互联网模式下“早病善治”理论培训对全科住院医师教育的影响  

Influence of “Good Governance for Early Disease” Theory Training UnderInternet Mode on General Resident Education

作　　者：任璐 王祥宇 王丽娜 韩凌 尚亚丽 王东伟 REN Lu;WANG Xiangyu;WANG Lina;HAN Ling;SHANG Yali;WANG Dongwei(Department of General Practice,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450007,China;College of Basic Medicine,Hebei North University,Zhangjiakou 075000,China)

机构地区：[1]郑州大学附属郑州中心医院全科医学科,河南郑州450007 [2]河北北方学院基础医学院,河北张家口075000

出　　处：《河南医学研究》2024年第24期4533-4536,共4页Henan Medical Research

基　　金：郑州大学研究生教育研究项目(040012023A046);河南省医学教育研究项目(Wjlx2021414)。

摘　　要：目的借助互联网教学加强对全科住院医师轮转期间的临床思维培训管理,深化“早病善治”理念,提升全科住院医师的专业素质和实践能力。方法纳入2023年1—12月于郑州大学附属郑州中心医院轮转的全科住院医师为研究对象,经科教科规范化培训后,按摸底测试成绩分为对照组与观察组,对照组按住院医师规范化培训细则进行标准化轮转培养,观察组按细则要求轮转各科同时,每周参加2次“早病善治”线上培训,结合虚拟诊室演练接诊及病例分析。培训中期及结束后对所有学员进行业务水平测试及培训态度调查,运用SPSS软件进行统计分析。结果观察组学员在两次业务水平测试中的理论成绩、技能成绩均高于对照组(P<0.05);观察组学员对培训质量、培训效果的认可度均高于对照组(P<0.05)。结论基于互联网的“早病善治”理论培训有助于培训基地对全科住院医师轮转期间的全过程管理,促进知识转化,改善学习效果,以提高其对亚专科临床问题的识别与处置能力,真正在临床工作中实践全科理念。Objective To strengthen the management of clinical thinking training during the rotation of general practitioners by means of internet teaching,deepen the concept of“good governance for early disease”,and improve the professional quality and practical ability of general practitioners.Methods The general residents who rotated in Zhengzhou Central Hospital Affiliated to Zhengzhou University from January to December 2023 were selected as the research objects.After standardized training in department of medical education,they were divided into control group and observation group according to the results of diagnostic tests.The control group was trained in standardized rotation according to the detailed rules of standardized training for residents,while the observation group was trained in online training of“good governance for early disease”twice a week according to the detailed rules,combined with virtual clinic practice and case analysis.During and after the training,all the students were tested for their professional level and investigated for their training attitude,and SPSS software was used for statistical analysis.Results The theoretical scores and skill scores of the students in the observation group were higher than those in the control group(P<0.05).The recognition of training quality and training effect in the observation group was higher than those in the control group(P<0.05).Conclusion The theoretical training of“good governance for early disease”based on the internet is helpful for the training base to manage the whole process of general practice residents’rotation,promote knowledge transformation,improve the learning effect,enhance their ability to identify and deal with clinical problems in sub-specialties,and truly practice the concept of general practice in clinical work.

关 键 词：早病善治 住院医师教育 互联网教学 临床实践能力 

分 类 号：G712[文化科学—职业技术教育学]