中文摘要：

以线上和线下相结合的混合式教学模式已经成为高校课程改革的主要方向,但医学课程由于其本身的特点,改革存在瓶颈和一些困难,特别是医学核心课程,困难表现在教师、学生、教育资源、网络和政策环境等诸多方面,正是这些困难将有助于我们抓住机遇,有针对性地克服,促进医学课程的信息化和现代化发展。

英文摘要：

The blending learning is the trend of the reform of the college course. However,the reform of the medical course encounters multiple obstacles,especially the core medical courses. The obstacles originates from the teacher,the student,the online courses,and the network environment. Otherwise,we also have some chances to support this reform. In order to improve our medical education,we have to face these challenges and design strategy to solve these problems.