四川省全科住院医师规范化培训基地教学查房竞赛结果分析  

Analysis of teaching ward rounds competition in training base of residency programme of general practice in Sichuan Province

作　　者：代华[1] 朱林林[1] 邓宏宇[1] 毕明帅 曾永秋 关山月 赵光斌[3] 廖晓阳[1] 袁波[1] 赵茜[1] DAI Hua;ZHU Linlin;DENG Hongyu(Department of General Practice,General Practice Medical Center,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院全科医学中心,四川成都610041 [2]四川省医学科技教育中心 [3]四川省人民医院全科医学中心

出　　处：《全科医学临床与教育》2023年第7期637-640,共4页Clinical Education of General Practice

摘　　要：目的分析四川省全科住院医师规范化培训教学查房现状。方法组建全科教学查房专家评审团队,采用经Delphi法构建的全科教学查房评分表,对四川省32家参与教学查房竞赛的全科住院医师规范化培训基地提交的教学查房视频进行评分。结果Delphi法构建的全科教学查房评分表结果显示,总分90分以上、60分以下基地各2家,教学查房总成绩不理想,均分(74.49±9.39)分。从地区分布来看,成都市内较成都市外的全科基地教学查房质量高(t=2.67,P<0.05);在不同的经济区中,川东北经济区较成都平原经济区总成绩低(t=5.80,P<0.05);大专院校附属医院与非大专院校附属医院全科基地在教学查房总分比较,差异无统计学意义(t=1.15,P>0.05)。结论四川省全科教学查房水平不高,参差不齐,薄弱环节为教学查房具体实施过程,尤其在病房阶段、示教室讨论阶段。教学查房过程中全科理念及技巧培训指导有待提高。Objective To evaluate the condition analysis of teaching ward rounds for standardized training general practice residents in Sichuan province.Methods An expert team for general practice teaching rounds was set up,and the general practice teaching rounds scoring table constructed by Delphi method was used to score the teaching rounds videos submitted by 32 general practice resident standardized training bases participating in the teaching rounds competition in Sichuan Province.Results According to the results of the general subject teaching ward round rating table constructed by Delphi method,the total score of teaching ward round was not ideal in two bases with a total score of above 90 and below 60,with an average score of(74.49±9.39).From the perspective of regional distribution,the quality of teaching rounds in general practice bases in Chengdu is higher than that outside Chengdu(t=2.67,P<0.05).Among different economic zones,the overall performance of Northeast Sichuan Economic Zone is lower than that of Chengdu Plain Economic Zone(t=5.80,P<0.05).There was no significant difference in the total score of teaching rounds between the affiliated hospitals of colleges and the general practice bases of non-affiliated hospitals of colleges(t=1.15,P>0.05).Conclusion The quality of teaching ward rounds for standardized training general practice residents in Sichuan province is not ideal,and the level is uneven.The implement course of teaching ward rounds is the weak link,especially in the stage in ward and the discussion stage in the classroom.Teaching in the process of ward round concept and skills training guidance need to be improved.

关 键 词：全科教学查房 现状分析 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]