全国超声专业住院医师工作任务调研分析  

Analysis of job tasks of China's ultrasound residents

作　　者：张莉[1] 杨筱[1] 陈文[2] 王健[3] 赵博[2] 张君君 王亚红[1] 陈程[1] 董一凡 蔡胜[5] 姜玉新[1] 李建初[1] Zhang Li;Yang Xiao;Chen Wen;Wang Jian;Zhao Bo;Zhang Junjun;Wang Yahong;Chen Cheng;Dong Yifan;Cai Sheng;Jiang Yuxin;Li Jianchu(Department of Ultrasound,Peking Union Medical College Hospital,Beijing 100730,China;Department of Ultrasound,Peking University Third Hospital,Beijing 100191,China;Department of Ultrasound,First Hospital of Shanxi Medical University,Taiyuan 030001,China;Item Development DivisionⅢ,Health Human Resources Development Center,National Health Commission of the People's Republic of China,Beijing 100000,China;Department of Health Management,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]北京协和医院超声医学科,100730 [2]北京大学第三医院超声诊断科,100191 [3]山西医科大学第一医院超声影像科,太原030001 [4]国家卫生健康委员会人才交流服务中心命题三处,北京100000 [5]北京协和医院健康医学部,100730

出　　处：《中华医学超声杂志（电子版）》2021年第9期880-885,共6页Chinese Journal of Medical Ultrasound(Electronic Edition)

基　　金：国家卫生健康委人才交流服务中心委托项目(201906-243)。

摘　　要：目的调研分析全国超声专业住院医师的工作任务情况,为完善超声住院医师规范化培训(住培)和住培结业考核设计提供依据。方法本研究建立超声专业住院医师工作任务列表,反映其实际工作中需完成的各项临床工作、科研培训及能力培养,按照各省市住培人数比例进行分层抽样调查,选取全国11个省(市、自治区)的1369名已完成住培的超声住院医师,调研其住培期间及住培结束后目前工作中各工作任务的执行频率及重要程度,计算得到各工作任务综合得分。采用Kappa一致性检验评估目前工作中与住培期间各工作任务执行频率的一致性。结果超声住院医师工作任务列表包含18项工作任务,综合得分最高的前5项为:腹部及胸腔积液超声检查、超声报告规范化书写、浅表器官超声检查、周围血管超声检查、妇产科超声检查。各工作任务在目前工作中与住培期间的执行频率均具有中等一致性(Kappa值为0.477~0.580,P均<0.001),差值最大的前3项为完成急诊超声检查(3.88 vs 3.34)、妇产科超声检查(4.00 vs 3.69)及周围血管超声检查(4.08 vs 3.87),目前工作中该三项执行频率均显著高于住培期间。熟悉及辅助介入超声在实际工作及住培期间的执行频率一致性差(Kappa=0.200,P<0.001),目前工作中执行频率显著低于住培期间(1.67 vs 2.87)。结论超声住培期间各工作任务的执行情况与日后学员实际工作中执行情况较匹配,各工作任务评估可为住培结业考核方案制订提供依据,建议住陪期间可增强急诊、妇产科及周围血管超声检查的培训,结业考核设计时可适当减小介入超声的占比。Objective To make a survey of the job tasks of China’s ultrasound residents, in order to provide a basis for improving the standardized training program for ultrasound residents and the design of final examination. Methods We first established a job task list for ultrasound residents to reflect their clinical work, scientific research training, and ability training needed in their actual work. A total of 1369 residents from 11 provinces who have completed the standardized residential ultrasound training program were enrolled in the study. A stratified sampling investigation was conducted according to the proportion of residents by province. The frequency and importance of each job task in the current work and during the residence training period were investigated, and the comprehensive score of each task was calculated. Kappa consistency test was used to evaluate the consistency between the task frequency in the current work and during the training period. Results The task list of ultrasound residents included 18 job tasks, of which the top five with the highest comprehensive score were: abdominal and pleural effusion ultrasound, standardized writing of ultrasound report, superficial organ ultrasound, peripheral blood vessel ultrasound, and obstetrics and gynecology ultrasound. The frequency of each job task in the current work and during the residence training period had a moderate consistency(Kappa=0.477~0.580, P<0.001). The top three tasks with the largest difference were emergency ultrasound(3.88 vs 3.34), obstetrics and gynecology ultrasound(4.00 vs3.69), and peripheral vascular ultrasound(4.08 vs 3.87), which were performed more frequently in the current work than in the training period. The frequency consistency of job task assisting interventional ultrasound between actual work and residential training was poor(Kappa=0.200, P<0.001), and the current frequency was significantly lower than that during residential training(1.67 vs 2.87). Conclusion There is a moderate consistency for the frequency of most

关 键 词：超声医学 住院医师规范化培训 工作任务 结业考核 

分 类 号：R192.3[医药卫生—卫生事业管理]