目的 了解住院医师规范化培训结业后内科住院医师(下文简称学员)的胜任力,以期为改进住院医师规范化培训工作提供参考。方法 2020年12月对浙江大学医学院附属第二医院内科住院医师规范化培训基地2017年和2018年结业的80名学员及其71名上级医师进行问卷调查以了解学员的胜任力。数据间的比较采用Mann-Whitney U检验。结果 学员胜任力自评评分较低的是终身学习[8.00(1.00)]分、科研创新[8.00(3.00)]分和教学能力[8.00(2.00)]分。上级医师对学员胜任力评分较低的是科研创新[9.00(2.00)]分和教学能力[9.00(2.00)]分。结论 学员及其上级医师均认为学员科研创新和教学能力稍显薄弱,未来的住院医师规范化培训需要加以关注。
刘磊
,
陈志达
,
温丽虹
,
潘霞
,
华雯
,
叶健
,
楼寒钰
,
陈攀攀
,
洪士焱
,
雷红梅
,
薛静
. 内科住院医师规范化培训结业后胜任力的调查与分析[J]. 中华医学教育杂志, 2022
, 42(2)
: 171
-174
.
DOI: 10.3760/cma.j.cn115259-20210426-00555
Objectives To evaluate the competency of residents after the standardization training (here after referred to as trainees) in order to provide a reference for further improvement of the residency training. Methods A questionnaire survey of competency was conducted among 80 trainees who completed their residency training at The Second Affiliated Hospital of Zhejiang University School of Medicine in 2017 and 2018 and 71 of supervising physicians in December 2020. Mann-Whitney U test was used to analyze the data collected. Results The lower self-assessment competency score by trainees was the capacity of lifelong learning [8.00(1.00)], research and innovation [8.00(3.00)], teaching [8.00(2.00)]. The lower score of trainee competency by supervising physicians was the capacity of research and innovation [9.00(2.00)], teaching [9.00(2.00)]. Conclusions Both trainees and their supervising physicians reached the agreement that the trainees' training in the capacity of research and innovation, teaching was weak and should be strengthened in the future.
[1] 张青松, 薛慧敏, 詹东昂, 等. 湖北省2所地市级医院住院医师规范化培训学员岗位胜任力的调查[J].中华医学教育杂志,2021,41(3):256-259. DOI: 10.3760/cma.j.cn115259-20200601-00858.
[2]Epstein RM, Hundert EM. Defining and assessing professional competence[J]. JAMA, 2002,287(2):226-235. DOI: 10.1001/jama.287.2.226.
[3]刘雁, 林思宇. 北京市超声医学专业住院医师结业技能考核结果分析与思考[J].医学教育管理,2020,6(5):492-496. DOI: 10.3969/j.issn.2096-045X.2020.05.016.
[4]晁冠群, 翁晨梦, 祝悦, 等. 全科医学住院医师规范化培训结业后状况调查及影响因素分析[J].中国高等医学教育,2020(12):18-19. DOI: 10.3969/j.issn.1002-1701.2020.12.009.
[5]孙宝志, 李建国, 王启明. 中国临床医生岗位胜任力模型构建与应用[M].北京:人民卫生出版社,2015: 98-103
[6]施文, 杨莹韵, 施潇潇, 等. 北京协和医院内科住院医师分层培养小组模式运行情况的评估与分析[J].中国毕业后医学教育,2020,4(6):491-493,498. DOI: 10.3969/j.issn.2096-4293.2020.06.003.