中华医学教育杂志

中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (3): 218-221.DOI: 10.3760/cma.j.cn115259-20220723-00931

• 住院医师规范化培训 • 上一篇    下一篇

住院医师规范化培训全程导师智能管理系统的应用效果分析

丁敏, 孙晓靓, 罗茜, 康宝丽, 朱亚琴, 曹颖, 徐增光, 陈迟, 徐玮   

  1. 同济大学附属东方医院毕业后教育办公室,上海 200123
  • 收稿日期:2022-07-23 出版日期:2023-03-01 发布日期:2023-02-24
  • 通讯作者: 陈迟, Email: chenchi2003@163.com
  • 基金资助:
    全国医学教育发展中心医学模拟教育研究项目(2021MNZC11);上海市卫生和计划生育委员会科研课题(201740159)

The application of the smart management system for educational tutors in residency standardized training

Ding Min, Sun Xiaoliang, Luo Xi, Kang Baoli, Zhu Yaqin, Cao Ying, Xu Zengguang, Chen Chi, Xu Wei   

  1. Department ofPost-Graduating Education, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200123, China
  • Received:2022-07-23 Online:2023-03-01 Published:2023-02-24
  • Contact: Chen Chi, Email: chenchi2003@163.com
  • Supported by:
    Project of Medical Simulation Education Research from National Medical Education Development Center (2021MNZC11); Shanghai Municipal Commission of Health and Family Planning Science Funding (201740159)

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摘要： 目的 评价住院医师规范化培训(住培)全程导师智能管理系统在住培管理中的应用效果。方法 采用问卷调查方法。选取2019年11月至2022年8月东方医院住培全程导师(72人)、住培管理人员(65人)、住院医师(92人)共229人为调查对象,自行设计问卷对其使用全程导师智能管理系统(简称管理系统)的情况进行调查。采用方差分析、卡方检验分析相关数据。结果 住培全程导师、住培管理人员、住院医师对管理系统使用方便程度[70名(97.2%)比63名(96.9%)比90名(97.8%),P=0.398]与满意程度[72名(100.0%)比65名(100.0%)比92名(100.0%),P=0.453]评价差异均无统计学意义。住培全程导师、住培管理人员、住院医师对管理系统的整体优势评价中,可无纸化管理节约成本[(91.24±12.89)分比(90.98±12.75)分比(87.92±16.61)分,P=0.263]、流程清晰利于全程管理[(88.14±12.65)分比(87.80±13.16)分比(84.15±17.16)分,P=0.158]、操作简捷提高管理效率[(88.49±12.67)分比(86.20±13.11)分比(84.61±16.93)分,P=0.245]、师生自动匹配取得满意结果[(87.13±12.24)分比(87.06±11.69)分比(88.04±16.52)分,P=0.881]的评分差异均无统计学意义。建立管理系统后的2022年度住院医师(81名)结业综合考核合格率[78名(96.3%)比57名 (87.7%),P=0.049]与出科考核成绩 [(91.58±5.72)分比(90.90±10.60)分,P=0.045]均高于建立管理系统前的2019年度(65名)。在2021年8月至2022年8月的年度考核中,71名(98.6%)导师完成了和住院医师的月度访谈。结论 管理系统得到用户的较高评价和一致认可,在节约成本、提高管理效率和管理系统自动匹配师生等方面具有一定的优势。管理系统有助于提高东方医院住院医师结业综合考核合格率和出科考核成绩,有助于提高住培管理工作效率和培训质量。

关键词: 管理信息系统, 人工智能, 全程导师, 规范化培训, 住院医师

Abstract: Objective To evaluate the application of the smart management system of educational tutors in residency standardized training (RST). Methods A questionnaire survey method was used from November 2019 to August 2022, a total of 229 RST educational tutors(72), RST managers(65), residents(92) in Shanghai East Hospital, Tongji University were selected as the survey subjects, and a self-designed questionnaire was used to investigate their use of the educational tutor's smart management system (management system for short). The data were analyzed by chi-square test and analysis of variance test. Results The level of the management system by RST tutors, RST managers and residents in ease of use was [70(97.2%) vs. 63(96.9%) vs. 90(97.8%), P=0.398], and satisfaction was [72 (100.0%) vs. 65 (100.0%) vs. 92 (100.0%), P=0.453], the differences were not statistically significant. In the evaluation of the overall advantages of the management system by RST tutors, RST managers and residents, paperless management can save cost [(91.24±12.89) vs. (90.98±12.75) vs. (87.92±16.61), P=0.263], clear processes for full management [(88.14±12.65) vs. (87.80±13.16) vs. (84.15±17.16), P=0.158], simplicity of operation improving management efficiency [(88.49±12.67) vs. (86.20±13.11) vs. (84.61±16.93) P=0.245], and automatic matching of teacher and student satisfaction [(87.13±12.24) vs. (87.06±11.69) vs. (88.04±16.52), P=0.881], the differences were not statistically significant. After the establishment of the management system, the 2022 residents (81) completed the comprehensive examination pass rate [78 (96.3%) vs. 57 (87.7%), P=0.049] and the department examination results [(91.58±5.72) vs. (90.90 ±10.60), P=0.045] were higher than those in 2019 (65) before the establishment of the management system. In the annual assessment from August 2021 to August 2022, 71 (98.6%) tutors completed monthly interviews with residents. Conclusions The management system is highly appreciated and unanimously recognized by users, the system has certain advantages in terms of cost savings, management efficiency improving and automatically matching teachers and students. The management system is helpful to improve the qualification rate of the comprehensive examination of the residents and the examination results after graduation at Shanghai East Hospital, and to improve the efficiency of RST management of residential training and the quality of training.

Key words: Management information systems, Artificial intelligence, Educational tutor, Residency standardized training, Residents

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