中华医学教育杂志

中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (12): 922-928.DOI: 10.3760/cma.j.cn115259-20250312-00264

• 临床教学 • 上一篇    下一篇

中国创伤救治高级培训课程学员的培训现状及其培训成绩的影响因素分析

赵秀娟1, 刘中砥2, 李纾1, 王振洲1, 王天兵2, 朱凤雪1   

  1. 1北京大学人民医院重症医学科,北京 100044;
    2北京大学人民医院创伤救治中心 国家创伤医学中心 创伤救治与神经再生教育部重点实验室(北京大学),北京 100044
  • 收稿日期:2025-03-12 出版日期:2026-12-01 发布日期:2025-11-30
  • 通讯作者: 朱凤雪, Email: fengxue_zhu@126.com
  • 基金资助:
    北京大学人民医院研究与发展基金(RDE 2023-25);北京大学医学部专科医师培训和继续教育研究课题(2023JJ04)

The training status and influencing factors of training achievements among trainees of China Advanced Trauma Care Training Course

Zhao Xiujuan1, Liu Zhongdi2, Li Shu1, Wang Zhenzhou1, Wang Tianbing2, Zhu Fengxue1   

  1. 1Department of Critical Care Medicine, Peking University People′s Hospital, Beijing 100044, China;
    2Trauma Center, Peking University People′s Hospital & National Center for Trauma Medicine & Key Laboratory of Trauma Care and Nerve Regeneration (Peking University), Ministry of Education, Beijing 100044, China
  • Received:2025-03-12 Online:2026-12-01 Published:2025-11-30
  • Contact: Zhu Fengxue, Email: fengxue_zhu@126.com
  • Supported by:
    Peking University People′s Hospital Scientific Research Development Funds (RDE2023-25);Research Project on Specialist Physician Training and Continuing Education of Peking University Health Science Center (2023JJ04)

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摘要： 目的 了解创伤救治培训现状和“中国创伤救治高级培训课程”(简称培训课程)的培训效果,分析学员培训成绩的影响因素。 方法 对2024年1月至2025年1月参加培训课程的学员846人进行问卷调查,并对调查结果进行描述性统计学分析和多元线性回归分析。 结果 ①回收有效问卷631份,学员所在科室以急诊[220人(34.87%)]和骨科[145人(22.98%)]为主;从事创伤救治的年限主要为5年以上[424人(67.19%)];既往创伤救治培训主要为定期科室内部学习[495人(78.45%)],医院组织的病例讨论和培训[470人(74.48%)],创伤救治培训课程或培训班[401人(63.55%)]。②超过半数的学员所在医院床位数>1 000张[327人(51.82%)];所在医院创伤救治模式主要为急诊科+多学科会诊+外科治疗[406人(64.34%)],少数为独立创伤中心模式[81人(12.84%)]。③培训后学员的创伤救治成绩明显高于培训前[(74.95±10.41)分比(60.59±11.95)分,P<0.001]。④培训前学员创伤救治成绩的独立影响因素包括所在科室为急诊和ICU(β=3.267,P=0.001)、从事创伤救治的年限>2年(β=2.909,P=0.018)、所在医院床位数>1 000张(β=3.028,P=0.001)和既往参加医院组织的病例讨论和培训(β=2.997,P=0.005);培训后成绩的独立影响因素包括所在医院床位数>1 000张(β=3.858,P<0.001)和既往参加定期科室内部学习(β=3.130,P=0.002)。⑤学员对中国创伤救治高级培训课程有很高的总体满意度[629人(99.68%)]。 结论 参加培训课程的学员多为创伤救治相关学科和科室核心骨干。培训课程能够有效提高学员的创伤救治培训成绩,既往参加过不同层次的创伤救治培训学员培训成绩更优,绝大多数学员对培训课程满意。

关键词: 创伤和损伤, 培训, 问卷调查, 继续医学教育, 影响因素

Abstract: Objective To investigate the current status of trauma care training in China and assess the effectiveness of the China Advanced Trauma Care Training Course (hereinafter referred to as the training course), with analysis of factors influencing trainees′ performance. Methods A questionnaire survey was conducted among 846 trainees who participated in the training course between January 2024 and January 2025, and the results were analyzed using descriptive statistics and multiple linear regression analysis. Results (1) The main departments of the trainees were the emergency department [220 (34.87%)] and the orthopedic department [145 (22.98%)]. It was found that 424 (67.19%) trainees had been engaged in trauma care for more than 5 years, 495 (78.45%) reported regular internal departmental study, 470 (74.48%) had participated in case discussions and training organized by their hospitals, and 401 (63.55%) had previously attended trauma care training courses. (2) More than half of the trainees were from hospitals with over 1 000 beds [327 (51.82%)]. The primary trauma care model in their hospitals was the emergency department + multidisciplinary consultation + surgical treatment approach [406 (64.34%)], while a minority were from independent trauma centers [81 (12.84%)]. (3) Post-training scores were significantly higher than pre-training scores [(74.95±10.41) vs. (60.59±11.95), P<0.001]. (4) Independent influencing factors for pre-training scores included in the department of emergency and ICU (β=3.267, P=0.001), more than 2 years of engagement in trauma care (β=2.909, P=0.018), hospital bed capacity exceeding 1 000 (β=3.028, P=0.001), and prior participation in hospital-organized case discussions and training (β=2.997, P=0.005). For post-training scores, independent influencing factors included hospital bed capacity exceeding 1 000 (β=3.858, P<0.001) and prior participation in regular in-department learning (β=3.130, P=0.002). (5) Overall satisfaction with the Advanced Trauma Care Training Course was high [629 (99.68%)]. Conclusions The majority of trainees in the training course were core clinical staff of trauma care related disciplines and departments. The training course can effectively improve the trainees′ scores in trauma care training, especially those who have participated in various levels of trauma training in the past. The vast majority of trainees expressed satisfaction with the training course.

Key words: Wounds and injuries, Training, Questionnaire survey, Continuing medical education, Influencing factors

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