眼科住院医师显微手术培训效果评价的质性研究  

Qualitative research on evaluation of teaching effect of ophthalmology mierosurgery in resident standardized training

作　　者：敖明昕[1] 王薇[1] 邱伟强[1] 侯志强[1] 孟璐[1] 张培[1] 褚红玲[2] 李楠[2] 李学民[1] Ao Mingxin Wang Wei Qiu Weiqiang Hou Zhiqiang Meng Lu Zhang Pei Chu Hongling Li Nan Li Xuemin(Department of Ophthalmology, Peking University Third Hospital, Beijing 100191, China （ Ao MX, Wang W, Qiu WQ, Hou ZQ, Meng L, Zhang P, Li XM Research Center of Clinical Epidemiology, Peking University Third Hospital ,Beijing 100191, China （Chu HL, Li N)

机构地区：[1]北京大学第三医院眼科,100191 [2]北京大学第三医院临床流行病学研究中心,100191

出　　处：《中华医学教育杂志》2016年第5期772-777,共6页Chinese Journal of Medical Education

摘　　要：目的探讨眼科住院医师规范化培训中显微手术培训效果及其存在的问题，以期从培训学员实际需求出发，改进培训方式，提高教学质量。方法采用质性研究中的现象学研究方法，制定个人深入访谈方案，采用半结构式提纲，对2010年至2015年在北京大学第三医院眼科完成住院医师规范化培训并通过北京市住院医师规范化培训考核的28名学员进行访谈。结果26名受访学员对访谈做出应答，应答率为92．9％。培训内容方面，42．3％的受访学员认为需要增加眼睑手术基本技术培训；30．8％的受访学员认为需要增加电凝止血器使用培训；57．7％的受访学员认为需要增加白内障超声乳化仪使用基本知识培训。教学管理方面，69．2％的受访学员同意开展差异教学；全部受访学员均提出需要提高培训教室利用率以增加学员自主练习次数；92．3％的受访学员认为自主练习过程中需要设置点评教师；76．9％的受访学员认为可以在每一项培训内容结束后增加科室内考核。结论教学组织者需要适当增加眼睑手术和手术用大型仪器培训，以适应学员临床工作的实际需要。教学管理效率仍然需要进一步提升，从而提高培训资源利用率。师资队伍建设需要持续加强，进而充分发挥教师点评与考核的作用，切实保证显微手术培训的教学质量。Objective To evaluate teaching effect of ophthalmology microsurgery in resident standardized training and to investigate methods for improving quality if microsurgery education based on actual requirement from the residents. Methods Phenomenological methods from qualitative research and personal depth program were employed. Semi-structured interview was conducted in residents who were trained in Department of Ophthalmology in Peking University Third Hospital from 2010 to 2015 and passed the national examination. Results Twenty-six residents responded to the interview, with a response rate of 92.9%. About the training items, the need for training on eyelid surgery was raised by 42. 3% of the interviewees ; training about usage of electric coagulation hemostasis device was affirmed by 30. 8% of the interviewees ; and operation of phacoemulsification machine was mentioned by 57.7% of the interviewees. In the field of teaching management, 69. 2% of the interviewees agreed with employment of differentiated instruction; all of the interviewees required improvement of workshop availability; tutor comments in the process of practice and assessment at the end of training for each item was deemed as necessary in 92. 3% and 76. 9% of the interviewees, respectively. Conclusions Training on eyelid surgery and operation of machines in ophthalmology microsurgery needs to be added into the schedule of routine education for oph- thalmologic residents. In order to improve availability of educational resources, more attention should be paid to elevate the efficiency of teaching management. Process evaluation and stage assessment could be used to ensure quality of microsurgery education.

关 键 词：眼科学 住院医师 规范化培训 显微手术 效果评价 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]