心外科住院医师/研究生规范化培训现状与问题的调查分析  

Investigation and analysis of current situation of resident physicians/graduate students standardized training in cardiac surgery

作　　者：郑慧萍[1] 徐敏[1] 冯海波[1] 凌云鹏[1] 杨航[1] 傅元豪[1] 宫一辰 吴松[1] 张喆[1] Zheng Huiping Xu Min Feng Haibo Ling Yunpeng Yang Hang Fu Yuan-hao Gong Yichen Wu Song Zhang Zhe(Department of Cardiac Surgery, Peking University Third Hospital, Beijing 100191, China)

机构地区：[1]北京大学第三医院心外科,100191

出　　处：《中华医学教育探索杂志》2017年第10期1060-1064,共5页Chinese Journal of Medical Education Research

基　　金：2014年度北京大学医学部教学立项课题

摘　　要：目的 对在心外科接受规范化培训的住院医师/研究生实施问卷调查,了解住院医师规范化培训现状及存在问题.方法 以2014年9月至2016年5月进入北京大学第三医院心外科接受规培的61名住院医师/研究生为调查对象,发放自制问卷61份,回收有效问卷58份,有效回收率95.1%.调查内容包括心外科规培内容设计、心外科规培管理、心外科规培期间学员时间和＂环境＂压力、规培效果分析、学员意见及其他,共5部分14个项目.利用EpiData 2.1a对数据进行整理和录入,选用SPSS 17.0进行统计分析,计数资料比较采用卡方检验.结果 规培期间学员最期待的带教方法是＂科内小讲课＂（63.8%）;学员认为心外科培训过程中最难的部分是＂术后监护＂（69.0%）;100%的学员认为,心外科培训对以后工作＂有帮助＂或者＂可能有帮助＂;8.3%的学员认为心外科教师的带教意识不强.住院医师周末＂在医院里＂比例高于研究生,而研究生多选择周末＂做实验和论文工作＂,差异有统计学意义（P〈0.05）.结论 规范化培训需结合学员背景设计合适的方案.临床带教队伍建设及临床技能训练质量监督控制体系构建,是保证教学质量的重要环节.住院医师规范化培训和专业学位硕士研究生教育并轨成效,还有待长期跟踪和多方面评估.应重视规培期间各方反馈建议,进一步完善培训细节.Objective To explore the situation and question of standardized training of residents/graduate students in cardiac surgery by questionnaire survey. Methods From September 2010 to May 2012, 61 resident physicians/graduate students were chosen as research objects in Department of Cardiac Surgery, Peking University Third Hospital. A total of 61 questionnaires were sent out, with a recovery rate of 100%,and an effective rate of 95.1%.The contents of investigation included standardized training content design, standardized training management, the time and＂environment＂ pressure, compliance training effect analysis,student opinion and others,a total of 14 options.EpiData 2.1a software was used to sort and record the data. SPSS 17.0 software was used for statistical analysis. The enumeration data were compared by chi square test.Results During the period of training,the most expected teaching method was＂small lecture＂, accounting for 63.8%; The most difficult part of the process of cardiac surgery training was ＂postoperative care＂, accounting for 69%; 100% of the trainees thought that it would be helpful for future work through cardiac training;8.3% of the trainees thought the teachers of cardiac surgery teaching consciousness was not strong; resident weekend ＂in the hospital＂ was higher than the proportion of graduate students, and most graduate students chose weekend ＂in the experiment and research work＂, the difference was statistically significant （P〈0.05）. Conclusion Appropriate standardized training program should be combined with the students＇ background; Teaching team construction and clinical reasonable and effective clinical skills train-ing system is an important link to ensure the quality of teaching.The combination of residents＇ standardized training and postgraduate education of professional degree remains to be tracked and evaluated in a long time.The feedback from all aspects of the training should be paid more attention to,and the training details should be improved.

关 键 词：住院医师 研究生 规范化培训 问卷调查 

分 类 号：R654.2[医药卫生—外科学]