首页|住院医师规范化培训结业后胜任力调查与进阶式教学体系建构问题研究

住院医师规范化培训结业后胜任力调查与进阶式教学体系建构问题研究

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目的 调查急诊科住院医师规范化培训结业后学员岗位胜任力状况,通过反馈意见有针对性地制定分层进阶式培训方案,建构全方位教学质量保障体系.方法 选择大连医科大学2018级住院医师规范化培训结业学员 73人为研究对象.其中,试验组(岗位胜任力教学模式)36人,对照组(传统授课教学模式)37人.在这些学员结业入职后6个月内,以调查问卷形式了解其岗位胜任力状况,通过统计学分析,总结教与学过程中存在的深层问题并提出改进方案.结果 学员胜任力问卷调查评分中试验组临床基本能力(8.43±1.35)、职业精神与素养(7.83±1.21)、医患沟通能力(8.19±1.42)、掌握与运用知识能力(8.53±1.41)、团队协作能力(8.23±1.54)、基本公共卫生服务能力(7.78±1.25)、信息与管理能力(7.93±1.16)均高于对照组临床基本能力(7.32±1.22)、职业精神与素养(6.92±1.14)、医患沟通能力(7.21±1.26)、掌握与运用知识能力(7.12±1.35)、团队协作能力(7.18±1.19)、基本公共卫生服务能力(6.72±1.13)、信息与管理能力(6.85±1.12)(均P<0.05).学员教学能力、相关专业职级及临床技能操作问卷评分中试验组相关专业知识(8.41±1.33)高于对照组相关专业知识(6.91±1.22),差异具有统计学意义(P<0.05);试验组教学能力(6.12±1.27)、临床技能操作(7.21±1.36)与对照组教学能力(5.87±1.15)、临床技能操作(6.95±1.13)差异无统计学意义(均P>0.05).结论 采用以岗位胜任力模式教学能够有效提高学员的临床基本素养,同时这种教学模式更能得到学员的认可,但科研能力培训方面则相对不足,需在今后的临床教学中予以专门培训.
Survey on residents'competency after completing standardized training and study on problems in the construction of progressive teaching system
Objective To investigate the competency of resident physicians after completing standardized training in the Emergency Department,and develop targeted hierarchical and progressive training plans based on the feedback to construct a comprehensive teaching quality assurance system.Methods 73 residents in the class of 2018 from Dalian Medical University,who had completed the standardized training,were selected as the research objects and divided into the experimental group(36 residents trained by post competency-based teaching mode)and the control group(37 residents trained by traditional teaching mode).Within 6 months after these residents were graduated and em-ployed,a questionnaire survey was conducted to learn about their post competency.Through statisti-cal analysis,problems were summarized in the teaching and learning process and corresponding coun-termeasures were proposed.Results In terms of the scores of questionnaire survey of residents'post competency,the basic clinical skills(8.43±1.35),professional spirit and literacy(7.83±1.21),doctor-patient communication ability(8.19±1.42),mastery and application of knowledge(8.53±1.41),teamwork ability(8.23±1.54),basic public health service ability(7.78±1.25)and information and management abilility(7.93±1.16)of the experimental group were higher than those of the control group,which were(7.32±1.22),(6.92±1.14),(7.21±1.26),(7.12±1.35),(7.18±1.19),(6.72±1.13),and(6.85±1.12),respectively(all P<0.05).In the aspects of the scores of questionnaire survey of residents'teaching ability,relevant professional rank as well as clinical skill operation,the experi-mental group obtained higher score in relevant professional knowledge(8.41±1.33)than the control group,which was(6.91±1.22),and the difference was statistically significant(P<0.05).There was no significant difference between the experimental group's teaching ability(6.12±1.27)and clinical skill operation(7.21±1.36)and the control group's teaching ability(5.87±1.15)and clinical skill(6.95±1.13)(all P>0.05).Conclusion The application of post competency-based teaching mode can effectively improve residents'clinical ability,as well as enhance their recognition.However,it does not perform well in cultivating residents'teaching and research ability,which should be specially trained in the future clinical teaching.

standardized training for residentspost competenceafter completing standard-ized traininginvestigation and analysisprogressive teaching

王磊、黄蝶、张伟东、刘思婷、李永宁

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大连医科大学附属第一医院急诊科,辽宁 大连 116001

住院医师规范化培训 岗位胜任力 结业后 调查分析 进阶式教学

2024

中国医学教育技术
西安交通大学

中国医学教育技术

影响因子:1.087
ISSN:1004-5287
年,卷(期):2024.38(5)