Objective: To observe the application effect of PBL-based situational simulation teaching in surgical nursing experimental teaching. Methods: 120 nursing students in our school who participated in the internship from August 2019 to August 2020 were randomly divided into PBL group, situational simulation group, PBL + situational simulation group and traditional teaching group, with 30 students in each group. And then the teaching effects of the students in each group were compared. Results: Students in the PBL + situational simulation teaching group were more satisfied with teachers' teaching, teaching methods and pleasant classroom atmosphere than those in the traditional teaching mode and the PBL or situational simulation teaching group, and the same was true in the examination results. The difference was statistically significant (P < 0.05). Conclusion: PBL combined with situational simulation teaching method can significantly improve the teaching level of surgical nursing experiment and students' learning efficiency.

At present, the training mode of clinical medical talents in China is mainly the combination of the standardized training of resident doctors and the postgraduate training of clinical medicine, which is the "double-track integration" talent training mode. The new model has created a group of graduate students with deep clinical thinking and strong clinical operation ability. However, due to the pressure of the situation, this group of students generally attaches importance to clinical research rather than scientific research. Thus, their scientific research ability is poor or even obviously insufficient, and their artificial spirit is weakened. The purpose of this article is to provide some suggestions and references for workers in the medical profession by comprehensively analyzing the advantages and disadvantages of this model and proposing some solutions.

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A discussion is conducted on the problems of ideological and political education, rotation learning in departments, clinical and scientific research capabilities, paper writing, and improvement of the quality of papers encountered by professional master of clinical medicine in the "two-track integration" mode during the standardized training of resident doctors. On that basis, several methods are proposed in the present study (e.g., stressing ideological education for professional masters, coordinating learn of professional skills, enhancing paper writing ability and scientific research ability, organizing a professional team of tutors). On that basis, this study summarizes the problems and challenges exposed in training professional medical students, especially under "two-track integration" mode, seeks to propose a novel idea to serve better for the "two-track integration" educational mode, including provide solutions to help students establish learning goals, to enhance their writing ability, to narrow the bridge between teachers and students, etc. All of which, aims to optimize the training of professional masters of clinical medicine, and give some feasible suggestions for subsequent research. Hopefully, the suggestions and proposal in this study would draw attention and serve better to increase the education quality on professional medical students.

To review on the difficulties encountered by medical bachelor students for their career development after graduation, and to explore potential solutions to their current situation, thus provide them possibilities of making good use of professional training and skills acquired in campus.