外科临床医学博士后操作技能进阶培养体系的探索与实践  

Development of the System of Training Surgical Skills Based on Hierarchical Progressive Training for Clinical Postdoctoral Trainees

作　　者：郭超[1] 刘磊[1] 蔺晨[2] 王炜[3] 翟吉良[3] 潘博[4] 梁乃新[1] 田锋[2] 易杰[5] 廖泉[2] 朱惠娟[6] 翁习生[3] GUO Chao;LIU Lei;LIN Chen;WANG Wei;ZHAI Jiliang;PAN Bo;LIANG Naixin;TIAN Feng;YI Jie;LIAO Quan;ZHU Huijuan;WENG Xisheng(Department of Thoracic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Orthopedic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Breast Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Endocrinology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院胸外科,北京100730 [2]中国医学科学院北京协和医院基本外科,北京100730 [3]中国医学科学院北京协和医院骨科,北京100730 [4]中国医学科学院北京协和医院乳腺外科,北京100730 [5]中国医学科学院北京协和医院麻醉科,北京100730 [6]中国医学科学院北京协和医院内分泌科,北京100730

出　　处：《协和医学杂志》2022年第1期51-55,共5页Medical Journal of Peking Union Medical College Hospital

基　　金：北京协和医学院北京市重点建设一流专业项目(2021zlgc1103);美国中华医学基金会临床专员创新资助项目(21-409)。

摘　　要：目的临床医学博士后项目是探索医学精英人才培养的新形式,北京协和医院外科学系以此为依托,探索操作技能进阶培养体系在外科临床医学博士后培养中的可行性。方法选取2016—2019级外科临床医学博士后学员和同期接受住院医师规范化培训的医师为研究对象,回顾分析操作技能进阶培养体系的建设过程及培训效果。结果初步建立了外科操作技能进阶培养体系,已成功培养三届外科临床医学博士后学员(共26人),其近3次年度操作技能考核成绩均显著高于同期住院医师。此外,在操作技能进阶培养体系建立过程中,19项教学改革课题项目立项,14篇相关教学论文发表。结论操作技能进阶培养体系在外科临床医学博士后的培养过程中具有显著优势;该体系的建设和完善仍需进一步结合临床医学博士后的实际需求和国家住院医师规范化培训目标。Objective Postdoctoral program in clinical medicine is a new approach to China's exploration of medical elite training.Since 2016,the Department of Surgery of Peking Union Medical College Hospital has explored and gradually established an advanced training system in order to cultivate clinical post-doctoral skills.The purpose of this research is to review and analyze the construction process and training effects of the advanced skill-raining system,and discuss the advantages of the training system and the direction of further improvement.Methods Postdoctoral students of surgical clinical medicine from 2016 to 2019 were evaluated and analyzed on surgical skills,results of the establishment of the system,and the output of scientific research.Results With the currently established preliminary system of progressively training surgical skills,three generations of 26 clinical postdoctoral trainees of surgery have been successfully trained.The surgical postdoctoral students trained by this system have significantly higher annual assessment results of surgical skills than training residents of the same year.In addition,during the establishment of this system,19 teaching-related reform projects have been established,and 14 papers related to this system have been published.Conclusions The advanced training system of surgical skills has shown obvious advantages in the training process of surgical postdoctoral doctors.The construction and perfection of the system still needs to be further improved in combination with the actual needs of postdoctoral surgeons in surgery and the goal of standardized training for residents.

关 键 词：临床医学博士后 医学精英教育 操作技能 进阶培养 

分 类 号：R615[医药卫生—外科学] R-05[医药卫生—临床医学]