神经专科重点病案复习对于进修医师临床技能及科研能力的培养提升作用  

The Role of the Review of Key Medical Records in Neurology Specialty in Cultivating and Improving the Clinical Skills and Scientific Research Ability of Refresher Doctors

作　　者：刘赫[1] 李涛[1] 郭洪亮[2] 汪阳 李丽华[3] Liu He;Li Tao;Guo Hongliang;Wang Yang;Li Lihua(Neurosurgery Department,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;不详)

机构地区：[1]首都医科大学附属北京朝阳医院神经外科,北京市100020 [2]首都医科大学附属北京朝阳医院神经内科,北京市100020 [3]首都医科大学附属北京朝阳医院病案科,北京市100020

出　　处：《中国病案》2021年第12期84-86,共3页Chinese Medical Record

摘　　要：目的研究神经专科重点病案复习在教学中对于提高进修医师的临床及科研能力的作用。方法将某院神经中心2015年9月1日-2019年8月31日接收的43名进修医师根据年份随机分为2组,2015年9月1日-2017年8月31日进修医师24人为常规教学组,2017年9月1日-2019年8月31日的19名进修医师为病案复习教学组,在每期进修期满时,进行临床技能和临床知识的考试;并且对进修期间及进修后1年内论文发表数量及质量进行评价。结果出科考试临床知识测试成绩,常规教学组与病案复习组分别为(81.7±9.0)分和(86.1±6.8)分,P>0.05,差异无统计学意义;常规教学组病例分析题得分为(75.2±5.3)分,病案复习组为(88.4±6.4)分,P<0.05,差异具有统计学意义;2组进修医师进修期满1年内人均发表论文分别(0.5±0.3)篇和(1.0±0.3)篇,P<0.05,差异具有统计学意义。结论在常规培养进修医师的基础上,进行重点病案复习,梳理诊疗思路、学习应用病案的技巧和能力,可以提升进修医师的临床及科研能力和科研产出。Objective To study the role of reviewing key medical records in neurology in improving the clinical and scientific research ability of refresher doctors.Methods Forty-three advanced study physicians received by a neurological center in a hospital from September 1,2015 to August 31,2019 were randomly divided into two groups according to the year.24 further study doctors were in the routine teaching group from September 1,2015 to August 31,2017,and 19 further study doctors were in the medical record review teaching group from September 1,2017 to August 31,2019.The examination of clinical skills and clinical knowledge was conducted at the end of each period of further study.And evaluate the quantity and quality of papers published during and one year after study.Results The scores of clinical knowledge test in routine teaching group and medical record review group were(81.7±9.0)and(86.1±6.8)respectively(P>0.05),while the scores of case analysis questions in routine teaching group and medical record review group were(75.2±5.3)and(88.4±6.4)respectively(P<0.05).The average number of papers published by continuing education doctors in the two groups within one year was(0.5±0.3)and(1.0±0.3)respectively(P<0.05).The difference was statistically significant.Conclusion On the basis of routine training of refresher doctors,review of medical records can improve the scientific research ability and output of refresher doctors.

关 键 词：进修医师 重点病案复习 科研能力 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]