浏览全部资源
扫码关注微信
“导师+学长制”模式在全科住院医师规范化培养中的实践研究
Practical exploration of the "mentor + senior resident" model in the standardized training of general practice residents
- 中华医学教育探索杂志 2026年25卷第2期 页码：230-235
- 作者机构：
1.重庆医科大学附属璧山医院全科医学科，重庆 402760
2.重庆市卫生服务中心科教外事部，重庆 400020
3.重庆医科大学附属璧山医院康复医学科，重庆 402760
4.重庆医科大学附属璧山医院教务科，重庆 402760
- 作者简介：
单雪峰，Email：83846674@qq.com
- 基金信息：重庆医科大学2024年校级教育教学改革研究项目(重大项目JY20240204);重庆市教育委员会高等教育（本科）教学改革研究项目(253073)
DOI：10.3760/cma.j.cn116021-20241101-02194
中图分类号： R-05收稿：2024-11-01，
纸质出版：2026-02-20
- 稿件说明：
移动端阅览
尹鲁强, 朱珂, 鲁杰韬, 等. “导师+学长制”模式在全科住院医师规范化培养中的实践研究[J]. 中华医学教育探索杂志, 2026, 25(2): 230-235.
Yin Luqiang, Zhu Ke, Lu Jietao, et al. Practical exploration of the "mentor + senior resident" model in the standardized training of general practice residents[J]. Chinese Journal of Medical Education Research, 2026, 25(2): 230-235.
尹鲁强, 朱珂, 鲁杰韬, 等. “导师+学长制”模式在全科住院医师规范化培养中的实践研究[J]. 中华医学教育探索杂志, 2026, 25(2): 230-235. DOI： 10.3760/cma.j.cn116021-20241101-02194.
Yin Luqiang, Zhu Ke, Lu Jietao, et al. Practical exploration of the "mentor + senior resident" model in the standardized training of general practice residents[J]. Chinese Journal of Medical Education Research, 2026, 25(2): 230-235. DOI： 10.3760/cma.j.cn116021-20241101-02194.
摘要
目的
2
本研究旨在探索“导师+学长制”模式在全科住院医师规范化培训中的实施情况及初步效果，评估该模式对住院医师年度理论考核成绩和首次执业医师资格考试通过率的影响，并收集其在培训过程中的反馈，为优化培训模式提供实践依据。
方法
2
采用回顾性分析方法，以2022年至2024年参与重庆医科大学附属璧山医院全科住院医师规范化培训的65名住院医师（2022年
n
=22，2023年
n
=25，2024年
n
=18）为研究对象。培训模式分为3组：2022年组采用传统单导师制；2023年组试点引入学长辅助指导；2024年组全面实施“导师+学长制”。采用SPSS 26.0软件进行描述性统计和单因素方差分析，比较各组首次执业医师资格考试通过率及年度理论考核成绩（总分636）的差异，同时结合访谈和问卷反馈进行定性分析。
结果
2
首次执业医师资格考试通过率呈逐年上升趋势（从56.52%至86.36%），但组间差异无统计学意义（
P
=0.068）。各组间年度理论考核平均成绩差异亦无统计学意义（分别为420.91±75.49；406.29±69.02；398.39±58.42；
F
=0.57，
P
=0.571）。然而，定性反馈普遍积极，表明学员与导师认可该模式在基础技能辅导、学习适应性、心理支持及教学效率方面的潜在优势。
结论
2
“导师+学长制”模式在本研究中未显示出对住院医师年度理论考核成绩有显著影响。尽管该模式在改善学习过程和满意度方面可能具有价值（如定性反馈所示），但其对住院医师核心能力提升的综合效果及普适性，需通过更全面的评估方法（如临床技能考核）和进一步研究来证实。
Abstract
Objective
2
To explore the implementation and preliminary effects of the "mentor + senior resident" model in standardized training of general practice residents
evaluate its impact on resident annual theory assessment scores and first-attempt pass rates of the medical licensing examination
and collect feedback during the training process
and to provide practical evidence for the optimization of the training model.
Methods
2
A retrospective analysis was conducted on 65 general practice residents who participated in standardized training at Bishan Hospital Affiliated to Chongqing Medical University in 2022 (
n
=22)
2023 (
n
=25)
and 2024 (
n
=18). Residents were divided into three groups based on training model: traditional single-mentor model (2022)
pilot introduction of senior resident assistance (2023)
and full implementation of the "mentor + senior resident" model (2024). Descriptive statistics and one-way analysis of variance were conducted using SPSS 26.0 software
used to compare first-attempt pass rates of the medical licensing examination and annual theory assessment scores (total score of 636). Qualitative data were collected through interviews and questionnaires.
Results
2
The first-attempt pass rate of of the medical licensing examination increased over the three years (from 56.52% to 86.36%)
but the difference was not statistically significant (
P
=0.068). There was no significant difference in mean annual theory assessment scores among the
three groups (420.91±75.49
406.29±69.02
and 398.39±58.42) for 2022
2023
and 2024
respectively (
F
=0.57
P
=0.571). However
qualitative feedback was generally positive
indicating that residents and mentors recognized potential advantages of the model in basic skill guidance
learning adaptability
psychological support
and teaching efficiency.
Conclusions
2
The "mentor + senior resident" model did not demonstrate a significant impact on resident annual theory assessment scores in this study. While qualitative feedback suggests potential value in improving the learning process and satisfaction
its overall effectiveness and generalizability in enhancing the core competencies of residents require confirmation through further research using more comprehensive assessment methods (e.g.
clinical skill evaluations).
关键词
Keywords
references
Zell A , Ilardo J , Olomu A , et al . Training medical residents to address social determinants of health for better health outcomes [J ] . Innov Aging , 2020 , 4 ( Suppl 1 ): S258 - S259 .
Nakaishi L . Enhancing training for primary care physicians to expand addiction medicine services beyond specialty care [J ] . J Addict Med , 2020 , 14 ( 5 ): 441 . DOI: 10.1097/ADM.0000000000000613 http://dx.doi.org/10.1097/ADM.0000000000000613 .
Scholz A , Gehres V , Schrimpf A , et al . Long-term mentoring relationships in undergraduate longitudinal general practice tracks-a qualitative study on the perspective of students and general practitioners [J ] . Med Educ Online , 2023 , 28 ( 1 ): 2149252 . DOI: 10.1080/10872981.2022.2149252 http://dx.doi.org/10.1080/10872981.2022.2149252 .
Wu L , Tong Y , Yu Y , et al . General practitioner residents' experiences and perceptions of outpatient training in primary care settings in China: a qualitative study [J ] . BMJ Open , 2023 , 13 ( 9 ): e076821 . DOI: 10.1136/bmjopen-2023-076821 http://dx.doi.org/10.1136/bmjopen-2023-076821 .
Wang H , He J , Zhang D , et al . Investigation and analysis of standardized training for residents of general practitioners of Gansu Province in China [J ] . BMC Fam Pract , 2020 , 21 ( 1 ): 112 . DOI: 10.1186/s12875-020-01185-y http://dx.doi.org/10.1186/s12875-020-01185-y .
Lian S , Xia Y , Zhang J , et al . Comparison of general practice residents' attitudes and perceptions about training in two programmes in China: a mixed methods survey [J ] . Fam Med Community Health , 2019 , 7 ( 4 ): e000238 . DOI: 10.1136/fmch-2019-000238 http://dx.doi.org/10.1136/fmch-2019-000238 .
Xu Y , Deng J , Tan W , et al . Mental health of general practitioners in Chongqing, China during COVID-19: a cross-sectional study [J ] . BMJ Open , 2023 , 13 ( 11 ): e068333 . DOI: 10.1136/bmjopen-2022-068333 http://dx.doi.org/10.1136/bmjopen-2022-068333 .
Johnson JL , O'Neal KS , Condren ME . An initiative to transition new faculty from resident to residency preceptor through direct mentorship [J ] . Curr Pharm Teach Learn , 2014 , 6 ( 4 ): 589 - 594 . DOI: 10.1016/j.cptl.2014.04.013 http://dx.doi.org/10.1016/j.cptl.2014.04.013 .
Bingmer K , Wojnarski CM , Brady JT , et al . A model for a formal mentorship program in surgical residency [J ] . J Surg Res , 2019 , 243 : 64 - 70 . DOI: 10.1016/j.jss.2019.04.068 http://dx.doi.org/10.1016/j.jss.2019.04.068 .
Farkas AH , Allenbaugh J , Bonifacino E , et al . Mentorship of US medical students: a systematic review [J ] . J Gen Intern Med , 2019 , 34 ( 11 ): 2602 - 2609 . DOI: 10.1007/s11606-019-05256-4 http://dx.doi.org/10.1007/s11606-019-05256-4 .
Harvey S , Uren CD . Collaborative learning: application of the mentorship model for adult nursing students in the acute placement setting [J ] . Nurse Educ Today , 2019 , 74 : 38 - 40 . DOI: 10.1016/j.nedt.2018.11.022 http://dx.doi.org/10.1016/j.nedt.2018.11.022 .
0
浏览量
0
下载量
0
CSCD
- 网络PDF下载
- WORD下载
- Meta-XML下载
- BibTeX下载
- Endnote下载
- RefMan 下载
- NoteExpress下载
- NoteFirst下载
关联资源
相关文章
相关作者
相关机构
- 技术支持由北京北大方正电子有限公司提供 京ICP备09064830号-19
京公网安备11010802024621 - 本系统建议在Chrome、 IE9+ 以上版本浏览器阅读本站内容，360浏览器请切换至极速模式
- Cookies帮助我们提供服务并提供个性化体验。使用本网站，即表示您同意我们使用Cookies
