
浏览全部资源
扫码关注微信
北京大学第一医院儿童医学中心,北京 102627
闫辉,Email:yanhuiped@126.com
收稿日期:2024-12-15,
纸质出版日期:2025-04-20
移动端阅览
廖莹, 白薇, 李珊, 等. 儿科住院医师规范化培训入轮转科室教育体系的建设及效果评价[J]. 中华医学教育探索杂志, 2025, 24(4): 440-445.
廖莹, 白薇, 李珊, 等. 儿科住院医师规范化培训入轮转科室教育体系的建设及效果评价[J]. 中华医学教育探索杂志, 2025, 24(4): 440-445. DOI: 10.3760/cma.j.cn116021-20241215-02015.
目的
2
建立适合儿科住院医师规范化培训基地的多模块入科教育体系并初步评估效果,以获得进一步改进的建议。
方法
2
以2023年新入基地进行住院医师规范化培训的12名第一年住院医师为研究对象。将入科教育体系分为多个模块,即科室介绍、培养计划及考核要求、科室工作流程、主要病种诊疗常规、专科技能/操作及生活建议。根据各项培训内容的特点在资料准备和培训方式上加以细化区分。通过填报转单的形式加以督导审核,并针对入科教育内容设计清单,在入科2周时对住院医师进行初步考核,保证教育效果。通过设计问卷,调查获取住院医师及病房指导教师对入科教育的体验和建议。以问卷结果进行内容排序分析。
结果
2
通过对参与多模块入科教育的住院医师进行调研,进入新的轮转单元前,住院医师对入科教育内容的需求排序前3位分别为科室工作流程、常见疾病诊疗规范及专科技能操作。住院医师更希望通过主治医师及高年资住院医师的面授及示范展示进行培训,而指导医师在建议面授的同时,更建议完善相关资料(如住院医师手册及教学视频资料)。通过目前的入科教育体系,住院医师觉得受益较大的是基础理论、治疗原则、基本技能及辅助检查流程。
结论
2
本研究初步建立了适合北京大学第一医院儿科专业基地的多模块入科教育体系,并获得进一步改进的建议,有利于进一步完善该体系,促进住院医师岗位胜任力提升。
Objective
2
To construct a multimodal induction educational system suitable for standardized pediatric residency training bases
and to evaluate its effectiveness
thereby obtaining suggestions for further improvement.
Methods
2
Twelve residents newly enrolled in the 2023 standardized residency training program who commenced their first-year training were included as study subjects. The induction educational system comprised multiple modules: department introduction
training plan and assessment requirements
departmental workflow
routine diagnosis and treatment of major diseases
specialized skills/procedures
and lifestyle guidance. Training materials and methods were tailored to the characteristics of each training module. Checklists were used for supervision and review
and a competency checklist was designed to evaluate residents' mastery of the training at two weeks of induction
which would guarantee the effectiveness of the training. A questionnaire survey
powered by wjx.cn
was used to obtain the experience and suggestions from the residents and ward instructors on induction education
and content ranking analysis was performed on the survey results.
Results
2
The survey revealed that
before starting a new rotation
residents' top three educational needs were departmental workflow
routine diagnosis and treatment of common diseases
and specialized skills/procedures. Residents preferred face-to-face lectures and demonstrations by attending physicians or senior residents; instructors suggested improving relevant materials (such as resident physician manuals and video materials) and face-to-face lectures. The residents considered the current induction educational system to be greatly beneficial in basic theories
treatment principles
basic skills
and auxiliary examination processes.
Conclusions
2
Through the above research
a multimodal induction educational system suitable for the standardized pediatric residency training base in the Peking University First Hospital has been preliminarily established
and suggestions for further improvement have been obtained
which is conducive to further improving the system and residents' post competency.
中国医师协会 . 中国医师协会关于发布住院医师规范化培训手术操作指导等教学活动指南的通知 [EB/OL ] . ( 2022-07-03 )[ 2024-12-01 ] . https://www.ccgme-cmda.cn/ news/14873/article https://www.ccgme-cmda.cn/news/14873/article .
谢小洁 , 邓颖 , 阮骊韬 , 等 . 《住院医师规范化培训入轮转科室教育指南(2022年版)》解读 [J ] . 中国毕业后医学教育 , 2022 , 6 ( 5 ): 407 - 412 .
陈亚青 , 徐艺园 , 李鹏 , 等 . 探讨入科教育在全科住院医师规范化培训中的实践与体会 [J ] . 中国毕业后医学教育 , 2019 , 3 ( 5 ): 466 - 468 .
林颖 , 陈晓萍 , 尉秀清 . 内科入科教育的实践探讨研究: 结合住院医师规范化培训带教体会 [J ] . 教育教学论坛 , 2021 ( 47 ): 145 - 148 .
McMyler ET , Ross PT , Saran KA , et al . Mainstreaming risk management education into new resident and fellow orientation [J ] . J Grad Med Educ , 2011 , 3 ( 3 ): 395 - 399 . DOI: 10.4300/JGME-D-10-00143.1 http://dx.doi.org/10.4300/JGME-D-10-00143.1 .
Nelson SW , Germann CA , MacVane CZ , et al . Intern as patient: a patient experience simulation to cultivate empathy in emergency medicine residents [J ] . West J Emerg Med , 2018 , 19 ( 1 ): 41 - 48 . DOI: 10.5811/westjem.2017.11.35198 http://dx.doi.org/10.5811/westjem.2017.11.35198 .
Nishisaki A , Hales R , Biagas K , et al . A multi-institutional high-fidelity simulation "boot camp" orientation and training program for first year pediatric critical care fellows [J ] . Pediatr Crit Care Med , 2009 , 10 ( 2 ): 157 - 162 . DOI: 10.1097/PCC.0b013e3181956d29 http://dx.doi.org/10.1097/PCC.0b013e3181956d29 .
钱锟 , 雍颹 . 微课教学在住院医师规范化培训口腔综合入科教育中的应用 [J ] . 中国高等医学教育 , 2021 ( 10 ): 18 - 19 . DOI: 10.3969/j.issn.1002-1701.2021.10.009 http://dx.doi.org/10.3969/j.issn.1002-1701.2021.10.009 .
时旭 , 李靖 , 陈如冲 , 等 . 思维导图在变态反应科入科教育中的应用 [J ] . 中国继续医学教育 , 2021 , 13 ( 34 ): 90 - 94 . DOI: 10.3969/j.issn.1674-9308.2021.34.023 http://dx.doi.org/10.3969/j.issn.1674-9308.2021.34.023 .
朱晓丹 , 周林玉 , 胡瑛 , 等 . 以“同质化”为导向的规范化培训入科教育模板建立的探索 [J ] . 医学教育研究与实践 , 2021 , 29 ( 4 ): 514 - 517, 558 . DOI: 10.13555/j.cnki.c.m.e.2021.04.006 http://dx.doi.org/10.13555/j.cnki.c.m.e.2021.04.006 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621