首页|以临床胜任力为导向的教学阅片在放射科住院医师规范化培训中的应用

以临床胜任力为导向的教学阅片在放射科住院医师规范化培训中的应用

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目的 探讨以影像征象为主题、临床胜任力为导向的教学阅片在放射科住院医师规范化培训中的应用效果.方法 选择2019 年9 月—2022 年9 月在浙江大学医学院附属第二医院放射科专业基地进行住院医师规范化培训(以下简称住培)的51 名学员作为研究对象.教学阅片根据临床场景设置以影像征象(如肺实变)为主题,所有住培学员参与影像征象的解读和分析,从而模拟临床实际工作.在10 次教学阅片结束后,采用匿名问卷调查方法了解住培学员对教学阅片的满意度.调查问卷包括5 个子项目:"贴近临床日常工作""体现分层分级教学原则""有助于掌握影像理论知识""有助于提升影像诊断能力""愿意继续参加这种形式的教学阅片".根据所得数据,分析满意度评分与学员性别、年龄、年级、类型和教育程度的关系.结果 不同性别、年级和类型的住培学员的满意度各子项目评分和总分均较高,其差异均无统计学意义(均P>0.05).不同教育程度的住培学员的满意度子项目"愿意继续参加这种形式的教学阅片"的评分和满意度总分比较,其差异均具有统计学意义(均P<0.05),其中硕士和博士研究生毕业的住培学员的评分高于本科毕业的学员.满意度总分与住培学员的年龄和教育程度呈正相关(r =0.366,P =0.008;r =0.422,P =0.002).结论 放射科住培学员对以临床胜任力为导向的教学阅片满意度较高;后续研究中需要关注不同年龄和教育程度的住培学员的分层分级教学.
Application of clinical competency-oriented teaching film-reading in standardized training of radiology residents
Objective To explore the application effects of teaching film-reading with imaging signs as the theme and clinical competence as the guide.Methods Fifty-one resident trainees who were receiving training in the Department of Radiology,The Second Affliated Hospital,Zhejiang University School of Medicine from September 2019 to September 2022 were included.To simulate actual clinical work,teaching film-reading was organized based on clinical scenarios,with imaging signs as the theme(such as pulmonary consolidation);all resident trainees participated in the interpretation and analysis of imaging manifestations.After 10 teaching film-reading,anonymous questionnaire was used to assess the satisfaction of teaching film-reading.The questionnaire consisted of 5 sub-items,including"close to daily clinical work","reflecting the principle of hierarchical and graded teaching","contribution to mastering imaging theoretical knowledge","contribution to enhancing imaging diagnostic skills",and"willingness to continue participating in this form of teaching film-reading".Statistical methods were used to analyze the relationships between satisfaction scores and resident trainees'gender,age,grade,type and educational level.Results The satisfaction score in each questionnaire item and total satisfaction score were high among resident trainees of different genders,grades and types,and the scores showed no significant differences in gender,grade and type(all P>0.05).The satisfaction score in the questionnaire item of"willingness to continue participating in this form of teaching film-reading"and total satisfaction score all exhibited significant differences among resident trainees of different educational levels(all P<0.05).The scores in resident trainees with master's degree and doctor's degree were higher than those in resident trainees with bachelor's degree.The total satisfaction score was positively correlated with age(r = 0.366,P = 0.008)and educational level(r = 0.422,P = 0.002).Conclusions Radiology resident trainees have a high satisfaction with clinical competency-oriented teaching film-reading.However,further studies still need to pay attention to stratified and graded teaching based on different ages and educational levels.

Department of radiologyStandardized training of residentsClinical competencyTeaching film-readingApplication effect

余鑫锋、孙琪、张敏鸣、徐晓俊

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浙江大学医学院附属第二医院放射科,杭州 310009

放射科 住院医师规范化培训 临床胜任力 教学阅片 应用效果

2023年度浙江大学第二临床医学院教学改革研究培育项目

20230216

2024

浙江医学教育
浙江省医学教育研究室

浙江医学教育

影响因子:0.7
ISSN:1672-0024
年,卷(期):2024.23(2)
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