同质化管理结合分期带教对肝胆外科规培医师的作用研究  

Effect of homogeneous management combined with staged teaching on physicians receiving standardized training of hepatobiliary surgery

作　　者：邢斌瑜 高洁[1] 胡亚光 申存毅[1] 杨勤玲[1] 王铮[1] 谭文君[1] Xing Bingyu;Gao Jie;HuYaguang;Shen Cunyi;Yang Qinling;Wang Zheng;Tan Wenjun(Department of Hepatobiliary Surgery,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Department of Ophthalmology,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院肝胆外科,西安710061 [2]西安交通大学第一附属医院眼科,西安710061

出　　处：《中华医学教育探索杂志》2023年第7期1059-1062,共4页Chinese Journal of Medical Education Research

基　　金：陕西省科学技术厅2019年科技计划项目(2019JQ-953)。

摘　　要：目的探讨同质化管理结合分期带教对肝胆外科规培医师的作用。方法选取2020年1月至2020年3月在西安交通大学第一附属医院肝胆外科轮转学习的46名规培医师作为对照组,实施传统带教;另选取2020年4月至2020年6月轮转学习的50名规培医师作为观察组,实施同质化管理结合分期带教。对比两组带教前后专业水平、临床能力及对带教的满意度。使用SPSS 24.0进行独立样本t检验、配对t检验、卡方检验和秩和检验。结果带教后两组理论成绩、操作技能成绩高于带教前,且观察组理论成绩、操作技能成绩[(94.57±3.28)分、(94.37±4.18)分]均高于对照组[(90.32±2.12)分、(91.25±3.46)分];带教后两组临床问诊、体格检查、人文关怀、临床诊断、沟通能力、组织能力和总体评价评分均高于带教前,且观察组以上7个方面评分[(6.98±0.94)分、(6.45±0.14)分、(6.95±0.88)分、(6.65±0.93)分、(6.53±0.26)分、(6.84±0.92)分、(6.58±0.35)分]高于对照组[(6.13±0.31)分、(6.21±0.76)分、(6.21±0.42)分、(6.18±0.35)分、(6.32±0.61)分、(6.33±0.24)分、(6.25±0.71)分];观察组总满意率[94.00%(47/50)]高于对照组[78.26%(36/46)],差异有统计学意义。结论在肝胆外科规培带教过程中,运用同质化管理结合分期带教可提高规培医师的专业水平和临床能力,增强带教满意度。Objective To investigate the effect of homogeneous management combined with staged teaching on physicians receiving standardized training of hepatobiliary surgery.Methods A total of 46 physicians who received standardized training in Department of Hepatobiliary Surgery,The First Affiliated Hospital of Xi'an Jiaotong University,from January to March 2020 were selected as control group and were given conventional teaching,and 50 physicians who received standardized training from April to June 2020 were selected as observation group and were given homogeneous management combined with staged teaching.The two groups were compared in terms of professional level,clinical ability,and the degree of satisfaction with teaching before and after teaching.SPSS 24.0 was used to perform the independent samples t-test,the paired t-test,the chi-square test,and the rank sum test.Results After teaching,both groups had significant increases in the scores of theoretical examination and operation skill examination,and compared with the control group,the observation group had significantly higher scores of theoretical examination(94.57±3.28 vs.90.32±2.12)and operation skill examination(94.37±4.18 vs.91.25±3.46).After teaching,both groups had significant increases in the scores of clinical consultation,physical examination,humanistic concern,clinical diagnosis,communication ability,organizational ability,and overall evaluation,and the observation group had significantly higher scores of the above seven aspects than the control group(6.98±0.94/6.45±0.14/6.95±0.88/6.65±0.93/6.53±0.26/6.84±0.92/6.58±0.35 vs.6.13±0.31/6.21±0.76/6.21±0.42/6.18±0.35/6.32±0.61/6.33±0.24/6.25±0.71).The observation group had a significantly higher overall satisfaction rate than the control group[94.00%(47/50)vs.78.26%(36/46)].Conclusion In the standardized training and teaching of hepatobiliary surgery,homogeneous management combined with staged teaching can improve the professional level and clinical ability of physicians and enhance the degree

关 键 词：同质化管理 分期带教 肝胆外科 住院医师规范化培训 

分 类 号：R-05[医药卫生]