thought deeply about to more effectively carry out a more scientific assessment conducted in-depth teaching next step.In the second part,We explained the concept of normalization of teaching evaluation,content,types,principles and methods and instruction on how to carry out evaluation of the normalization of the ideas put forward. Explored the establishment of evaluation index system of clinical teaching quality related issues.In the third part,we reviewed a great deal of literaure and deeply analyzed the conception of education assessment,quality,teaching quality and clinical teaching quality so as to gain the definition and connotation of the indicator system for evaluating clinical teaching quality.In the forth part,we expounded the GMER,the MER for the college stage in China,the training objectives of medical talents in military medical university.In the fifth part,by survy analysis,literaure review and causality analysis,we constructed an elementary indicator system for evaluating the clinical teaching quality in teaching hospital affiliated to military medical universities and identifed the indicators and standards of all level by Delphi survey. In the sixth part,we used the the analytic hierarchy process (AHP) to get the weight of the indicators of all level of the indicator system for evaluating the clinical teaching quality in teaching hospital affiliated to military medical universities. In the seventh part,we made the discussion on the reliability and validity of the indicator system for evaluating the clinical teaching quality in teaching hospital affiliated to military medical universities,the difficulties,the innovation and the contents needed to furth study. |
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