Effect of homogeneous management combined with staged teaching on physicians receiving standardized training of hepatobiliary surgery

Xing Bingyu; Gao Jie; HuYaguang; Shen Cunyi; Yang Qinling; Wang Zheng; Tan Wenjun

doi:10.3760/cma.j.cn116021-20210811-01355

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Effect of homogeneous management combined with staged teaching on physicians receiving standardized training of hepatobiliary surgery

Standardized Residency Training | 更新时间：2023-08-02

- Effect of homogeneous management combined with staged teaching on physicians receiving standardized training of hepatobiliary surgery
- Chinese Journal of Medical Education Research Vol. 22, Issue 7, Pages: 1059-1062(2023)
- 作者机构：
  
  1.西安交通大学第一附属医院肝胆外科，西安　710061
  2.西安交通大学第一附属医院眼科，西安　710061
- 作者简介：
  
  Tan Wenjun, Email: 271432469@qq.com
- 基金信息：
  
  2019 Science and Technology Plan Project of Shaanxi Provincial Department of Science and Technology(2019JQ-953)
- DOI：10.3760/cma.j.cn116021-20210811-01355
  CLC： R-05
- Published：20 July 2023，
  
  Received：11 August 2021，
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邢斌瑜, 高洁, 胡亚光, 等. 同质化管理结合分期带教对肝胆外科规培医师的作用研究[J]. 中华医学教育探索杂志, 2023, 22(7): 1059-1062.

Xing Bingyu, Gao Jie, HuYaguang, et al. Effect of homogeneous management combined with staged teaching on physicians receiving standardized training of hepatobiliary surgery. [J]. Chinese Journal of Medical Education Research 22(7):1059-1062(2023)
邢斌瑜, 高洁, 胡亚光, 等. 同质化管理结合分期带教对肝胆外科规培医师的作用研究[J]. 中华医学教育探索杂志, 2023, 22(7): 1059-1062. DOI： 10.3760/cma.j.cn116021-20210811-01355.

Xing Bingyu, Gao Jie, HuYaguang, et al. Effect of homogeneous management combined with staged teaching on physicians receiving standardized training of hepatobiliary surgery. [J]. Chinese Journal of Medical Education Research 22(7):1059-1062(2023) DOI： 10.3760/cma.j.cn116021-20210811-01355.

摘要

目的

探讨同质化管理结合分期带教对肝胆外科规培医师的作用。

方法

选取2020年1月至2020年3月在西安交通大学第一附属医院肝胆外科轮转学习的46名规培医师作为对照组，实施传统带教；另选取2020年4月至2020年6月轮转学习的50名规培医师作为观察组，实施同质化管理结合分期带教。对比两组带教前后专业水平、临床能力及对带教的满意度。使用SPSS 24.0进行独立样本

检验、配对

检验、卡方检验和秩和检验。

结果

带教后两组理论成绩、操作技能成绩高于带教前，且观察组理论成绩、操作技能成绩[（94.57±3.28）分、（94.37±4.18）分]均高于对照组[（90.32±2.12）分、（91.25±3.46）分]；带教后两组临床问诊、体格检查、人文关怀、临床诊断、沟通能力、组织能力和总体评价评分均高于带教前，且观察组以上7个方面评分[（6.98±0.94）分、（6.45±0.14）分、（6.95±0.88）分、（6.65±0.93）分、（6.53±0.26）分、（6.84±0.92）分、（6.58±0.35）分]高于对照组[（6.13±0.31）分、（6.21±0.76）分、（6.21±0.42）分、（6.18±0.35）分、（6.32±0.61）分、（6.33±0.24）分、（6.25±0.71）分]；观察组总满意率[94.00%（47/50）]高于对照组[78.26%（36/46）]，差异有统计学意义。

结论

在肝胆外科规培带教过程中，运用同质化管理结合分期带教可提高规培医师的专业水平和临床能力，增强带教满意度。

Abstract

Objective

To investigate the effect of homogeneous management combined with staged teaching on physicians receiving standardized training of hepatobiliary surgery.

Methods

A total of 46 physicians who received standardized training in Department of Hepatobiliary Surgery

The First Affiliated Hospital of Xi'an Jiaotong University

from January to March 2020 were selected as control group and were given conventional teaching

and 50 physicians who received standardized training from April to June 2020 were selected as observation group and were given homogeneous management combined with staged teaching. The two groups were compared in terms of professional level

clinical ability

and the degree of satisfaction with teaching before and after teaching. SPSS 24.0 was used to perform the independent samples

-test

the paired

-test

the chi-square test

and the rank sum test.

Results

After teaching

both groups had significant increases in the scores of theoretical examination and operation skill examination

and compared with the control group

the observation group had significantly higher scores of theoretical examination (94.57±3.28 vs. 90.32±2.12) and operation skill examination (94.37±4.18 vs. 91.25±3.46). After teaching

both groups had significant increases in the scores of clinical consultation

physical examination

humanistic concern

clinical diagnosis

communication ability

organizational ability

and overall evaluation

and the observation group had significantly higher scores of the above seven aspects than the control group (6.98±0.94/6.45±0.14/6.95±0.88/6.65±0.93/6.53±0.26/6.84±0.92/6.58±0.35 vs. 6.13±0.31/6.21±0.76/6.21±0.42/6.18±0.35/6.32±0.61/6.33±0.24/6.25±0.71). The observation group had a significantly higher overall satisfaction rate than the control group [94.00% (47/50) vs. 78.26% (36/46)].

Conclusion

In the standardized training and teaching of hepatobiliary surgery

homogeneous management combined with staged teaching can improve the professional level and clinical ability of physicians and enhance the degree of satisfaction with teaching.

关键词

同质化管理分期带教肝胆外科住院医师规范化培训

Keywords

Homogeneous managementStaged teachingHepatobiliary surgeryStandardized residency training

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