中华医学教育杂志

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (4): 362-366.DOI: 10.3760/cma.j.cn115259-20210817-01039

• 住院医师规范化培训 • 上一篇    下一篇

我国住院医师规范化培训基地医学模拟中心现状调查与分析

刘婧1, 姜冠潮2, 柳琪林3   

  1. 1北京大学人民医院继续教育处 100044;
    2北京大学人民医院教育处 100044;
    3中国医师协会医师培训学院住培一部,北京 100027
  • 收稿日期:2021-08-17 出版日期:2022-04-01 发布日期:2022-03-29
  • 通讯作者: 姜冠潮, Email: jiangguanchao@263.net

Investigation and analysis on current situation of medical simulation center in residency training institutions in China

Liu Jing1, Jiang Guanchao2, Liu Qilin3   

  1. 1Continuing Medical Education Department, Peking University People's Hospital, Beijing 100044, China;
    2Medical Education Department, Peking University People's Hospital, Beijing 100044, China;
    3The first Department of Residency Training, Physician Training College of Chinese Medical Association, Beijing 100027, China
  • Received:2021-08-17 Online:2022-04-01 Published:2022-03-29
  • Contact: Jiang Guanchao, Email: jiangguanchao@263.net

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摘要： 目的 了解我国住院医师规范化培训基地医学模拟中心(以下简称模拟中心)的现状,以期为制定模拟中心标准、规范模拟培训提供依据。方法 2020年10月,在中国医师协会组织下,对开设专业较多的综合医院住院医师规范化培训基地开展了关于模拟中心现状的问卷调查,采用描述性统计进行数据分析。结果 共有符合条件的448所住培基地参与了调查。其中,600 m2以上的模拟中心占比95.5%(428/448);专职人员0~1人的模拟中心占比24.1%(108/448);模拟教师人数不足20人的模拟中心占比29.7%(133/448),无核心模拟教师的模拟中心占比58.9%(264/448);以必修课程方式开展基础技能培训课程、专科技能培训课程和综合技能培训课程的模拟中心占比分别为83.7%(375/448)、31.0%(139/448)和11.4%(51/448);未建立内部质量监控体系的模拟中心占比25.0%(112/448)。结论 模拟中心已渐成规模并在住院医师规范化培训中发挥了重要作用,但我国医学模拟中心差异性较大,在专科技能课程和综合技能课程开发、师资培养、人员配备、质量控制等方面尚需不断改进。

关键词: 住院医师, 规范化培训基地, 医学模拟中心, 调查

Abstract: Objective To understand the current situation of medical simulation center (referred as simulation center) in residency training institutions in China, so as to provide basis for formulating the standard medical simulation center and simulation training procedures. Methods In October 2020, organized by the Chinese Medical Association, a questionnaire survey was implemented at medical simulation centers at residency institutions located in general hospitals in China. The results were analyzed by descriptive statistics. Results A total of 448 qualified residency institutions participated in the survey. There are 95.5%(428/448) of the simulation centers have the function area more than 600 m2 ; 24.1%(108/448) of the simulation centers have one full-time personnel or less. There are 29.7%(133/448) of the simulation centers have less than 20 supervisors to guide simulation operation and 58.9%(264/448) of the centers have no principle supervisor. The proportion of simulation centers that carry out basic skills training courses, specialized skills training courses and scenario courses as a compulsory task is 83.7%(375/448)for basic skill, 31.0%(139/448) for special skill and 11.4%(51/448) general skill. There are 25.0%(112/448)of the simulation centers have no internal quality control system yet. Conclusions The simulation center has gradually become large-scale and played an important role in the standardized training of residents. However,the simulation center in China is heterogeneous and needs to be improved in curriculum development, trainers' training, full-time staffing and quality control.

Key words: Residency, Standardized training institutions, Medical simulation center, Survey

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