教学门诊对中医医师规范化培训效果的影响  

Effect of Teaching Clinic on Standardized Training of Chinese Medicine Practitioners

作　　者：王佳丽 董璟绚 郑勇飞[1] 张尊敬[1] WANG Jiali;DONG Jingxuan;ZHENG Yongfei;ZHANG Zunjing(Lishui Hospital of Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Lishui Zhejiang 323000,China;The Third School of Clinical Medicine of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China)

机构地区：[1]浙江中医药大学附属丽水中医院,浙江丽水323000 [2]浙江中医药大学第三临床医学院,浙江杭州310053

出　　处：《新中医》2024年第19期218-222,共5页New Chinese Medicine

基　　金：浙江中医药大学校级研究生教育教学改革项目(YJSJD2023009);丽水市软科学研究计划项目(2022RKX26)。

摘　　要：目的:观察教学门诊对中医医师规范化培训效果的影响。方法:将纳入研究的60名中医医师规范化培训学员随机分为观察组与对照组各30名。观察组实行教学门诊模式,对照组实行跟师抄方模式。2组规培学员的培训时长均为50周。比较2组学习前后的理论成绩、独立接诊成绩及对教学效果的满意度。比较完成学习后,2组规培学员对自身岗位胜任能力、病史采集能力、临床思维进步程度、医患沟通能力提升程度的满意度。结果:学习后,观察组的理论成绩、独立接诊成绩与对照组的理论成绩均较学习前上升,差异均有统计学意义(P<0.05)。观察组对自身的岗位胜任能力、病史采集能力以及临床思维进步程度的满意率均高于对照组(P<0.05),医患沟通能力提升程度的满意率虽高于对照组,但差异无统计学意义(P>0.05)。2组对教学效果的满意率均较学习前提高,差异均有统计学意义(P<0.05)。观察组满意率略高于对照组,但差异无统计学意义(P>0.05)。结论:教学门诊可提升中医医师规范化培训的效果,提高学员的专业理论相关知识、临床诊疗能力。Objective:To observe the effect of teaching clinic on the standardized training of Chinese medicine practitioners.Methods:A total of 60 Chinese medicine practitioners receiving the standardized training were randomly divided into the observation group and the control group,with 30 cases in each group.The observation group implemented the teaching clinic mode,and the control group implemented the mode of learning from tutors by copying their prescriptions.The training duration for both groups was 50 weeks.The students in the two groups were compared in theoretical scores,independent admission scores,practical skills operation scores,and the satisfaction of teaching effect before and after the training.After the training,the satisfaction of the trainees in the two groups on their own post competence,medical history collection ability,clinical thinking progress,and doctor-patient communication ability was compared.Results:After the training,the theoretical scores and independent admission scores in the observation group as well as the theoretical scores in the control group were increased when compared with those before the training,differences being significant(P<0.05).The satisfaction on their own post competence,medical history collection ability and clinical thinking progress of the trainees in the observation group was respectively higher than that in the control group(P<0.05);although the satisfaction of doctor-patient communication ability improvement in the observation group was higher than that in the control group,there was no significant difference(P>0.05).The satisfaction in both groups was increased when compared with that before the training,differences being significant(P<0.05).The satisfaction in the observation group was slightly higher than that in the control group,there being no significant difference(P>0.05).Conclusion:Teaching clinic can improve the effect of standardized training of Chinese medicine practitioners,and can improve the professional theoretical knowledge,clinical diagnosis and tre

关 键 词：中医医师规范化培训 教学门诊 教学质量 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学]