关键词: 麻醉学, 住院医师规范化培训, 多样化评价, 核心胜任力

Abstract: Objective To study the application of diversified assessment system on standardized training of residents with different degrees in anesthesiology, so as to provide reference for improving their core competence. Methods Fifty-eight residents in anesthesiology department fromSeptember 2016 to August 2017 were selected, including 25 clinical graduate students in group A, 14 residents with doctoral degree in group B and 19 residents with Bachelor's degree in group C. Designed and built a diversified assessment system consisting of quarterly multiple choice question examinations, clinical work registrations system, irregular daily performance evaluations and annual OSCE clinical skills assessments. The five core competencies including medical knowledge, patient care, professionalism, communication skills and technical skills were evaluated by all these scores, and the radar chart of core competencies is drawn for each resident.Compared the differences of five core competencies among residents in different groups. Results There were no significant differences in the competency of professionalism[(4.27±0.75)vs(4.55±0.51)vs(4.32±0.67)] and patient care[(4.00±0.60)vs(4.17±0.64)vs(3.97±0.62)] among residents in 3 different groups(all P>0.05). There were significant differences in scores of medical knowledge[(4.13±0.36)vs(4.12±0.34)vs (3.72±0.44)], communication ability[(3.71±0.34)vs(4.02±0.24)vs(3.75±0.32)], technical skills[(4.15±0.27)vs(4.43±0.17)vs(4.19±0.18)] and total scores of competencies [(20.25±1.67)vs(21.29±1.41)vs(19.95±1.38)] (all P<0.05). By analyzing the shape and characteristics of radar chart of residents with different degrees, it can be found that the relatively weak communication skills of residents in group A is the most common (12 people in group A), in group B, the equal clinical competencies of residents is the most common (8 peoplein group B), the poor medical knowledge in group C is the most common (8 people in group C). Conclusions The diversified evaluation system is helpful for the comprehensive evaluation of the core competence of the standardized trainging residents; the performance of core competencies of residents with different degree is different, which needs to be focused on in the training process according to the different characteristics of the residents.

Key words: Anesthesiology, Standardized resident training, Diversified evaluation, Core competency