“过程化管理及评价”在非针灸专业研究生针灸科规培方案中的应用研究  

Application of "process management and evaluation" in resident standardization training plan in acupuncture-moxibustion department of hospital for postgraduates of non-acupuncture-moxibustion speciality

作　　者：黄志兰[1] 董灿[1] 阮志忠[1] 潘金津 孔德松[3] 张晓甦[3] 向谊[1] HUANG Zhi-lan;DONG Can;RUAN Zhi-zhong;PAN Jin-jin;KONG De-song;ZHANG Xiao-su;XIANG Yi(Department of Acupuncture and Moxibustion,Third Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210012,Jiangsu Province,China;Department of Education,Third Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210012,Jiangsu Province,China;Department of Science and Research,Third Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210012,Jiangsu Province,China)

机构地区：[1]南京市中医院针灸科,江苏南京210012 [2]南京市中医院教育部,江苏南京210012 [3]南京市中医院科研部,江苏南京210012

出　　处：《中国针灸》2021年第2期213-216,共4页Chinese Acupuncture & Moxibustion

基　　金：全国医学专业学位研究生教育指导委员会研究课题项目:B3-YX20180302-16;江苏省研究生教育教学改革课题项目:JGLX18031;南京市向谊名中医工作室:XY-2017-NJ。

摘　　要：评价在非针灸专业研究生针灸科规培学习中引入"过程化管理及评价"的教学效果。将120例参加住院医师规范化培训的非针灸专业研究生随机分为观察组(60例)和对照组(60例,脱落1例)。对照组采取传统方式授课;观察组采取"过程化管理及评价",把教学大纲细化,多种教学方式配合,以"周"为时间节点进行评价总结,两组均于1个月轮转结束后进行考评并填写问卷调查表。观察组理论成绩和技能成绩中辨证论治、技能操作、医患沟通分项评分及总分均高于对照组(P<0.05,P<0.01)。学生问卷调查表结果显示,观察组在易于相关知识记忆、理论联系实际能力、激发兴趣和主观能动性、自学能力、临床处理问题能力、与患者的沟通能力方面评分和总分均高于对照组(P<0.01,P<0.05)。"过程化管理及评价"教学效果明显优于传统教学方法。The teaching effect of "process management and evaluation" was assessed in resident standardization training plan in acupuncture-moxibustion department of hospital for postgraduates of non-acupuncture-moxibustion speciality. A total of 120 postgraduates of non-acupuncture-moxibustion speciality participating in resident standardization training were randomized into an observation group(60 cases) and a control group(60 cases, 1 case dropped off). In the control group, the conventional training mode was used. In the observation group, the "process management and evaluation" was adopted, in which, the syllabus was refined, various teaching modes were cooperated and the summary was conducted once a week. The training results were evaluated at the end of 1-month shift test and questionnaire was issued in all of the postgraduates of the two groups. In the observation group, the score for theory and the score of each of the items for technical ability, named differentiation and treatment, technical manipulation and physician-patient communication, as well as the total score were all higher than the control group successively(P<0.05, P<0.01). The results of the student questionnaire showed that in the items as "being liable to the memory of relevant knowledge" "connection of theory with practical ability" "stimulating students’ interest and subjective initiative" "self-learning ability" "clinical question handling ability" and "communication ability with patients" as well as the total score in the observation group were all higher than the control group successively(P<0.01, P<0.05). The teaching effect of "process management and evaluation" is obviously better than the conventional teaching mode.

关 键 词：住院医师规范化培训 过程化管理及评价 针灸学 

分 类 号：R245[医药卫生—针灸推拿学]