参与减重与代谢外科多学科诊疗在住院医师培养中的探索  

Effects of multi-disciplinary team participation for residency training in bariatric and metabolic surgery

作　　者：陶明[1] 魏娜 李竟麟 李智飞[1] Tao Ming;Wei Na;Li Jinglin;Li Zhifei(Department of General Surgery,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院普通外科,北京100191

出　　处：《中华医学教育探索杂志》2024年第2期271-275,共5页Chinese Journal of Medical Education Research

摘　　要：目的探讨在开展多学科诊疗(multi-disciplinary treatment,MDT)过程中,住院医师参与减重与代谢外科MDT对其培养的促进作用。方法从受访者背景、患者获益、医生获益和受访住院医师对MDT的认可度4个方面设计问卷,对2023年2月至10月北京大学第三医院进入胃肠外科轮转并参与管理减重与代谢手术患者的48名住院医师进行问卷调查。根据参与MDT频次将住院医师分为两组(<5次组和≥5次组),5名上级医师对其评价,通过独立样本t检验对两组间评分进行比较。结果48名住院医师均完成问卷调查,受访住院医师只有16名(33.33%)接触过减重与代谢外科相关知识,大部分受访者认为通过参加MDT能够提高专业能力(42名,87.50%)和专业英语水平(30名,62.50%)。参与MDT≥5次组22名,参与MDT<5次组26名,在内科知识[(7.42±1.09)分vs.(5.16±1.28)分]、麻醉和重症医学知识[(7.11±0.85)分vs.(4.93±0.99)分]、围手术期管理[(7.08±0.67)分vs.(4.97±1.21)分]、腹腔镜操作能力[(6.43±0.83)分vs.(4.99±0.65)分]和普外专业知识方面[(6.46±0.86)分vs.(5.87±0.51)分],参与MDT≥5次组明显优于<5次组(均P<0.05)。结论参加减重与代谢外科MDT能够帮助住院医师快速熟悉并掌握相关知识,对提高减重与代谢外科人员储备具有重要意义。Objective To explore the effects of multi-disciplinary team(MDT)participation for residency training in bariatric and metabolic surgery.Methods A questionnaire was designed considering patient benefits,doctor benefits,and interviewees'background and recognition of MDT.The questionnaire was used to survey 48 residents who rotated to the department of gastrointestinal surgery and participated in the management of patients undergoing bariatric and metabolic surgery in Peking University Third Hospital from February to October 2023.According to the frequency of MDT participation,the residents were divided into two groups(<5 times and≥5 times).They were evaluated by five superior surgeons,and the scores of the two groups were compared using the independent samples t test.Results All the 48 residents completed the questionnaire survey.Only 16 residents(33.33%)had been exposed to the knowledge of bariatric and metabolic surgery,and most of the respondents believed that participating in MDT could improve their professional competence(n=42,87.50%)and special English proficiency(n=30,62.50%).The group of MDT participation≥5 times had significantly higher scores of knowledge of internal medicine[(7.42±1.09)vs.(5.16±1.28)],knowledge of anesthesia and critical care medicine[(7.11±0.85)vs.(4.93±0.99)],perioperative management[(7.08±0.67)vs.(4.97±1.21)],laparoscopic skills[(6.43±0.83)vs.(4.99±0.65)],and professional knowledge of general surgery[(6.46±0.86)vs.(5.87±0.51)]compared with the group of MDT participation<5 times(all P<0.05).Conclusions MDT participation in bariatric and metabolic surgery can help residents quickly understand and master relevant knowledge,which is of great significance for increasing the personnel reserve of bariatric and metabolic surgery.

关 键 词：减重与代谢外科 多学科诊疗 住院医师 培养 

分 类 号：R615[医药卫生—外科学]