独立值班考核制度在内科住院医师规范化培训中的应用  

Application of duty competency evaluation system in standardized training of internal medicine residents

作　　者：黄璨[1] 赵雪 李晓青[2] 侍效春[3] 李航[4] 严晓伟[5] 张奉春[6] HUANG Can;ZHAO Xue;LI Xiao-qing;SHI Xiao-chun;LI Hang;YAN Xiao-wei;ZHANG Feng-chun(Department of Internal Medicine;Department of Gastroenterology;Department of Infection Disease;Department of Nephrology;Department of Cardiology;Department of Rheumatology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院/北京协和医学院/北京协和医院内科 [2]中国医学科学院/北京协和医学院/北京协和医院消化科,北京100730 [3]中国医学科学院/北京协和医学院/北京协和医院感染科,北京100730 [4]中国医学科学院/北京协和医学院/北京协和医院肾内科,北京100730 [5]中国医学科学院/北京协和医学院/北京协和医院心内科,北京100730 [6]中国医学科学院/北京协和医学院/北京协和医院免疫科,北京100730

出　　处：《基础医学与临床》2020年第1期120-123,共4页Basic and Clinical Medicine

基　　金：2018年北京协和医学院青年医学教育学者计划(2018zlgc0706)

摘　　要：目的介绍北京协和医院内科创立的独立值班考核制度,分析该考核制度在住院医师独立值班能力评价和分层中的作用。方法对北京协和医院内科2017年和2018年内科住院医师独立值班考核的结果进行统计,分析不同来源的住院医师在考试次数、通过考试所需时间和通过率方面的分布。结果内科临床医学博士后、专业型临床硕士研究生和北京市基地规培住院医师在通过独立值班考核所需次数方面无差异;内科临床博士后通过考核用时最短,专业型临床硕士研究生次之,北京市规培住院医师用时最长(χ^2=96.27,P<0.05),可以进行初步分层;通过临床带教,大部分住院医师都能在实习6个月内通过独立值班考核,承担独立值班工作。结论在内科住院医师规范化培训中,独立值班考核制度能够客观评价住院医师的值班能力,最大限度的保证临床安全。北京市基地规培住院医师通过考核时间较长,应注意加强临床教学、提高学员能力。Objective To establish a duty competency evaluation system in Peking Union Medical College Hospital(PUMCH) which can stratify residents based on their performance and authenticate the ability to practice medicine independently on duty. Methods Residents enrolled from PUMCH Internal Medicine Training program in2017 and 2018 were evaluated for duty competency, the number of test and time needed to pass the test were analyzed. Results The numbers of tests needed to pass were not statistically significant(x^+=9.12,P>0.05)in postdoctoral residents, undergraduate residents and residents from Beijing training base. Time needed to pass exam showed difference(x^+=96.27,P<0.05) in the three resident groups. The results showed that this exam helped to stratify residents. Most residents passed exam after 6 months’ internship and was competent for independ practice on duty. Conclusions In standardized training of residents, duty competency evaluation system can help to assess their capability on duty, and stratified training will help residents fulfill improvement and assure clinical safety. Residents from Beijing training base needed more clinical teaching based on their performance on the exam. Most residents passed the exam after training.

关 键 词：住院医师规范化培训 独立值班考核制度 

分 类 号：G421[文化科学—课程与教学论]