首页|开发消化科住院医师急重症诊疗常规培训考核软件及其可行性评价

开发消化科住院医师急重症诊疗常规培训考核软件及其可行性评价

扫码查看
目的 以上消化道出血为例,利用信息化技术开发消化科住院医师急重症诊疗常规培训考核软件,并进行可行性评价,分析该软件的实用性及应用效果.方法 创建软件,建立数据库、设置模块、难度、通关模式.将 2022 年 3 月 1 日-2022 年 12 月 31 日在消化科轮转的住院医师共 45 人作为研究对象.用软件实施培训考核,记录考核成绩、临床胜任度、满意度和建议.结果 住院医师使用软件满意度较高,为 5(5,5).共纳入住院医师 45 人,60 人次完成培训考核,其中 15 人完成了两次培训考核.43 人通关成功,通关成功率 96.67%.2022 年 7 月根据反馈建议集中进行了 1 次系统调整.参加第二次培训考核者临床胜任度 5(4,5)高于第一次 4(4,5),P<0.05,差异有统计学意义.第四模块(具体用药)错题数比较,轮转第一年[1(1,1)]高于第三年[0(0,1)]、轮转第二年[1(0,2)]高于第三年[0(0,1)],P<0.05,差异均有统计学意义.临床胜任度比较,轮转第一年[3(3,4)]低于第二年[4(4,5)],轮转第一年[3(3,4)]低于第三年[5(4,5)],P<0.05,差异均有统计学意义.结论 以消化科常见急重症上消化道出血为例开发此软件并进行培训考核,增加了培训考核的趣味性,提升了住院医师的临床胜任度,可重复、分层培训考核,此软件数据库及模块可随时调整,可在消化系统其他急重症中拓展应用,值得进一步推广.
Development and Feasibility Evaluation of Routine Training Software for Diagnosis and Treatment of Acute and Severe Diseases for Residents in Gastroenterology Department
Objectives This study aimd to develop the routine training software for diagnosis and treatment of acute and severe diseases for residents in gastroenterology department by using information technology,and to evaluate the feasibility.Methods The software was created,the database was established,and the modules,difficulties and customs clearance modes were set up.The study included residents who trained in the gastroenterology department from March 1st,2022 to December 31st,2022.The software was used for training and assessment.Assessment results,clinical competency,satisfaction and recommendations were recorded.Result Residents'satisfaction with the software was 5(5,5).A total of 45 residents were included in this study and completed 60 times of assessment training,of which 15 residents completed twice.43 residents were successful in customs clearance,with a success rate of 96.67%.The clinical competency of those who participated in the training and assessment for the second time was 5(4,5),higher than that of the first time 4(4,5),P<0.05,the difference was statistically significant.In the fourth module(medication use),the number of errors in the first year of training was higher than that in the third year,and in the second year of training was higher than that in the third year,P<0.05,and the differences were statistically significant.Conclusions The use of the routine training software increased the interest of training and assessment,improved the clinical competency of residents,and could be repeated and stratified training and assessment.The software was suitable for the routine training and assessment of critical diseases diagnosis and treatment in gastroenterology department,and was worthy of further promotion in teaching practice.

ResidentStandardized trainingGastroenterology teachingSoftware

和芳、李国彧、赵丹丹、王晨、贾天旭、李邦一、李晓翠

展开 >

首都医科大学宣武医院消化科,北京市,100053

北京市第八十中学,北京市,100102

住院医师 规范化培训 消化科教学 软件

首都医科大学教育教学改革研究项目

2022JYY122

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(4)
  • 10