分层递进教学在住院医师规范化培训中的应用难点与对策思考  

Application of hierarchical and progressive teaching in standardized residency training:difficulties and countermeasures

作　　者：周庆[1] 唐东[1] 吉云兰[1] 季秋虹[2] 王云云[1] 施炜[3] 陆玉华[3] Zhou Qing;Tang Dong;Ji Yunlan;Ji Qiuhong;Wang Yunyun;Shi Wei;Lu Yuhua(Department of Education and Training,Affliated Hospital of Nantong University,Nantong 226001,China;Department of Neurology,Affiliated Hospital of Nantong University,Nantong 226001,China;Dean's Office,Affiliated Hospital of Nantong University,Nantong 226001,China)

机构地区：[1]南通大学附属医院教育培训处,南通226001 [2]南通大学附属医院神经内科,南通226001 [3]南通大学附属医院院长室,南通226001

出　　处：《中华医学教育探索杂志》2024年第8期1118-1122,共5页Chinese Journal of Medical Education Research

基　　金：江苏高校“青蓝工程”资助项目。

摘　　要：通过梳理和分析住院医师规范化培训分层递进教学模式中学员分层、目标分层、实践分层、考核分层等实施过程中存在的问题和难点,提出充分发挥专业基地在住院医师规范化培训分层递进教学中的主体作用,强化专业基地教学小组在研讨分层递进教学方案与评价标准和考核中的具体责任,科学做好学员分层,一致分层目标,加强师资分层递进教学理念与教学能力培训,提升同质化分层递进评价能力,阶段培养目标过程测评与带教导师动态因材施教相结合的应对之策,以为深入有效地推进住院医师规范化培训分层递进教学模式改革提供有益借鉴。By identifying and analyzing the problems and difficulties in the implementation process of student stratification,goal stratification,practice stratification,and assessment stratification in standardized residency training,this article proposes to fully leverage the main role of professional bases in hierarchical and progressive teaching for standardized residency training and strengthen the specific responsibilities of professional base teaching groups in discussing hierarchical and progressive teaching plans,evaluation standards,and assessments.It is also necessary to scientifically implement student stratification,achieve consistent stratification goals,strengthen the training of hierarchical and progressive teaching concepts and teaching abilities for teachers,enhance the ability for homogeneous and hierarchical evaluation,and develop countermeasures that combine stage training goal process evaluation with dynamic personalized teaching by mentors,so as to provide a useful reference for further promoting the reform of standardized residency training using a hierarchical and progressive teaching model.

关 键 词：分层递进 住院医师 规范化培训 里程碑 胜任力 

分 类 号：R-01[医药卫生]