近年来,我院狠抓病案质量,出台一系列新的病案管理制度。鉴于实施过程中发现的问题,深感培养临床医师良好的综合素质是提高病案质量的重要保障。首先,实习生书写的大病历、病程记录间接反映了一些医师的临床带教工作存在不足。大病历书写完全照抄入院记录,丝毫看不出实习生自己 In recent years, our hospital pay close attention to the quality of medical records, issued a series of new medical records management system. In view of the problems found in the implementation process, it is an important guarantee to improve the quality of medical record by deeply cultivating the good overall quality of clinicians. First of all, the intern’s large medical record, the course record indirectly reflects the lack of clinical teaching of some physicians. Large medical record completely copy the admission record, did not see the intern himself