北京市住院医师与专业学位硕士研究生培养效果评价研究  

Study on the training effect of residents and professional master degree graduates in Beijing

作　　者：雷丽萍[1] 王樵砚[2] 李学谨[2] 宋玫 李丹[1] 景汇泉[1] 管仲军[1] Lei Liping;Wang Qiaoyan;Li Xuejin;Song Mei;Li Dan;Jing Huiquan;Guan Zhongjun(School of Management and Education,Capital Medical University,Bering 100069,China;Postgraduate School,Capital Medical University,Beijing 100069,China;Scinence and Education Office,Beijing Commission of Health and Family Planning,Beijing 100053,China)

机构地区：[1]首都医科大学卫生管理与教育学院,100069 [2]首都医科大学研究生院,100069 [3]北京市卫生和计划生育委员会科教处,100053

出　　处：《中华医学教育探索杂志》2019年第1期5-12,共8页Chinese Journal of Medical Education Research

基　　金：北京市住院医师规范化培训质量提高项目2016;中华医学会医学教育分会;中国高等教育学会医学教育委员会2016年医学教育研究立项课题(2016A-RC001);首都医科大学2015年校长基金项目(2015JYZ02);首都卫生管理与政策研究基地开放课题立项(2017JD02).

摘　　要：目的适应毕业后医学教育制度建设需要,探索建立合理的住院医师规范化培训和临床医学专业学位硕士研究生培养的评价体系并实施评价。方法以住院医师的能力培养内涵为导向建立评价体系和评价问卷,以分层抽样方式对北京市2015至2016年完成培训的住院医师和临床医学专业学位硕士研究生,进行本人(691份)、用人单位(2626份)和患者(1470份)的360度评价。采用Epidata3.0录入数据,利用SPSS22.0进行统计学分析。结果抽取691名住院医师和毕业研究生进行评价,共得到有效分析样本577人,问卷有效回收率91.73%。受训者整体能力自评为"非常好"或"比较好"者占95.29%,用人单位相关人员和患者对住院医师整体能力评价"非常好"或"比较好"者均达99.00%以上。各类人员的评价结果均有一致性。对各项能力指标的分项评价表明,各方对受训者的职业道德、团队合作能力、人际沟通能力的评价较高,但提示受训者的信息与管理能力以及教学和科研能力有待提升。研究生和住院医师比较提示,前者的临床诊疗能力、信息与管理能力、教学和科研能力优于后者。结论北京市住院医师和专业学位研究生达到能力培养的基本要求,但综合素质和创新能力仍需要提升,专业学位教育与住院医师培训协同衔接有助于医学人才的综合能力培养。Objective To establish a reasonable evaluation system of the training effect of residents and professional master degree graduates in order to meet the needs of the construction of medical education system. Methods A questionnaire study had been conducted by stratified sampling to evaluate the abilities of the residents and medical professional degree graduates who had finished residency training in Beijing from 2015 to 2016. The trainees were evaluated by themselves, their colleagues and patients they had dealt with. Results The results showed that 95.29% of the trainees and 99.00% of their colleagues or patients thought that the overall abilities of the trainees were "excellent" or "better", and the evaluation results of all kinds of personnel above were consistent. Statistical analysis showed that some of the sub items of each ability index were evaluated better than the others, such as professional ethics, team cooperation ability and interpersonal communication ability, while some of the sub abilities need to be improved such as the information and management ability as well as teaching and research ability. The comparative analysis indicated that the postgraduates were superior to the residents in abilities of clinical diagnosis and treatment, information and management ability, and teaching and research ability. Conclusion The study showed that the training effect of residents and professional degree graduates had met the basic requirements, but the comprehensive quality and innovation ability needs to be promoted. The combination of degree education and resident training helps to cultivate the comprehensive ability of medical talents.

关 键 词：住院医师 研究生 培养 评价 

分 类 号：R-05[医药卫生]