全病程管理联合门诊教学在住院医师规范化培训中的教学实践  

Teaching Practice of Full-Course Management Combined with Outpatient Teaching in the Standardized Training of Resident Physicians

作　　者：许冠华[1] 曹恒[1] 林进[1] 岳利环[1] 余叶 孙传银[1] Xu Guanhua;Cao Heng;Lin Jin;Yue Lihuan;Yu Ye;Sun Chuanyin(The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,Zhejiang,China)

机构地区：[1]浙江大学医学院附属第一医院,浙江杭州310003

出　　处：《中国高等医学教育》2024年第11期34-36,共3页China Higher Medical Education

基　　金：浙江省中医药优秀青年人才基金项目(2022ZQ051)。

摘　　要：目的:以风湿免疫科为例,探索住院医师规范化培训中采用全病程管理联合门诊教学的可行性及学习效果分析。方法:将2022年至2023年在我院风湿免疫科接受规范化培训的住院医师按入科轮转先后顺序分为试验组和对照组。其中试验组25人,对照组25人。对照组根据教学大纲实施常规教学;试验组依据教学大纲施行临床教学的同时,采用全病程管理联合门诊教学模式。通过客观评价指标联合临床带教满意度对教学效果进行评价分析。结果:试验组住院医师临床综合能力较对照组住院医师有明显提升(P<0.05)。且经过联合教学,试验组医师后期较刚出科时临床综合能力仍有显著进步(P<0.05)。问卷调查结果也显示,试验组医师对联合教学方案持更加肯定的态度,特别是在培养住培医师临床思维,提升文献检索能力及医患沟通能力这些方面。结论:在住院医师规范化培训中采用全病程管理联合门诊教学具有可行性,有助于增强住院医师对疾病的理解,也有助于提高住院医师的岗位胜任力。Objective:To explore the feasibility and learning outcomes of incorporating whole-course management and outpatient teaching in standardized resident training,using the Rheumatology Department from 2022 to 2023 as a case study.Methods:A total of 50 residents undergoing standardized training in the Rheumatology Department were randomly divided into an experimental group(n=25)and a control group(n=25)based on their rotation sequence.The control group followed the standard curriculum outlined in the teaching syllabus,while the experimental group adopted a combined whole-course management and outpatient teaching model in addition to standard clinical education.Teaching outcomes were evaluated using objective indicators and clinical teaching satisfaction surveys.Results:Residents in the experimental group demonstrated significantly higher clinical competencies compared to the control group(P<0.05).Furthermore,their clinical skills continued to improve significantly even after completing the rotation(P<0.05).Questionnaire results showed that residents in the experimental group held a more positive attitude toward the combined teaching method,particularly appreciating its role in cultivating clinical thinking,improving literature search skills,and enhancing doctor-patient communication.Conclusion:The integration of whole-course management and outpatient teaching in standardized resident training is feasible and beneficial,effectively enhancing residents'understanding of diseases and improving their job competencies.

关 键 词：全病程管理 门诊教学 住院医师规范化培训 岗位胜任力 

分 类 号：G642[文化科学—高等教育学]