信息化助力医疗联合体模式下的儿科毕业后医学教育实践与思考  

Practice and thoughts of pediatric continuing education under information technology-aided medical consortium model

作　　者：李强 王思思 王诙译 尤芝娜 李甫棒[2] 汪伟[2] Li Qiang;Wang Sisi;Wang Huiyi;You Zhina;Li Fubang;Wang Wei(Administration Office,Children's Hospital of Zhejiang University School of Medicine/National Clinical Research Center for Child Health and Disorders,Hangzhou 310052,China;Department of Medical Service,Children's Hospital of Zhejiang University School of Medicine/National Clinical Research Center for Child Health,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院国家儿童健康与疾病临床医学研究中心党政办公室,杭州310052 [2]浙江大学医学院附属儿童医院国家儿童健康与疾病临床医学研究中心医务部,杭州310052

出　　处：《中华医学教育探索杂志》2024年第3期299-304,共6页Chinese Journal of Medical Education Research

摘　　要：为了创造有弹性、高质量的儿科毕业后医学教育机会,浙江大学医学院附属儿童医院基于医联体信息系统、APP和网站这3个途径,拓展线上教学体系。本院开展了"5G+"数智课堂实例教学、分级诊疗跟踪学习、移动终端课程、疑难病例互动讲座这4项举措,作为线下培训的配套延伸。从2020年至2023年,这4项举措的线上参与人数已超过9000人。通过问卷调查、理论考核和半结构式访谈的方式开展综合评价,结果显示:医联体成员对线上毕业后医学教育模式的内容和效果都比较认可;培训后医务人员的理论知识水平测试有所提升;受访者认为线上培训在时间、地点和空间上具有灵活性和自由度,并且对诊疗能力提升和个人发展具有积极作用。然而,现有形式尚不能完全替代传统的专科进修学习。未来,浙江大学医学院附属儿童医院将建立统一的评估和考核机制,形成标准化管理体系,并引入先进技术,以提高参与的积极性和有效性,促进医疗教育资源合理、高效利用。To create flexible and high-quality pediatric continuing education opportunities,the Children's Hospital of Zhejiang University School of Medicine has developed an online teaching system based on the medical consortium information system,mobile application,and website,which includes"5G+"digital classroom for case teaching,hierarchical diagnosis and treatment tracking,mobile courses,and live interactive lectures about difficult medical cases as support extensions of offline training.From 2020 to 2023,over 9000 people participated in online activities.The results of questionnaire survey,theoretical examination,and semi-structured interview showed that the members of the medical consortium were satisfied with the training content and effect of the online medical continuing education model;medical personnel's theoretical levels were improved after training;the interviewees believed that online training was flexible and convenient with regard to time,location,and space,with positive impact for improving clinical ability and personal development.However,the online form cannot yet replace the traditional refresher training completely.In the future,we will establish a unified evaluation and assessment mechanism,form a standardized management system,and introduce advanced technologies,so as to encourage enthusiastic and effective participation,and promote the rational and efficient use of medical education resources.

关 键 词：医联体 毕业后教育 线上教育 同质化 

分 类 号：R72[医药卫生—儿科]