基于重症医学专科医师核心胜任力培养的多元化模拟教学研究  

Diverse simulation teaching applied in the core competence oriented training for critical care specialist physician

作　　者：刘宁[1] 沈艳[1] 徐颖[1] 刘洋[1] 周晨 顾勤[1] 周玉皆[2] Liu Ning;Shen Yan;Xu Ying;Liu Yang;Zhou Chen;Gu Qin;Zhou Yujie(Department of Critical Care Medicine,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Education Administration Office,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院重症医学科,南京210008 [2]南京大学医学院附属鼓楼医院教育处,南京210008

出　　处：《中华医学教育杂志》2022年第3期272-275,共4页Chinese Journal of Medical Education

摘　　要：通过分析重症医学专科医师的核心胜任力并在此基础上建立多元化模拟教学,2019年1月至2020年1月选择南京大学医学院附属鼓楼医院52名重症医学专科医师作为研究对象,实施多元化模拟教学。学员的理论知识测试成绩教学后[(92.27±4.42)分]高于教学前的[(82.90±13.51)分],技能操作和医患沟通考核成绩教学后为(91.25±3.79)分和(91.47±1.67)分,也高于教学前的(79.33±6.32)分和(88.08±1.66)分,其差异均具有统计学意义(均P<0.05)。问卷调查结果显示,82.6%(43/52)的学员对多元化模拟教学非常满意,84.6%(44/52)的学员认为多元化模拟教学可以激发学习兴趣,对教学方式的评分为(4.83±0.38)分,对教学效果的评分为(4.81±0.44)分。多元化模拟教学得到重症医学专科医师的认可,有助于培养他们的核心胜任力。From January 2019 to January 2020,fifty-two critical care specialist physicians engaged in Department of Critical Care Medicine of Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,were selected as the subjects for the evaluation of the core competence and to establish diverse simulation teaching for the competence oriented training.Diverse forms of simulation teaching were used.The theoretical test results showed that the score after training(92.27±4.42)was improved(P<0.05)as compared with that before the training(82.90±13.51);The results showed that the scores of clinical skill and doctor-patient communication[(91.25±3.79)and(91.47±1.67)]were also higher than that before training[(79.33±6.32)and(88.08±1.66)](P<0.05).According to the results of questionnaire survey,82.6%(43/52)of the physicians were very satisfied from the diverse simulation teaching and 84.6%(44/52)believed that the teaching stimulated their learning interesting.The score given by trainees for teaching methods was(4.83±0.38)and that for teaching effectiveness was(4.81±0.44).Diverse simulation teaching is recognized by trainees as an effective method to improve the core competence of critical care physicians.

关 键 词：核心胜任力 重症医学 专科医师 多元化模拟教学 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]