目的 探究《住院医师规范化培训教学活动规范手册》(简称教学活动规范手册)在住院医师规范化培训(简称住培)中的应用效果。方法 采用非同期对照方法,选择上海市东方医院2020级和2021级196名住培学员为研究对象,将2021级95名住培学员设为试验组,按照教学活动规范手册开展教学活动;将2020级101名学员设为对照组,采用传统住培带教方案安排教学活动。比较两组学员在教学活动评价、教学活动完成情况和教学活动合格情况上的差异。采用t检验、χ²检验等统计学方法处理相关数据。结果 试验组学员对小讲课的评分优于对照组学员[(99.06±2.85)分比(97.88±4.23)分],疑难病例讨论完成率和合格率更高[98.8%(497次/503次)比97.1%(602次/620次),98.4%(495次/503次)比89.8%(557次/620次],教学督导对试验组学员教学活动的评分更高[如小讲课评分(95.89±1.10)分比(89.43±2.33)分],以上差异均具有统计学意义(均P<0.05)。结论 教学活动规范手册改善了住院医师规范化培训教学管理体系,优化了培训流程,有助于培训效果的提升。

Objective Exploring the effectiveness of the teaching activity specification manual for residency training (hereinafter referred to as ″the Manual″) in residency training. Methods Using a non-simultaneous control method, 196 resident trainees from Shanghai Oriental Hospital in 2020 and 2021 were selected as the research subjects, 95 trainees of the 2021 session were selected as the study group to carry out teaching activities in accordance with the Manual, while 101 trainees of the 2020 session were selected as the control group to adopt a traditional residency training program to arrange teaching activities. Differences between the two groups of trainees in the evaluation of teaching activities, completion of teaching activities and pass rates of teaching activities were compared. Statistical methods such as t-test and χ² test were used to process the data. Results Compared to the control group, participants in the study group rated the mini-lecture better [(99.06±2.85) points vs. (97.88±4.23) points], the completion and pass rates of difficult case discussions were higher [98.8% (497/503) vs. 97.1% (602/620), 98.4% (495/503) vs. 89.8% (557/620)], and teaching supervisors rated the teaching activities of the study group higher [mini-lecture ratings (95.89±1.10) points vs. (89.43±2.33)] points], all P<0.05. Conclusions The Manual improves the teaching management system of standardized residency training, optimizes the process, and contributes to the improvement of teaching effect.