中华医学教育杂志

中华医学教育杂志 ›› 2019, Vol. 39 ›› Issue (11): 864-867.DOI: 10.3760/cma.j.issn.1673-677X.2019.11.015

• 住院医师规范化培训 • 上一篇    下一篇

危机资源管理模拟教学在产科住院医师规范化培训中的应用

徐萍, 杨柏财, 冯英, 陶跃平, 沈华祥   

  1. 嘉兴学院附属妇儿医院 嘉兴市妇幼保健院产科 314000
  • 收稿日期:2019-05-25 出版日期:2019-11-01 发布日期:2020-12-09
  • 通讯作者: 沈华祥,Email:puffinxp@163.com,电话:0573-83963131
  • 基金资助:
    浙江省医药卫生科技计划项目(2019KY700)

Application of crisis resource management combined with simulation teaching method in resident standardized training of obstetrics

Xu Ping, Yang Baicai, Feng Ying, Tao Yueping, Shen Huaxiang   

  1. Department of Obstetrics,Jiaxing University Affiliated Women and Children Hospital & Jiaxing Maternity and Child Health Care Hospital,Jiaxing 314000,China
  • Received:2019-05-25 Online:2019-11-01 Published:2020-12-09
  • Contact: Shen Huaxiang,Email:puffinxp@163.com,Tel:0086-573-83963131

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摘要： 目的 探讨危机资源管理(crisisresourcemanagement,CRM)模拟教学方法在产科住院医师规范化培训中的应用效果。方法 采用实验对照方法。选取2018年9月~2019年2月在嘉兴市妇幼保健院接受妇产科规范化培训的50名住院医师为研究对象,采用分层抽样方法将其平均分为实验组和对照组,每组25名学员。实验组学员采用CRM模拟教学,对照组学员采用传统教学。培训结束时,对两组学员同时进行理论评估和临床综合处理能力评估。采用自制问卷调查实验组学员对培训质量和自我认知情况的评价。结果 实验组学员的案例分析理论考核成绩(35.52±1.39)分,对照组学员成绩(32.40±2.89)分,其差异具有统计学意义(t=4.87,P<0.01)。实验组学员临床决策判断能力、人文关怀职业素养、整体过程组织效率和总体临床能力表现方面的成绩分别为(6.68±0.80)分、(6.64±0.81)分、(6.60±1.04)分、(6.72±0.98)分,对照组学员相应的成绩分别为(5.96±0.94)分、(6.00±0.91)分、(5.92±0.95)分、(6.12±0.93)分,其差异均具有统计学意义(均P<0.05)。结论 实施CRM模拟教学方法可以通过设置合适的课程来提高产科住院医师的医学能力(临床处理)和非医学能力(人文关怀、组织协调、团队合作和反应能力)。

关键词: 危机资源管理, 模拟教学, 住院医师规范化培训, 产科

Abstract: Objective To evaluate the effect of crisis resource management (CRM) combined with medical simulation teaching method in standardized training of obstetric residents.Methods Fifty obstetrics and gynecology trainees who received standardized training in the Department of Obstetrics of Jiaxing Maternity and Child Health Care Hospital from September 2018 to February 2019 were divided into experimental group and control group with stratified sampling.Each group contains 25 trainees.The experimental group adopted CRM simulation method,and the control group adopted traditional training method.The two groups of students were assessed for their theoretical knowledge and comprehensive clinical capacity respectively at the end of the training cycle.A self-designed questionnaire was used to investigate the course quality and self-cognition of students in the experimental group.Results In the clinical case analysis,the score of the experimental group (35.52±1.39) was higher than those in the control group (32.40±2.89),and the difference was statistically significant (t=4.87,P<0.01).The scores of clinical decision-making skills,humanistic care professionalism,overall organizational efficiency,and overall clinical abilityof the experimental group were (6.68±0.80),(6.64±0.81),(6.60±1.04) and (6.72±0.98),respectively.The corresponding scores of the control group were (5.96±0.94,)(6.00±0.91),(5.92±0.95)and (6.12±0.93),respectively,and the differences were statistically significant (all P<0.05).Conclusions CRM combined with simulation method can improve trainees' clinical capacity and non-medical competence(humanistic care,organization and coordination,teamwork and responsiveness )by setting appropriate curriculum.

Key words: Crisis resource management, Simulation teaching, Standardized training for residents, Obstetrics

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