教学督导在住院医师规范化培训教学查房中的应用研究  

Application of teaching supervision in educational ward rounds for resident

作　　者：陈谨瑜 何莉[1] 王时雨 李力 张岑[3] 沈丽琼 叶燕青[1] Chen Jinyu;He Li;Wang Shiyu;Li Li;Zhang Cen;Shen Liqiong;Ye Yanqing(Teaching Ofice of Zhongnan Hospital of Wuhan University,Wuhan 430071,China;ICU,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Otolaryngology Head and Neck Surgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院教学办公室,武汉430071 [2]武汉大学中南医院重症医学科,武汉430071 [3]武汉大学中南医院耳鼻咽喉头颈外科,武汉430071

出　　处：《中华医学教育杂志》2024年第8期620-623,共4页Chinese Journal of Medical Education

基　　金：湖北省卫生健康委临床医学教育教学改革研究项目(HBJG-220051);武汉大学综合改革项目(2021ZG290)。

摘　　要：目的分析武汉大学中南医院住院医师规范化培训指导医师2022年度教学查房督导成绩,为提升培训质量提供参考。方法采用数据分析方法,收集和分析武汉大学中南医院2022年度3轮99名指导医师教学查房督导成绩。采用χ^(2)检验等统计学检验方法对数据进行分析。结果2022年度第二轮、第三轮教学查房督导优秀率高于第一轮[第一轮优秀率48.5%(16/33),第二轮优秀率75.8%(25/33),第三轮优秀率72.7%(24/33)],其差异均具有统计学意义(均P<0.05)。不同科室类型的教学查房督导优秀率差异无统计学意义[非手术科室优秀率70.4%(38/54),手术科室优秀率60.0%(27/45),均P>0.05]。主任医师、副主任医师教学查房督导优秀率均高于主治医师[主任医师优秀率79.2%(19/24),副主任医师优秀率70.7%(29/41),主治医师优秀率50.0%(17/34)],其差异均具有统计学意义(均P<0.05)。结论教学督导对提升住院医师规范化培训教学查房质量起到了良好的促进作用,指导医师后2轮的督导成绩明显提高;不同职称指导医师的教学查房督导优秀率存在差异。应当进一步优化和完善教学查房督导制度,以促进住院医师规范化培训质量持续提高。Objective:To investigate the effects of teaching supervision on educational ward rounds for residents in Zhongnan Hospital of Wuhan University in 2022,and to inform future quality improvement.Methods:The results of 99 teachers′supervision in three educational ward rounds in 2022 were collected.Data were analyzed usingχ^(2) test.Results:In 2022,the excellent rates of the second and third rounds of educational ward rounds supervision were higher than that of the first round[the first round 48.5%(16/33)vs.the second round 75.8%(25/33)vs.the third round 72.7%(24/33),all P<0.05].There was no significant difference in the excellence rates among different departments[non-surgical departments 70.4%(38/54)vs.surgical departments 60.0%(27/45),all P>0.05].The excellent rates of ward rounds supervision of chief physicians and associate chief physicians were higher than that of attending physicians[chief physicians 79.2%(19/24)vs.associate chief physicians 70.7%(29/41)vs.attending physicians 50.0%(17/34),all P<0.05].Conclusions:Teaching supervision has played an important role in promoting the quality of educational ward rounds.There are differences in the excellent rates of teaching supervision among physicians with different professional titles.Further optimization of the teaching ward rounds should be carried out to promote the continuous improvement of teaching quality.

关 键 词：教学 住院医师 教学查房 督导 岗位胜任力 

分 类 号：R-4[医药卫生]