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1. 浙江中医药大学研究生处
2. 浙江中医药大学医学技术学院
3. 浙江中医药大学教务处浙江中医药大学教务处
纸质出版日期:2017,
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杨伟吉, 彭建华, 骆仙芳, 等. 浙江省临床医学硕士专业学位研究生与住院医师规范化培训并轨培养模式的质量分析和对策研究[J]. 中华医学教育探索杂志, 2017,16(4).
The Quality Analysis and Countermeasure Study of the Combine Education Mode between Professional Master Degree Students of Clinical Medicine and Resident Standardization Training in Zhejiang Province[J]. 2017,16(4).
杨伟吉, 彭建华, 骆仙芳, 等. 浙江省临床医学硕士专业学位研究生与住院医师规范化培训并轨培养模式的质量分析和对策研究[J]. 中华医学教育探索杂志, 2017,16(4). DOI:
The Quality Analysis and Countermeasure Study of the Combine Education Mode between Professional Master Degree Students of Clinical Medicine and Resident Standardization Training in Zhejiang Province[J]. 2017,16(4). DOI:
目的 完善浙江省临床医学硕士专业学位研究生培养与住院医师规范化培训并轨的培训体系,以期提高医学研究生的职业素质。方法 通过文献法和专家访谈制定调查问卷,获得77名临床规培研究生资料,以柯氏评估的反映层、学习层、行为层、成果层为切入点,对规培效果进行评价。采用SPSS 20.0进行统计分析,柯氏评分采用均数±标准差,定性资料采用率或构成比;评分比较采用t检验,多组人群的评分比较采用方差分析。 结果 反应层规培态度值为9.26±1.08,规培内容值为29.29±4.36,规培师资带教教师积极性的值为11.13±2.17,规培感受值为17.38±3.10,说明住院医师对培训的总体满意度较高,但培训师资、考核及薪酬满意度较低。学习层规培前后,医学知识、临床思维及操作技能考试等成绩差异有统计学意义(P<0.05)。行为层显示规培生行为前后均发生了明显的改变(P<0.05),在查房、处理常见病等能力方面有较多提高。成果层显示77名规培生均无医疗事故和投诉,全部通过年度考核,100%参与课题研究。结论 规培研究生总体对培训的计划,内容,方式等感到比较满意,但存在信息反馈不及时、带教教师积极性不高、缺乏有效竞争机制等问题。柯氏评估模型从整体视角对研究生规培进行全面客观的评估,可以引入到研究生规培的效果评价中来
Objective To improve the training system of the combined education mode between professional master degree students of clinical medicine and resident standardization training (RST) in Zhejiang province
and improve the professional quality of medical graduate students. Methods Designed a questionnaire through literature review and expert interview
and through the questionnaire collected information from 77 clinical graduate students who are going through RST
and introduced them to Kirkpatrick Model and made statistical analysis through SPSS
to evaluate the effect of the RST. Results: The RST attitude value in reaction layer was9.26±1.08
RST content value was 29.29±4.36
RST teacher enthusiasm value was11.13±2.17
RST experience value was17.38±3.10
which indicates that residents’ overall satisfaction to RST is high
but the satisfaction on teachers
evaluation and compensation is relatively low; The grade difference before and after RST in learning layer was statistically significant (P<0.05)
indicating that before and after RST the grades were obviously improved
and the sense of belonging is high. The behave layer shows the residents’ behavior changed obviously before and after RST (P < 0.05)
and their abilities in various aspects such as ward round and dealing with common diseases were largely improved; The result layer shows 77 graduate students have no medical accident and complaint
and all of them passed the annual assessment and participated in the research projects. Conclusion In general
RST graduate students are relatively satisfied with the plan
content and methods of the training
on the other hand
there are problems such as the absence of timely information feedback
teachers' poor enthusiasm
lack of effective competition mechanism
etc. Kirkpatrick Model made a comprehensive and objective evaluation on graduate students RST from a overall perspective
and it can be introduced into the effectiveness evaluation for graduate students RST.
质量分析对策研究研究生规培浙江省柯氏评估模型
quality analysiscountermeasure studyGraduate studentsStandardization TrainingZhejiang provinceKirkpatrick Model
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