Application of "database of introspection and feedback for difficult cases" in process management of the training of residents in department of ultrasound

Zhang Fan; Chen Wen; Zhao Bo; Cui Ligang

doi:10.3760/cma.j.cn116021-20210313-01549

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Application of "database of introspection and feedback for difficult cases" in process management of the training of residents in department of ultrasound

Standardized Residency Training | 更新时间：2023-12-26

- Application of "database of introspection and feedback for difficult cases" in process management of the training of residents in department of ultrasound
- Chinese Journal of Medical Education Research Vol. 22, Issue 12, Pages: 1878-1881(2023)
- 作者机构：
  
  北京大学第三医院超声科，北京　100191
- 作者简介：
  
  Chen Wen, Email: wendy7989@sina.com
- 基金信息：
  
  Research on Standardized Training of Specialists in Peking University Health Science Center(2019ZP39)
- DOI：10.3760/cma.j.cn116021-20210313-01549
  CLC： R445.1
- Published：20 December 2023，
  
  Received：13 March 2021，
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张帆, 陈文, 赵博, 等. “疑难病例反思与反馈数据库”在超声科住院医师培训过程管理中的应用[J]. 中华医学教育探索杂志, 2023, 22(12): 1878-1881.

Zhang Fan, Chen Wen, Zhao Bo, et al. Application of "database of introspection and feedback for difficult cases" in process management of the training of residents in department of ultrasound. [J]. Chinese Journal of Medical Education Research 22(12):1878-1881(2023)
张帆, 陈文, 赵博, 等. “疑难病例反思与反馈数据库”在超声科住院医师培训过程管理中的应用[J]. 中华医学教育探索杂志, 2023, 22(12): 1878-1881. DOI： 10.3760/cma.j.cn116021-20210313-01549.

Zhang Fan, Chen Wen, Zhao Bo, et al. Application of "database of introspection and feedback for difficult cases" in process management of the training of residents in department of ultrasound. [J]. Chinese Journal of Medical Education Research 22(12):1878-1881(2023) DOI： 10.3760/cma.j.cn116021-20210313-01549.

摘要

目的

研究“疑难病例反思与反馈数据库”在超声科住院医师过程管理中的作用。

方法

将2018年9月至2019年8月在超声科培训的超声专业住院医师25人纳入研究组，将2017年9月至2018年8月培训的住院医师27人纳入对照组。研究组应用数据库记录自己遇到的疑难或误诊、漏诊病例，并记录反思与反馈。教师根据数据库的反馈，每月组织小组教学，针对薄弱环节进行查缺补漏。超声科教学委员会将该数据库作为调整教学查房内容及方式的参考依据之一。采用SPSS 17.0统计学软件进行

检验。

结果

一年级及二年级研究组的年度临床思维考核成绩均高于同年资对照组[（88.0±2.0） vs. （85.2±2.1），（86.9±2.3） vs. （84.3±2.6）]。问卷调查显示，住院医师应用数据库后学习的主动性及针对性提高，教师能更及时掌握学生情况，教学有的放矢。

结论

“疑难病例反思与反馈数据库”是过程管理的有效手段，有助于提高超声科住院医师的培训质量。

Abstract

Objective

To study the value of "database of introspection and feedback for difficult cases" in process management of residents in the department of ultrasound.

Methods

Twenty-five residents trained in the department of ultrasound from September 2018 to August 2019 were enrolled to the study group

and 27 residents trained from September 2017 to August 2018 were placed to the control group. The study group recorded the difficult or misdiagnosed cases as well as their introspection and feedback

and the teachers organized group case teaching every week to make up the deficiency of their students according to the feedback database. The database was also one of the references of the teaching committee for the modifying of teaching rounds. SPSS 17.0 was used for

test.

Results

The annual clinical thinking tests showed that the average scores of grade 1 and 2 of the study group were significantly higher than those of the control group with the same seniority [(88.0±2.0) vs. (85.2±2.1)

(86.9±2.3) vs. (84.3±2.6)]. The questionnaires showed that the residents' initiative and pertinence in learning and the teachers' understanding of the learning situation of their students were increased.

Conclusions

"Database of introspection and feedback for difficult cases" is an effective method in the process management

and could improve the training quality of residents in the department of ultrasound.

关键词

疑难病例数据库过程管理超声科住院医师

Keywords

Difficult casesDatabaseProcess managementDepartment of ultrasoundResident

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