住院总医师制度对骨科医师规范化培训的影响  

What does chief resident training bring to orthopedic residency

作　　者：欧阳汉强 张欣 康乐 李维[2] 田华[1] 姜亮[1] 计虹[2] 吴红斌 Ouyang Hanqiang;Zhang Xin;Kang Le;Li Wei;Tian Hua;Jiang Liang;Ji Hong;Wu Hongbin(Department of Orthopaedics/Engineering Research Center of Bone and Joint Precision Medicine/Beijing Key Laboratory of Spinal Disease Research,Beijing 10019,China;Information Management and Big Data Center,Peking University Third Hospital,Beijing 100191,China;China Institute of Educational Finance Research of Peking University,Beijing 100871,China;Institute of Medical Education/National Center for Health Professions Education Development,Peking University,Beijing 100191,China)

机构地区：[1]北京大学第三医院骨科/骨与关节精准医学工程研究中心/脊柱疾病研究北京重点实验室,北京100191 [2]北京大学第三医院信息管理与大数据中心,北京100191 [3]北京大学中国教育财政科学研究所,北京100871 [4]北京大学医学教育研究所/全国医学教育发展中心,北京100191

出　　处：《中国毕业后医学教育》2021年第4期311-315,共5页Chinese Journal of Graduate Medical Education

基　　金：北京大学引进人才计划与启动项目(BMU2021YJ011)。

摘　　要：目的调查并比较由长学制和非长学制两种途径进入的住院医师规范化培训(简称住培),在骨科培训期间所接受的住院总医师(简称住院总)培训的内容及效果。方法以2014—2019年间北京大学第三医院的骨科专业全部28名住院总为研究对象,以医院大数据中心的临床全量数据为基础,对每名住院总的工作量进行统计分析。结果(1)长学制(P=0.006)和非长学制(P<0.01)医师的平均每月管床例数,在结束住院总之后的数量与担任住院总之前和担任住院总期间的数量相比明显减少;(2)长学制(P=0.011)和非长学制(P<0.001)医师的平均每月手术例数,在担任院总之后的数量与担任住院总之前和担任住院总期间的数量相比明显增加;(3)长学制(P=0.002)和非长学制(P<0.01)医师的平均每月门诊例数,在担任院总之后的数量与担任住院总之前和担任住院总期间的数量相比明显增加。结论北京大学第三医院的临床全量数据显示,在经过住院总的培训后,骨科医师的工作量和临床能力有显著性提高。Objective To investigate and compare the contents and effects of the training of chief resident(CR)received of the long-term(LT)system and the non-long-term(NLT)system during the standardized training period of orthopedic residents.Methods A clinical big data repository of the Information Management and Big Data Center in Peking University Third Hospital was used to obtain full clinical data from 2014 to 2019.Results A total of 28 orthopedic residents were included in the study.The number of patient management cases significantly decreased after the CR training in both the LT(P=0.006)and NLT(P<0.01)models.The average monthly operations cases after the CR training significantly increased compared with the number of cases before and during the CR training in both the LT(P=0.011)and NLT(P<0.01)models.The average monthly outpatient cases after the CR training significantly increased compared with the number of cases before and during the CR training in both the LT(P=0.002)and NLT(P<0.01)models.Conclusion The clinical big data repository showed that after the training of the CR,their workload and clinical abilities have been significantly improved.

关 键 词：骨科 住院总医师 规范化培训 临床全量数据 

分 类 号：G420[文化科学—课程与教学论] R68[文化科学—教育学]