中华医学教育杂志

中华医学教育杂志 ›› 2019, Vol. 39 ›› Issue (12): 974-977.DOI: 10.3760/cma.j.issn.1673-677X.2019.12.020

• 医学教育评估 • 上一篇    下一篇

全科医师不同眼科规范化培训方式的实施效果比较

余芬芬, 霍丽君, 苏毅华, 陈咏冲, 甘世斌, 万鹏霞   

  1. 中山大学附属第一医院眼科,广州 510080
  • 收稿日期:2018-11-21 出版日期:2019-12-01 发布日期:2020-12-09
  • 通讯作者: 万鹏霞,Email:wanpengx@mail.sysu.edu.cn,电话:020-87755766-8400

Comparison of the effects of different standardized training modes for general practitioners in ophthalmology

Yu Fenfen, Huo Lijun, Su Yihua, Chen Yongchong, Gan Shibin, Wan Pengxia   

  1. Department of Ophthalmological,The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China
  • Received:2018-11-21 Online:2019-12-01 Published:2020-12-09
  • Contact: Wan Pengxia,Email:wanpengx@mail.sysu.edu.cn,Tel:0086-20-87755766-8400

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摘要： 目的 比较全科医师不同眼科规范化培训方式的实施效果。方法 选择2017年7月至2018年9月在中山大学附属第一医院眼科规范化培训基地轮转的34名全科医师为研究对象,将其随机分为先轮医技组和先跟门诊组,每组17名医师。在入科和出科时,采用微型临床能力评估(mini-clinicalevaluationexercise,Mini-CEX)方法,分别对两组全科医师的培训效果进行评价,并对评价结果进行分析比较。结果 先轮医技组全科医师入科总分为(19.71±1.57)分,出科总分为(39.41±1.91)分,其差异具有统计学意义(t=-32.889,P<0.01);先跟门诊组全科医师入科总分为(19.65±1.69)分,出科总分为(34.71±2.62)分,其差异具有统计学意义(t=-19.922,P<0.01)。两组全科医师出科评分比入科评分提高幅度分别为(19.71±2.57)分和(15.06±3.77)分,其差异具有统计学意义(t=4.203,P<0.01)。结论 对于接受短期眼科规范化培训的全科医师,先轮转医技室(辅助检查室和治疗室)再跟导师门诊,可以达到更好的培训效果。

关键词: 全科医学, 住院医师, 眼科, 规范化培训, 微型临床能力评估

Abstract: Objective To compare the effects of different standardized training modes for general practitioners in ophthalmology.Methods A total of 34 general practitioners who were trained in the ophthalmology base of the First Affiliated Hospital,Sun Yat-sen University from July 2017 to September 2018 were randomly divided into the prior-medical technology group and the prior-outpatient group.Mini-CEX was conducted respectively when they were enrolled in the department and two weeks after completion of the training.The difference in scores between the two groups was compared using a completely random independent sample t-test.Results The difference between enrollment (19.71±1.57) and half a month later (39.41±1.91) was statistically significant in Mini-CEX of the prior-medical technology group (t=-32.889,P<0.01).The difference between enrollment (19.65±1.69) and half a month later (34.71±2.62) was also statistically significant in Mini-CEX of the prior-outpatient group (t=-19.922,P<0.01).The improvement of the scores of the two groups were (19.71±2.57) and (15.06±3.77) respectively,the difference was statistically significant (t=4.203,P<0.01).Conclusions For general practitioners who receive short-term standardized training in ophthalmology,better training effect can be achieved by prior-medical technology room training (auxiliary examination room and treatment room) than prior-outpatient training.

Key words: General medicine, Resident, Ophthalmology, Standardized training, Mini-clinical evaluation exercise (Mini-CEX)

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