Research on training effect of the standardized training program for resident physicians by using Kirkpatrick’s model

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Research on training effect of the standardized training program for resident physicians by using Kirkpatrick’s model

更新时间：2024-09-19

- Research on training effect of the standardized training program for resident physicians by using Kirkpatrick’s model
- Vol. 16, Issue 1, (2017)
- 作者机构：
  
  上海交通大学医学院附属瑞金医院临床医学院
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2017，
- 稿件说明：
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Research on training effect of the standardized training program for resident physicians by using Kirkpatrick’s model. [J]. 16(1).(2017)
DOI：

Research on training effect of the standardized training program for resident physicians by using Kirkpatrick’s model. [J]. 16(1).(2017) DOI：

摘要

目的对上海市瑞金医院住院医师规范化培训的效果进行调查，分析培训中存在的问题，提出改进方法，为完善住院医师规范化培训提供参考。方法采用单纯随机抽样，对上海交通大学医学院附属瑞金医院的113名住院医师及31名带教教师、43名护士长进行问卷调查，参考柯氏模型，从反应层、学习层、行为层、成果层四个层面对结果进行分析。反应层采用方差分析，行为层两样本均数比较采用配对t检验。结果反应层：住院医师对培训的总体满意度为3.45。学习层：所有参与培训的住院医师均通过医院组织的各类考试。行为层：通过分析住院医师自评表、带教教师及护士长他评表结果，住院医师的多项技能在培训后均有较大提升，且培训前后行为变化评分具有统计学意义（P＜0.01）。成果层：113名住院医师患者投诉率为0，事故率为0，执业医师资格考试通过率100%，就业率100%。结论瑞金医院住院医师规范化培训取得了较好的成效，培训提高了住院医师各方面的能力，住院医师对培训的总体反馈较好；住院医师对培训薪水及待遇的满意度较低，对所在医院的归属感较差

Abstract

Objective To evaluate the effect of the standardized training program for resident physicians in Ruijin Hospital

and analyse the problems so as to provide reference to improve the training. Methods Questionnaire surveys were conducted among 113 resident physicians

31 teachers and 43 head nurses in Rujin Hospital by using the simple random sampling and 300. The data was analysed by Kirkpatrick’s model in four layers including reaction layer

learning layer

behaviors layer and results layer. Data of reation layer was analysed by ANOVA and data of behaviors layer was compared by paired t-test. Results Reaction layer: the resident physicians’ overall satisfaction score for the training is 3.45. Learning layer: all resident doctors participating the training have passed all the exams organised by the hospital. Behaviors layer: Residents have made a great progress in many aspects after the standardized training program

and the difference is statistically significant(P＜0.01) according to the analysis of all questionnaires written by residents，clinical teachers and head nurses. Results layer: both the patient complaint rate and the accident rate of the 113 resident physicians is 0 while they all passed the National Medical Licensing Examination and the employment rate is 100%. Conclusions the standardized training program for resident physicians in Ruijin Hospital gets fairly good effect. Resident doctors’ quality and ability in many aspects are improved and the overall satisfaction for the tarining is high

but in salary

benefits and sense of belonging to the hosipital

the satisfaction is relatively low.

关键词

住院医师规范化培训柯式模型效果分析

Keywords

ResidentStandardized trainingKirkpatrick’s modelEffectiveness analysis

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