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目的 对参与“定期召回”考核的学生开展调查,探讨此考核在住院医师规范化培训联合培养模式中的作用及存在的问题。方法 2017年3月和10月,分别对参加“定期召回”考核的学生进行问卷调查,由学生对考核进行满意度评价,并对考核前后的能力状态进行1-10分自评。同时,对两次考核的成绩进行分析,计算各项技能平均分及总体平均分,比较差异性。使用SPSS16.0对数据进行t检验及方差分析,检验水准α=0.05。结果 共发放问卷112份,回收问卷99份。学员对考核整体满意度较高,各条目满意度均在70%以上。考核后各项能力自评得分均有提高,前后差异有统计学意义;自评能力提升的差值在七项技能之间存在显著差异(F=4.19 ,P=0.006),其中医患沟通考核后能力自评得分提高差值的均数最高(1.79分),且与其他六项技能两两比较有统计学差异,查体与病史采集、穿刺、心肺复苏能力提高差值次之分别为1.06、1.26、1.05分,分别高于心电图的0.73分和影像读片与辅助检查的0.75分,差异有统计学意义(P<0.05)。考核成绩分析显示,简单操作类的的考核平均分高于总体平均分,且差异有统计学意义。结论 “定期召回”考核能够满足学员对肿瘤医院的心理和学习需求,满意度较高;此类考核对简单操作类技能的提升效果明显,对复杂性综合技能提升较弱。今后应在考核的同时需辅以专题培训,增设临床情境提高难度,增强学员的临床综合思辨能力
Objective Based on the investigation of students after the Periodic Recall examination
this paper discusses the role and existing problems of this kind of examination in the joint training mode of standardized training for resident doctors. Methods In march and October 2017
questionnaire survey was conducted on the students who participated in the Periodic Recall clinical examination
and the content
frequency
organization and arrangement
examiner and effect of the clinical examination were evaluated by the students in terms of satisfaction
and the ability status before and after the clinical examination was assessed on a scale of 1-10. The results of the two examinations were analyzed
and the average scores of all skills and the overall average scores were calculated to compare the differences.SPSS16.0 was used for t test and anova and the test level is 0.05. Results A total of 112 questionnaires were distributed and 99 were returned. Students' overall satisfaction with the clinical examination is high with the satisfaction of all items above 70%. After the clinical examination
the self-assessment scores of all abilities were improved
and the difference before and after the clinical examination was statistically significant. There was a significant difference in the average improvement of self-assessment ability among the seven skills (F=4.19 ,P=0.006).Among them
the mean value of improved difference of self-assessment score of doctor-patient communication assessment was the highest(1.79)
and the pairwise comparison was statistically significant with the other six skills. The physical examination and medical history collection
puncture and cardiopulmonary resuscitation ability increased difference were 1.06
1.26 and 1.05 points respectively
which were higher than 0.73 points of electrocardiogram and 0.75 points of image reading and auxiliary examination
and the difference was statistically significant (P < 0.05). The result analysis showed that the average score of simple operation was higher than the overall average score
and the difference was statistically significant. Conclusions Periodic Recall clinical examination can meet students' psychological and learning needs with high satisfaction. Clinical examination has obvious effect on the improvement of simple operation skills
while the improvement of complex comprehensive skills is weak. In the future
it should be considered to supplement the clinical examination with special training
add more clinical situations to improve the difficulty and enhance the students' comprehensive clinical thinking ability.
肿瘤学住院医师住院医师规范化培训临床技能考核
Oncology residentsThe Standardized Training of ResidentsClinical examination
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