检验基地住院医师规范化培训分年度递进考核模式的实践研究  

Application of annual progressive assessment mode in standardized training for residents in a medical laboratory base

作　　者：罗盈 邸玉玮 孟玥 邓倩昀 李晖[1] 甘慧泉 顾兵 Luo Ying;Di Yuwei;Meng Yue;Deng Qianyun;Li Hui;Gan Huiquan;Gu Bing(Department of Clinical Laboratory,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangzhou 510000,China)

机构地区：[1]南方医科大学附属广东省人民医院(广东省医学科学院)检验科,广州510000

出　　处：《中华医学教育探索杂志》2025年第3期361-365,共5页Chinese Journal of Medical Education Research

基　　金：华南理工大学校级教研教改项目(2022);广东省人民医院一流本科课程(2022);华南理工大学校级“质量工程”项目(2022)。

摘　　要：目的探讨检验基地住院医师规范化培训分年度递进式考核模式的建立、实施及应用效果。方法2020年以来,本基地通过制定考核制度、建设题库、日常考核、出科考核、年度考核五方面完善分年度递进考核体系。对检验基地2020年后招收的住培学员采用新的考核模式。以2020年前招收的7位住培学员为对照组,2020年及以后招收的13位住培学员为试验组,比较两组二年级和三年级出科考核和年度考核的成绩及住培学员的成果。比较2020年前后检验基地的教学成果产出。采用SPSS 27.00进行t检验、秩和检验、Fisher确切概率法。结果两组学员在年龄、性别分布、学历等一般资料差异无统计学意义。试验组二年级学员和三年级学员的出科考理论考核(二年级P<0.001,三年级P=0.008)和技能考核(二年级P<0.001,三年级P=0.038),年度考理论考核(均P<0.001)和技能考核(均P<0.001)成绩均高于对照组,差异有统计学意义,其中二年级学员的成绩提升更为显著。试验组学员3年内案例投稿17篇,多次在国家级会议,省级会议和院级案例演讲比赛获奖。其中国家级学术会议获“优秀案例”二等奖。2020年以来科室教改课题和教学论文实现零的突破。获教改课题5项,发表教学论文6篇,多次在省级及院级授课比赛获奖。结论分年度递进考核模式的建立对培养高质量检验医师至关重要,同时对住培师资团队提出更高的要求。Objective To explore the establishment,implementation,and application effect of the annual progressive assessment mode for standardized training of resident physicians in a medical laboratory base.Methods Since 2020,the base has improved the annual progressive assessment system through assessment system establishment,question bank construction,routine assessment,rotation examination,and annual examination.This new assessment mode was adopted for the residency trainees enrolled in the base after 2020.The control group consisted of seven residency trainees enrolled before 2020,while the experimental group comprised 13 trainees enrolled in 2020 and later.The two groups were compared based on the rotation and annual examination scores of second-and third-year trainees,as well as their academic achievements.Additionally,teaching outcomes of the base before and after 2020 were analyzed.The t test,rank-sum test,and Fisher's exact test were performed using SPSS 27.00.Results There were no significant differences in age,sex,and education level between the two groups.The experimental group showed significantly higher scores than the control group in theory assessment(P<0.001 for second-year trainees and P=0.008 for third-year trainees)and skill assessment(P<0.001 for second-year trainees and P=0.038 for third-year trainees)in rotation examination,as well as in theory assessment(both P<0.001)and skill assessment(both P<0.001)in annual examination.The improvement was particularly pronounced among second-year trainees.The trainees of the experimental group submitted 17 case reports in three years,and won awards at national conferences,provincial conferences,and institutional case speech competitions.In a national academic conference,the trainees won the second prize of"Excellent Case".Since 2020,we have been granted with our first teaching reform project and published our first teaching article.To date,we have obtained five teaching reform projects,published six teaching articles,and won multiple awards in provincial and inst

关 键 词：检验基地 住培 分年度 递进式 考核 

分 类 号：R-05[医药卫生]