全科诊疗思维与技能操作训练教学系统在全科医师培养中的作用  

Role of the general practice thinking and skill operation training teaching system in the training of general prac⁃titioners

作　　者：林飞克 南丽洁 林策 陈克义 陈格 全世超[2] 孙来芳[3] 王志翊[3] 徐天士 LIN Feike;NAN Lijie;LIN Ce(Department of General Medicine,No.3 People's Hospital of Ouhai District in Wenzhou,Wenzhou 325000,China)

机构地区：[1]温州市瓯海区第三人民医院全科医学科,浙江温州325000 [2]温州医科大学附属第一医院全科医学科 [3]温州医科大学附属第二医院全科医学科 [4]温州医科大学继续教育学院

出　　处：《全科医学临床与教育》2022年第5期433-435,441,共4页Clinical Education of General Practice

基　　金：温州市2020年度医药卫生科学研究项目(2020013)。

摘　　要：目的分析全科诊疗思维与技能操作训练教学系统在全科医师培养中的作用。方法选取62名浙江省全科骨干师资培训学员,通过全科诊疗思维与技能操作训练教学前后结果比较作回顾性分析,比较训练前后的教学内容通过率和9种全科岗位胜任能力的提升情况。结果通过全科诊疗思维与技能操作训练教学系统训练后,学员的教学内容(包括腹痛、发热、胸痛、咳嗽、高血压、心绞痛、尿路感染、慢性胃炎、血脂异常)通过率高于训练前,差异均有统计学意义(χ^(2)分别=7.20、5.83、6.64、6.06、7.95、9.04、8.46、7.44、5.72,P均<0.05);学员的全科岗位胜任能力(包括全科诊疗思维方式、全科医学基本理念、临床诊治、临床操作、辅助检查结果判断、体格检查、门诊病史书写质量、健康教育与健康促进、与病人及家属沟通交流)评分明显高于训练前,差异均有统计学意义(t分别=11.78、8.59、7.29、13.27、13.35、20.85、23.47、12.82、18.72,P均<0.05)。结论全科诊疗思维与技能操作训练系统教学在全科医师培养中能发挥较好的培训作用,可以提高带教师资的临床教学技能,丰富带教师资的临床教学方法,以提高作为健康“守门人”的综合素质,从而构建一支规范化的高素质全科医生队伍。Objective To analyze the role of the general practice thinking and skill operation training teaching system in the training of general practitioners.Methods A total of 62 cases teaching trainees of general practice in Zhejiang Province were selected to make a retrospective analysis through the comparison of the results before and after the teach-ing of general practice thinking and skill operation training.In this way,the passing rate of the teaching content and the improvement rate of the competency of 9 general practice posts were compared before and after the training.Results Af-ter the general practice thinking and skill operation training,the trainees'passing rate of teaching content(including ab-dominal pain,fever,chest pain,cough,hypertension,angina pectoris,urinary tract infection,chronic gastritis and dyslipid-emia)were higher than those before training,the differences were statistically significant(χ^(2)=7.20,5.83,6.64,6.06,7.95,9.04,8.46,7.44,5.72,P<0.05).The scores of the competency up to these general practice positions(including general practice thinking mode,the basic concept of general practice,clinical diagnosis and treatment ability,clinical operation ability,judgment ability of auxiliary examination results,physical examination ability,writing quality of outpatient medical history,health education and health promotion ability,communication ability with patients and their families)were obvi-ously higher than those before training,the differ-ences were statistically significant(t=11.78,8.59,7.29,13.27,13.35,20.85,23.47,12.82,18.72,P<0.05).Conclusion The general practice thinking and skill operation training teaching system can play a good training role in cultivating general practitio-ners,improving clinical teaching skills of training teachers,and enriching clinical teaching methods of training teachers,so as to improve the comprehensive quality of these health“goalkeepers”and finally build a standard-ized team of high-quality general practitioners.

关 键 词：全科诊疗思维 全科医师 师资培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]