中华医学教育杂志

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (9): 848-852.DOI: 10.3760/cma.j.cn115259-20220222-00200

• 住院医师规范化培训 • 上一篇    下一篇

住院医师岗位胜任力分层递进培训体系建设

朱留宝1, 何榕2, 宋春梅1, 李晓蕾1, 冯莉莉3, 黄振宇4, 刘芳2, 罗斌5   

  1. 1清华大学附属北京清华长庚医院教学部 清华大学临床医学院,北京 102218;
    2清华大学附属北京清华长庚医院心脏内科 清华大学临床医学院,北京 102218;
    3清华大学附属北京清华长庚医院急诊科 清华大学临床医学院,北京 102218;
    4清华大学附属北京清华长庚医院妇产科 清华大学临床医学院,北京 102218;
    5清华大学附属北京清华长庚医院普通外科 清华大学临床医学院,北京 102218
  • 收稿日期:2022-02-22 出版日期:2022-09-01 发布日期:2022-08-29
  • 通讯作者: 何榕, Email: hra01560@btch.edu.cn
  • 基金资助:
    清华大学研究生教育教学改革项目(202104J055);北京市属医院科研培育计划(PG2022019)

Construction of a hierarchical and progressive post competency training system for residency trainees

Zhu Liubao1, He Rong2, Song Chunmei1, Li Xiaolei1, Feng Lili3, Huang Zhenyu4, Liu Fang2, Luo Bin5   

  1. 1Department of Education, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China;
    2Department of Cardiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China;
    3Department of Emergency, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China;
    4Department of Gynaecology and Obstetrics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China;
    5Department of General Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China
  • Received:2022-02-22 Online:2022-09-01 Published:2022-08-29
  • Contact: He Rong, Email: hra01560@btch.edu.cn
  • Supported by:
    Tsinghua University Graduate Education Reform Project (202104J055); Beijing Municipal Administration of Hospitals Incubating Program (PG2022019)

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摘要： 住院医师规范化培训的核心目标是提高住院医师的岗位胜任力,分层递进培训可以体现螺旋上升、渐进式提升的过程,从而达到提升岗位胜任力的目标。本文以提升住院医师岗位胜任力为目标,由培训基地统筹规划,分析住院医师的岗位胜任力培训过程中跨专业的共通性内容,设计住院医师分层递进培训院级共通性课程,辅以专业基地专项培训,探索建立基于岗位胜任力的住院医师分层递进培训体系。结果显示,2021年该分层递进培训体系全面实施后住院医师岗位胜任力360°评价的评分[(7.98±0.47)分]高于2020年[(7.78±0.64)分],其差异具有统计学意义(P<0.05),住院医师对该分层递进培训体系普遍表示满意并推荐持续开展。希望该分层递进培训体系可以为国内各培训基地统筹开展住院医师分层递进培训提供借鉴和参考。

关键词: 住院医师培训, 岗位胜任力, 分层递进培训, 培训基地

Abstract: The goal of resident's standardized training is to improve the post competency of the trainees. Hierarchical and progressive training can incarnate the spiral development and gradual improvement in the standardized training process, which supports the capacity building for the post competency and ensures the training quality. Aimed to explore and establish a hierarchical and progressive post competency training system for which planed and coordinated by the training base institution, this paper analyzed the common training content among different areas of specialization,design and implement an hospital-based hierarchical and progressive curriculum, and combine it with professional base training course. The 360-degree evaluation results show that score in 2021 is higher than that in 2020[(7.98±0.47) vs. (7.78±0.64)](P<0.05). The survey outcome shows that most residents are satisfied with the training and recommend to continue. Hope this practice and experience can serve as references for other domestic resident training bases to carry out hierarchical and progressive residency training system.

Key words: Residency training, Post competency, Hierarchical and progressive training, Training base

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