实习医师和住培医师一体化临床教学模式的探讨  

Exploration on the Integrated Clinical Teaching Model for Interns and Resident Trainees

作　　者：何芳 李银[2] HE Fang;LI Yin(Department of Science and Education,the First People's Hospital of Chuzhou,Chuzhou Anhui 239000,China;The Fourth Department of Cardiovascular,the First People's Hospital of Chuzhou,Chuzhou Anhui 239000,China)

机构地区：[1]滁州市第一人民医院科教科,安徽滁州239000 [2]滁州市第一人民医院心血管内四科,安徽滁州239000

出　　处：《中国继续医学教育》2024年第14期132-136,共5页China Continuing Medical Education

摘　　要：目的研究实习医师和住院医师规范化培训(以下简称“住培”)一体化临床教学模式的应用方法以及具体效果。方法选取2022年6月—2023年5月滁州市第一人民医院的40名实习医师和住培医师作为研究对象,遵循随机双盲原则将实习医师和住培医师分为对照组与观察组,各20名。对照组按照常规临床教学模式完成实习教学,观察组采取实习医师和住培医师一体化临床教学模式。比较2组医师的临床教学考核成绩、教学总满意度、临床能力考核成绩及素质考核成绩。结果观察组医师的理论考核成绩和实践考核成绩[(72.50±12.82)分、(90.55±6.26)分]均高于对照组[(60.53±15.64)分、(85.45±4.78)分],差异有统计学意义(P<0.05)。观察组医师的临床教学总满意度为100%,高于对照组的60.00%,差异有统计学意义(P<0.05)。观察组医师的辅助检查结果分析、病史采集、体格检查、病例分析及病历书写评分高于对照组,差异均有统计学意义(P<0.05)。观察组医师的资料收集、案例讨论、思维能力、医患沟通及应变能力评分高于对照组,差异均有统计学意义(P<0.05)。结论实习医师和住培医师一体化临床教学模式可提升学习效果,并促进医师综合能力的提升,有助于医师尽早满足临床能力要求,为医疗人才建设奠定基础。Objective To study the application methods and specific effects of the integrated clinical teaching mode of standardized training for interns and residents(hereinafter referred to as resident training).Methods A total of 40 interns and resident doctors in the First People's Hospital of Chuzhou from June 2022 to May 2023 were selected as the research objects,and they were randomly divided into control group and observation group according to the principle of random double-blind,with 20 interns and resident physicians in each group.The control group completed the practice teaching according to the conventional clinical teaching mode,while the observation group adopted the integrated clinical teaching mode of interns and resident doctors.The clinical teaching assessment scores,total teaching satisfaction,clinical ability assessment scores and quality assessment scores of the two groups of physicians were compared.Results The scores of theory examination and practice examination in the observation group[(72.50±12.82)points,(90.55±6.26)points]were higher than those in the control group[(60.53±15.64)points,(85.45±4.78)points],and the differences were statistically significant(P<0.05).The total satisfaction of clinical teaching in the observation group was 100%,which was higher than 60.00%in the control group,and the difference was statistically significant(P<0.05).The scores of auxiliary examination results analysis,medical history collection,physical examination,case analysis and medical record writing in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of data collection,case discussion,thinking ability,doctor-patient communication and adaptability of doctors in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The integrated clinical teaching mode of interns and resident doctors can improve the learning effect,promote the improvement of docto

关 键 词：实习医师 住培医师 一体化 临床教学模式 多元化教学方法 临床能力 教学质量 

分 类 号：G642[文化科学—高等教育学]