住院规培医师临床诊断思维能力在疾病诊断中的影响研究  

The Study on the Influence of Clinical Diagnostic Thinking Ability to Resident Physician in the Diagnosis

作　　者：许艳茹[1] 闫泓霖[1] XU Yanru,YAN Honglin(Department of Obstetrics and Gynecology, the Second Afliated Hospital of Xinjiang Medical University, Urumqi Xinjiang 830028, Chin)

机构地区：[1]新疆医科大学第二附属医院妇产科,新疆乌鲁木齐830028

出　　处：《中国继续医学教育》2018年第17期36-38,共3页China Continuing Medical Education

摘　　要：目的研究住院规培医师的临床诊断思维能力在疾病诊断及误诊中的影响情况,为临床诊断思维能力培养提供科学依据。方法选取2017年9月进入我院接受住院规培的113名医师,随机分为培训组和对照组,对我院38例不明原因发热病例进行回顾性诊断,对两组诊断结果作统计学分析。结果培训组每位医师判断出的发热原因与患者的发热原因相符率在49%～71%(52.0±3.8)%,且对判断结果有较为清晰专业的佐证陈述;对照组医师判断出的发热原因与患者的发热原因相符率在23%～41%(29.0±5.2)%,且不能对自己的判断依据作清晰的佐证陈述。结论临床诊断思维能力培训有利于提高住院规培医师的疾病诊断正确率,对住院医师培养具有重要的意义。Objective To study the clinical diagnostic thinking ability of inpatient physicians in the diagnosis and misdiagnosis of diseases, and to provide scientific basis for the cultivation of clinical diagnostic thinking ability. Methods In September 2017 to enter the rules from our hospital to accept in 113 physicians, randomly divided into the training group and control group, 38 cases of fuo cases in our hospital were retrospectively diagnosis, make statistical analysis on two groups of diagnosis. ResultsEach physician in the training group determined that the rate of fever caused by the fever was 49% to 71%（52.0±3.8） %, and there was a clear and professional statement of the judgment result.In the control group, the rate of fever caused by the doctors was 23% to 41%（29.0±5.2） %, and it was not possible to make a clear statement on the basis of their own judgment.Conclusion The training of clinical diagnostic thinking ability is beneficial to the diagnosis accuracy rate of the hospitalization doctors, which is of great significance to the training of resident physicians.

关 键 词：住院规培 医师 临床 诊断 思维 疾病诊断 

分 类 号：G726[文化科学—成人教育学]