摘要
目的 探究住院医师规范化培训(简称住培)专项训练对内科专业基地住培医师核心胜任力的影响,明确其有无进一步推广价值。方法 选择某医院内科住培基地拟参加结业考核的69名住培医师为研究对象;根据内科专业基地培训细则,按照结业考核“临床思维”和“技能操作”考站的评分标准建立病例题库(考官版、考生版、评分标准),确定训练样题,以考代训,每站考核15 min,使用“天堰”手持评分系统进行评分,集中时间开展“临床思维”和“技能操作”2种专项训练。专项训练前后均实施模拟OSCE考核,设5个独立考站:考站1(接诊患者)、考站2(临床思维-1)、考站3(临床思维-2)、考站4(临床操作)、考站5(交流沟通)。对比专项训练前后内科住培医师模拟OSCE成绩的变化。结果 专项训练后住培医师第1~4模拟OSCE考站总分均提高;考站1“问诊内容”“重点查体”,考站2-3“初步诊断”“体格检查”“辅助检查”,考站4“操作前准备”“操作过程”等项目的得分率均提高(P均<0.05)。结论专项训练增加了OSCE的总成绩,并对住培医师诊断疾病、重点查体和临床操作能力有重要影响,该训练有利于提升内科专业基地住培医师的核心胜任力,值得进一步推广。
Objective To explore the impact of standardized residency training on the core competency of resident physicians in internal medicine training bases,and to determine whether it has further promotion value.Methods A total of 69 resident physicians who planned to participate in the final assessment of a hospital‘s internal medicine residential training base were selected as the research subjects.According to the training rules of the internal medicine professional base,a case question bank(examiner version,candidate version,scoring standard)was established according to the scoring standards of the“clinical thinking”and“skill operation”examination stations of the final assessment,the training sample questions was determined,the test for training was taken,each station was assessed for 15 minutes,and the“Tianyan”handheld scoring system was used for scoring,and the time was concentrated to carry out two special trainings of“clinical thinking”and“skill operation”.Before and after the special training,the simulated OSCE assessment was implemented,and there were 5 independent examination stations:examination station 1(receiving patients),examination station 2(clinical thinking-1),examination station 3(clinical thinking-2),examination station 4(clinical operation),and examination station 5(communication).The changes of simulated OSCE scores of internal medicine resident physicians were compared before and after special training.Results After the special training,the total score of the 1-4 simulated OSCE test station of the resident physicians increased.The scoring rates of“Consultation Content”and“Key Physical Examination”in Test Station 1,“Preliminary Diagnosis”,“Physical Examination”and“Auxiliary Examination”in Test Station 2-3,and“Pre-operation Preparation”and“Operation Process”in Test Station 4 were all significantly increased(P<0.05).Conclusion The special training increases the overall score of OSCE and has an important impact on the ability of resident physicians to diagnose diseases,key physical examination,and clinical operation,which favorably improves the core competence of resident physicians in internal medicine professional bases,which is worthy of further promotion.
作者
王凯丽
任超
王少坤
娄景秋
WANG Kaili;REN Chao;WANG Shaokun;LOU Jingqiu(Training Department,Yantai Yuhuangding Hospital,Yantai 264000,Shandong,China)
出处
《中国校医》
2023年第10期735-737,747,共4页
Chinese Journal of School Doctor
关键词
专项训练
住院医师规范化培训
客观结构化临床考核(OSCE)
内科
Specialized training Standardized residency training
Objective structured clinical assessment(OSCE)
Internal medicine
作者简介
王凯丽(1991-),女,山东烟台人,住院医师,硕士研究生,研究方向为住院医师规范化培训管理;通信作者:娄景秋,E-mail:loujingqiu@126.com。
