Application of PDCA circle model in improving the completion rate of after-department examination in pediatric professional base

Shen Xiaoyu; Dong Lu; Lu Meihua; Li Pingping; Wang Ying

doi:10.3760/cma.j.cn116021-20210301-01288

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Application of PDCA circle model in improving the completion rate of after-department examination in pediatric professional base

Standardized Residency Training | 更新时间：2023-06-08

- Application of PDCA circle model in improving the completion rate of after-department examination in pediatric professional base
- Chinese Journal of Medical Education Research Vol. 22, Issue 5, Pages: 749-752(2023)
- 作者机构：
  
  1.上海交通大学医学院附属上海儿童医学中心特诊部，上海　200127
  2.上海交通大学医学院附属上海儿童医学中心教学部，上海　200127
  3.上海交通大学医学院附属上海儿童医学中心儿内科教研室，上海　200127
- 作者简介：
  
  Wang Ying, Email: wangying@scmc.com.cn
- 基金信息：
  
  2020 "5+3" Teaching and Research Program in Pediatrics at Shanghai Jiao Tong University School of Medicine(EKJX2020012DGD)
- DOI：10.3760/cma.j.cn116021-20210301-01288
  CLC： R72
- Published：20 May 2023，
  
  Received：01 March 2021，
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沈小钰, 董璐, 陆梅华, 等. PDCA循环在提高儿科专业基地出科考核完成率中的作用[J]. 中华医学教育探索杂志, 2023, 22(5): 749-752.

Shen Xiaoyu, Dong Lu, Lu Meihua, et al. Application of PDCA circle model in improving the completion rate of after-department examination in pediatric professional base. [J]. Chinese Journal of Medical Education Research 22(5):749-752(2023)
沈小钰, 董璐, 陆梅华, 等. PDCA循环在提高儿科专业基地出科考核完成率中的作用[J]. 中华医学教育探索杂志, 2023, 22(5): 749-752. DOI： 10.3760/cma.j.cn英文已校 202007128已做——沈小钰-修改后.

Shen Xiaoyu, Dong Lu, Lu Meihua, et al. Application of PDCA circle model in improving the completion rate of after-department examination in pediatric professional base. [J]. Chinese Journal of Medical Education Research 22(5):749-752(2023) DOI： 10.3760/cma.j.cn116021-20210301-01288.

摘要

目的

探讨PDCA［计划（plan）、执行（do）、检查（check）、调整（action）］循环管理方法在提高儿科专业基地出科考核完成率中的应用效果。

方法

通过住培管理系统平台调查发现，2019年2月至3月儿科专业基地各科室出科考核完成率差异很大。参照PDCA循环管理方法，根据鱼骨图分析得出的相关原因，分别从科室、学员、制度、工具4个方面有针对性地提出整改方案。整改时间为5个月。采用SPSS 17.0软件进行卡方检验。

结果

2019年4月至8月为主要整改执行阶段，执行期间每月出科考核完成率有所提高，但存在波动（66.70%~89.70%）。与整改前（2月）相比，整改后（10月）科室出科考核完成率明显提高[（96.00%） vs. （42.11%）]，差异有统计学意义（

0.01）。

结论

PDCA管理方法可有效提高儿科专业基地住院医师规范化培训出科考核完成率，值得进一步推广。

Abstract

Objective

To explore the effectiveness of PDCA (plan

check

action) cycle management method in improving the completion rate of after-department examination in pediatric professional base.

Methods

Through the residency management system platform

the completion rate of after-department examination from February 2019 to March 2019 differed greatly. Referring to the PDCA cycle management methods

according to the analysis of fishbone diagram

relevant reasons were obtained and a series of rectification measures were implemented including the formulation of relevant programs from the four aspects such as department

resident

rules and regulations and tools. The rectification courses were taken for 5 months. SPSS 17.0 was used for Chi-square test.

Results

April to August 2019 was the main rectification execution stage

during which the monthly completion rate of after-department examination increased

but fluctuated (66.70%-89.70%).Compared with the rectification courses before (in February)

the completion rate of after-department examination was significantly increased after rectification (in October) [(96.00%) vs. (42.11%)]

with statistical significance (

0.01).

Conclusion

PDCA cycle management method can effectively improve the completion rate of after-department examination in pediatric professional base

which should be further widely promoted.

关键词

PDCA临床教学住院医师规范化培训出科考核

Keywords

PDCAClinical teachingStandardized residency trainingAfter-department examination

references

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