智能APP辅助住院医师规范化培训出科考核的应用  

Application of intelligent APP in process assessment of standardized residency training

作　　者：吕梦轩 芦珊 袁文青 谷今一 谷士贤[1] LüMengxuan;Lu Shan;Yuan Wenqing;Gu Jinyi;Gu Shixian(Education Department,Peking University Third Hospital,Beijing 100191,China;Information Management and Big Data Center,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院教育处,北京100191 [2]北京大学第三医院信息管理与大数据中心,北京100191

出　　处：《中华医学教育探索杂志》2025年第3期374-381,共8页Chinese Journal of Medical Education Research

基　　金：北京市住院医师规范化培训质量提高项目(住培2021045);中华医学会医学教育分会毕业后医学教育学组/继续医学教育学组教育管理课题(21BY008)。

摘　　要：目的构建智能APP辅助的住培出科考核模式并探讨其应用效果。方法依托北京大学第三医院自主开发的“学医酷”APP平台,打造线上线下相结合的智能APP辅助住院医师规范化培训出科考核标准化流程。分析教师和住院医师APP使用频率、满意度、认为APP解决的问题及还需要改进的方面等,采用SPSS 26.0进行t检验及卡方检验。结果教师对APP满意度评分(7.66±1.86)分,专业基地教学主任/出科考核专员对APP满意度较临床教师高[(8.28±1.30)分vs.(7.42±1.99)分,P=0.013];大部分住院医师对APP表示满意(67.44%;29/43)、认为APP在出科考核全过程中的辅助作用重要(55.81%;24/43)且会查看教师反馈(65.12%;28/43)。部分教师认为APP解决了考试评分无纸化(59.00%;59/100)、考试流程规范化(43.00%;43/100)、成绩统计(42.00%;42/100)、成绩上报(42.00%;42/100)等问题;住院医师认为解决了考试通知(44.19%;19/43)、时间安排(41.86%;18/43)、结果反馈(41.86%;18/43)等问题。教师和住院医师都提到希望进一步加强APP系统稳定性、简化操作步骤。结论以APP为纽带,通过数据的即时传输与反馈,智能APP辅助的出科考核模式可以促进专业基地、临床教师和住院医师的反思总结,提升住院医师岗位胜任力。Objective To construct an intelligent APP-assisted process assessment mode for standardized residency training and explore its application effect.Methods Based on the"XUEYIKU"APP platform developed in Peking University Third Hospital,we built a standardized process of process assessment for standardized residency training assisted by intelligent APP and combining both online and offline components.We analyzed the frequency of APP use,satisfaction with the APP,the problems solved by the APP,and the aspects that need to be improved.SPSS 26.0 was used for t-test and Chi-square test.Results The satisfaction score of teachers with the APP was(7.66±1.86)points.The satisfaction score of professional base teaching directors/process assessment coordinators was higher than that of clinical teachers[(8.28±1.30)vs.(7.42±1.99),P=0.013].Most residents were satisfied with the APP(67.44%,29/43),regarded its role in supporting the entire assessment process as important(55.81%,24/43),and reviewed teacher feedback(65.12%,28/43).Some teachers indicated that the APP solved problems such as paperless exam scoring(59.00%,59/100),standardized exam processes(43.00%,43/100),score statistics(42.00%,42/100),and score reporting(42.00%,42/100).The residents believed that the APP resolved issues such as exam notification(44.19%,19/43),scheduling(41.86%,18/43),and result feedback(41.86%,18/43).Both teachers and residents mentioned the need for further strengthening the stability of the APP system and simplifying operational steps.Conclusions With APP as a link,through the instant transmission and feedback of data,the intelligent APP-assisted process assessment mode drives the reflection and summarization of professional bases,clinical teachers,and residents,and promotes the post competence of residents.

关 键 词：智能 出科考核 APP 住院医师规范化培训 

分 类 号：R4[医药卫生—临床医学] R-05