中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (8): 571-576.DOI: 10.3760/cma.j.cn115259-20240627-00668

• 医学教育质量保障 • 上一篇    下一篇

住院医师规范化培训督导反馈体系的建立与应用

金明珠, 严梦玲, 范让, 薛静   

  1. 浙江大学医学院附属第二医院教学部,杭州 310009
  • 收稿日期:2024-06-27 发布日期:2025-07-30
  • 通讯作者: 薛静, Email: jingxue@zju.edu.cn

The establishment and application of a supervisory feedback system for standardized residency training

Jin Mingzhu, Yan Mengling, Fan Rang, Xue Jing   

  1. Teaching Department of the Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou 310009, China
  • Received:2024-06-27 Published:2025-07-30
  • Contact: Xue Jing, Email: jingxue@zju.edu.cn

摘要: 住院医师规范化培训已经由制度建设向质量内涵建设转变,教学督导是促进医学教育高质量发展、推动住院医师规范化培训工作全面质量控制与提升的重要环节。本文介绍了浙江大学医学院附属第二医院住院医师规范化培训督导反馈体系建立的架构、督导组织和工作模式,并对临床科室督导前后的教学评价进行对比。采用独立样本t检验分析相关数据。结果显示,督导后督导专家对临床科室的教学活动质量评分高于督导前[(3.99±0.39)分比(3.73±.43)分,P=0.022];住院医师的病历书写评分整体呈现一定的上升趋势,第四季度病历书写评分均高于第二季度和第三季度评分[(95.75±2.06)分比(91.72±4.76)分,(95.75±2.06)分比(91.36±3.95)分,均P<0.05];督导专家对临床科室教学资料建设情况评价为整改较好。本督导反馈体系有助于临床科室的教学活动质量改进、住院医师病历书写质量优化和住培教学资料的完善,可以为医院院级督导体系建设提供借鉴。

关键词: 住院医师规范化培训, 督导反馈体系, 质量控制, 建立, 应用

Abstract: The standardized residency training has shifted from system construction to quality and content development. Teaching supervision is a crucial part in further promoting the high-quality development of medical education and driving the comprehensive quality control and improvement of the standardized residency training. This article describes the structure, supervision organization, and working mode of the supervisory feedback system for standardized residency training in the Second Affiliated Hospital of Zhejiang University, School of Medicine. Independent sample t-test was used to analyze the relevant data. The results showed that the quality of teaching activities in clinical departments after supervision was higher than before [(3.99±0.39) vs. (3.73±0.43), P =0.022], the overall score of medical record writing showed a certain upward trend, the score of medical record writing in the fourth quarter being higher than those in the second and third quarters [(95.75±2.06) vs. (91.72±4.76), (95.75±2.06) vs. (91.36±3.95), all P <0.05]. Supervising experts evaluated the construction of teaching materials inspection in clinical departments as well rectified. The supervisory feedback system has comprehensively improved the quality of teaching activities in clinical departments, the quality of medical records by residents, and the perfection of teaching materials for resident physicians. The teaching supervision system in this study can provide reference for the construction of supervision systems at various hospitals.

Key words: Standardized residency training, Supervision feedback system, Quality control, Establishment, Application

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