出科考核在内科住院医师规范化培训中的实施及评价  

Implementation and evaluation of department rotation examination in resident standardized training

作　　者：侍效春[1] 黄璨[2] 李航[3] SHI Xiao-chun;HUANG Can;LI Hang(Department of Infectious Diseases,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Internal Medicine,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Nephrology,Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院感染科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院内科,北京100730 [3]中国医学科学院北京协和医学院北京协和医院肾内科,北京100730

出　　处：《基础医学与临床》2022年第4期692-695,共4页Basic and Clinical Medicine

摘　　要：目的介绍北京协和医院内科的出科考核制度,评价出科考核在内科住院医生临床能力评价方面的适用性以及对培训的指导意义。方法采用理论考核和技能考核相结合的方法对规范化培训的住院医师进行出科考核。并对北京协和医院内科2017年9月至2019年8月这两学年住院医师出科考核的结果进行统计分析。结果不同专科的出科成绩有显著差异,F=34.164,P<0.001;其中内科重症监护室(MICU)出科总成绩显著低于其他专科,感染科出科总成绩显著低于6个专科:呼吸科、消化科、肾内科、免疫科、血液科和内分泌科。此外,不同来源住院医师汇总的出科成绩有显著差异,北京协和医院内科住院医师的成绩显著高于专业型硕士研究生和北京市规培住院医师,专业型硕士研究生的成绩显著高于北京市规培住院医师。结论出科考核在评价内科住院医师的临床能力发挥着重要的作用,为后期开展针对性培训和分层管理提供方向,有利于提高规培的质量。Objective To introduce and evaluate the department rotation examination system of the department of internal medicine in Peking Union Medical College Hospital(PUMCH).Methods Residents enrolled in Peking Union Medical College Hospital Internal Medicine Training Program between September 2017 and August 2019 were evaluated.The test results of medical theory and clinical practice were analyzed.Results The results of examination were different with statistically significant among different departments(F=34.164,P<0.001).The poorest test result was got in the department of medical intensive care unit(MICU),test result of the department of infectious disease came next.Furthermore,test results of residents from PUMCH were better than undergraduate residents and residents from Beijing Training Base;and test results of undergraduate residents were better than residents from Beijing Training Base.Conclusions Department rotation examination plays an important role in evaluating clinical competence of internal medicine residents.Targeted training and stratifying management can be performed according to the test results,which may promote the effectiveness of the resident standardized training.

关 键 词：出科考核 住院医师规范化培训 

分 类 号：R197.3[医药卫生—卫生事业管理]