首页|"三站式"教学查房在普外科住院医师规范化培训中的应用效果

"三站式"教学查房在普外科住院医师规范化培训中的应用效果

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目的 探讨"三站式"教学查房在普外科住院医师规范化培训教学查房中的应用效果。方法 随机选取2022年7月—2023年7月普外科基地规培医生50名作为研究对象,按照随机数字表法,将其分为观察组和对照组,每组25例,观察组采用"三站式"教学查房,对照组采用传统教学查房模式,对比两组考试成绩、查房效果、满意度及体验感等结果。结果 观察组总成绩明显高于对照组(P<0。05),且病例分析考试、技能考试中病史采集和体格检查成绩均明显高于对照组(P<0。05),两组理论考试成绩差异无统计学意义(P>0。05);观察组问卷在提高诊治疾病、临床思维和医患沟通能力以及增加学习兴趣等方面选择"是"的比例均高于对照组(P<0。05);观察组问卷教学查房满意度为84。0%,明显高于对照组的60。0%(P<0。05);观察组主诊医师及教学查房主体的总体体验感较好的比例分别为64。0%和68。0%,均明显高于对照组的28。0%和32。0%(P<0。05)。结论 "三站式"教学查房可提高普外科住院医师考试成绩、查房效果和查房满意度,改善主诊医师及教学查房主体的体验感,值得在各住院医师规培基地、全科医师规培基地以及实习医生的教学查房中推广应用。
Application effect of"three-station"teaching rounds in standardized training of general surgery resi-dents
Objective To explore the application effect of"three-station"teaching rounds in standardized training teach-ing rounds of general surgery residents.Methods 50 trained doctors from the general surgical base from July 2022 to July 2023 were randomly selected and divided into two groups,with 25 patients in each.The observation group used a"three-station"teaching ward round,while the control group used a traditional teaching ward round mode.The exam scores,ward round effects,satisfaction,and experience were compared.Results The total scores of the observation group were significantly higher than those of the control group(P<0.05),and the scores of the medical history collection and physical examination in the case anal-ysis test and skill test were significantly higher than those of the control group(P<0.05).There was no significant difference in the theoretical test scores between the two groups(P>0.05).The proportion of"Yes"in the questionnaire of the observation group was higher than that of the control group in the aspects of improving the diagnosis and treatment of diseases,clinical think-ing,doctor-patient communication ability and increasing learning interest(P<0.05).The satisfaction of questionnaire teaching round in the observation group was 84.0%,significantly higher than that in the control group(60.0%)(P<0.05).In the observation group,the percentages of the attending physicians and the teaching rounds were 64.0%and 68.0%,respectively,which were significantly higher than those of the control group(28.0%and 32.0%,P<0.05).Conclusion The"three-sta-tion"teaching ward round can improve the exam scores,ward round effectiveness and satisfaction,improve the experience of attending physicians and teaching ward round subjects,and is worth promoting in various resident training bases.

Standardized training for resident physiciansGeneral surgeryTeaching roundsTeaching effectiveness

张龙、范文强、刘芳艳、王海溥、沈裕厚、岳爱民

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新乡市中心医院//新乡医学院第四临床学院 河南新乡 453000

住院医师规范化培训 普通外科 教学查房 教学效果

河南省卫健委医学教育研究项目

Wjlx2022154

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(6)