胸心外科住院医师规范化培训中临床科研能力培养的探索  

Cultivation of clinical research capability in the standardized training of cardiothoracic residents

作　　者：李宾[1] 陈志军[1] 史莉瑾[2] 张明香[3] 王忠民[1] 甘绍印 LI Bin;CHEN Zhijun;SHI Lijin;ZHANG Mingxiang;WANG Zhongmin;GAN Shaoyin(Department of Thoracic Surgery,The First Affiliated Hospital of Xinxiang Medical University,Weihui,Henan 453100,China;Department of Neurology,The First Affiliated Hospital of Xinxiang Medical University,Weihui,Henan 453100,China;Department of Clinical Training Center,The First Affiliated Hospital of Xinxiang Medical University,Weihui,Henan 453100,China)

机构地区：[1]新乡医学院第一附属医院胸外一科,河南卫辉453100 [2]新乡医学院第一附属医院神经内科,河南卫辉453100 [3]新乡医学院第一附属医院临床培训中心,河南卫辉453100

出　　处：《安徽医药》2020年第6期1257-1260,共4页Anhui Medical and Pharmaceutical Journal

基　　金：河南省卫计委医学教育研究课题项目(Wjlx2018113)。

摘　　要：目的探索胸心外科住院医师规范化培训中临床科研能力培养的方法。方法选取2017年1月至2018年12月在新乡医学院第一附属医院胸外科进行规范化培训的38名住院医师,进行规培医师临床科研能力培养体系的实践探索。规培医师临床科研能力培养体系包括:①开展知信行调查;②开展临床科研相关基础知识讲座;③搭建临床科研互联网交流平台;④开展临床科研“小讲座”及“教学查房”;⑤仿效“导师制”,实施“一对一”临床科研能力培养;⑥确立临床研究课题。结果①调查结果显示:胸心外科规培医师临床科研基础知识总成绩为(53.95±11.83)分;胸心外科规培医师对临床科研的态度积极,并认为其对临床医师成长十分重要;胸心外科规培医师仅有临床科研行为,但目前并没有产生实质性的科研成果;胸心外科规培医师希望通过多种方法来提高自身的临床科研能力。②开展临床科研基础知识培训后总成绩为(72.91±6.35)分,与培训前比较差异有统计学意义(t=-6.43,P<0.001)。③参照硕士研究生导师认定资格,确立34名规培导师,按照自愿、双向选择的原则,28名规培训医师选择了导师。④临床科研能力评分均较培训前提高。结论临床科研能力培养体系的实践可以提高规培医师的科研能力。Objective To explore the cultivation method of clinical research capability in the standardized training of cardiothoracic residents.Methods A total of 38 residents,receiving standardized training in Cardiothoracic Department of First Affiliated Hospital of Xinxiang Medical University from January 2017 to December 2018,were selected to participate in the training program of clinical research capability.The program included a knowledge-attitude-practice survey,lectures on related clinical knowledge,Internet communication platform for clinical researches,clinical research microlectures and ward inspections,“one to one”directive training of clinical research capability by imitating tutorial system,and identification of clinical research topics.Results The survey revealed that the score of basic knowledge of clinical research of cardiothoracic residents was(53.95±11.83).They held a positive attitude toward clinical research and were sure that it was important for the development of doctors.The cardiothoracic residents had not yet made substantial research achievements though the clinical research had been done.So they wished that various ways could improve their clinical research capabilities.The score after training of basic knowledge of clinical research was(72.91±6.35),which was significantly different from that before training(t=-6.43,P<0.001).In reference to tutor qualification recognitionfor graduate students,thirty-four tutors were recognized as the standardized training tutors.According to the principle of voluntary and two-way selection,twenty-eight residents had selected their tutors.The score for clinical research capability after training was higher than that before training.Conclusion The training program for clinical research training could enhance the clinical research capability of residents taking standardized training.

关 键 词：全职住院医师/教育 在职培训 胸心外科 科研能力 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]