原位模拟教学法在精神科住院医师规范化培训教学中的应用探索  

Exploration of the application of in situ simulation teaching method in standardized training of psychiatric resident physicians

作　　者：王韵 丁蕾[1] 胡莺燕[1] 彭代辉 吴彦 WANG Yun;DING Lei;HU Yingyan;PENG Daihui;WU Yan(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《上海医药》2024年第15期7-10,22,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：上海交通大学“交大之星”计划医工交叉研究基金资助项目(YG2022QN107);上海市精神卫生中心“卓越教师培养计划”项目(2023-ZY-04)。

摘　　要：目的:探究原位模拟教学法在精神科住院医师规范化培训(以下简称住培)教学中的应用效果。方法:选择上海市精神卫生中心147名住培医师为研究对象,其中第1年期住培医师46名,原位模拟项目为询问病史和口头交接班;第2年期住培医师51名,原位模拟项目为协商、知情同意和传达坏消息;第3年期住培医师50名,原位模拟项目为告知医疗差错和临终谈话。采用置信职业行为评价法对住培医师进行岗位胜任力评价,记录并比较原位模拟教学前后住培医师置信职业行为评价得分。结果:与原位模拟教学前相比,原位模拟教学后的住培医师置信职业行为评价总得分显著提高,且考核优良率显著更高(P<0.05)。结论:采用原位模拟教学法能够提升住培医师的岗位胜任力。原位模拟教学法可应用于精神科住培。Objective:To explore the application effect of in situ simulation teaching method in standardized training of psychiatric resident physicians.Methods:One hundred and forty-seven resident trainees from Shanghai Mental Health Center were selected as the research subjects,with 46 resident trainees in the first year.In situ simulation projects included inquiring about medical history and oral shift handover.In the second year,there were 51 resident trainees,and the in situ simulation projects included negotiation,informed consent,and conveying bad news.In the third year,there are 50 resident trainees,and the in situ simulation project is to inform of medical errors and end-of-life conversations.Using the entrustable professional activities evaluation method to assess the competency of resident training physicians,the entrustable professional activities evaluation scores were recorded and compared before and after in situ simulation teaching.Results:The score after in situ simulation teaching was significantly higher than before,and there was a significant difference in the excellent rate(P<0.05).Conclusion:The use of in situ simulation teaching method can enhance the job competence of psychiatric resident physicians and can be applied to standardized training of psychiatric resident physicians.

关 键 词：原位模拟教学法 置信职业行为评价法 精神科住院医师规范化培训 

分 类 号：G712[文化科学—职业技术教育学] R192.3[文化科学—教育学]