目的 分析北京市4家住院医师规范化培训(简称住培)基地住院医师结业考核结果及其相关因素,为培训质量同质化提供参考。方法 2023年9月至11月,选取2018至2022年进入4家住培基地的临床医学专业和口腔全科专业的1 007名住院医师为研究对象,收集其基本信息及年度业务水平测试结果,通过χ²检验、logistic回归、ROC曲线等方法分析结业考核结果及其相关因素。结果 1 007名住院医师中,首次结业考核通过的人数为864名(85.8%),其中理论考核和临床实践能力考核通过的人数分别为915名(90.9%)、949名(94.2%)。logistic回归分析结果显示,外科(OR=3.92,95%CI:1.77～8.68)、内科和神经内科(OR=3.54,95%CI:1.77～7.06)、医学影像科(OR=3.64,95%CI:1.69～7.85)住院医师的结业考核通过率低于其他专业,博士研究生结业考核通过率高于本科毕业生(OR=0.35,95%CI:0.20～0.63),年度业务水平测试全国百分位数越大结业考核通过率越高(OR=0.96,95%CI:0.96～0.98)。结论 住院医师结业考核通过率不高,学历、专业和年度业务水平测试全国百分位数是结业考核通过率的主要相关因素。各基地应当根据住院医师个体特征制定培训方案,以达到同质化培养要求。

Objective To analyze the final assessment results and related factors of standardized residency training in four training bases in Beijing and to propose suggestions for future improvement. Methods From September to November 2023, the final assessment results of 1007 resident physicians in clinical medicine and dentistry who entered the 4 training bases from 2018 to 2022 were enrolled. Basic information and results of proficiency tests, the final assessment results and related factors were collected and analyzed using methods such as χ² test, logistic regression, and ROC curve. Results From 2020 to 2023, 864(85.8%) of the 1007 residents passed the final assessment for the first time, of which 915(90.9%) and 949(94.2%) passed the knowledge assessment and the practice assessment, respectively. Logistic regression analysis results show that the final examination pass rates for the surgery major(OR=3.92, 95% CI: 1.77～8.68), internal medicine and neurology major(OR=3.54, 95% CI: 1.77～7.06), and medical imaging major(OR=3.64, 95% CI: 1.69～7.85)were lower than those for “other” majors. Doctoral graduate students(OR=0.35, 95% CI: 0.20～0.63) have a higher final examination pass rate than undergraduate students. The higher the national percentile score in the annual clinic competency test (OR=0.96, 95% CI: 0.96～0.98), the higher the final examination pass rate. Conclusions The pass rate of final assessment in standardized residency training in our study was not high, the related factors were educational background, training major, and the national percentile of the annual clinic competency test. Residency training bases should develop training programs based on the individual characteristics of resident physicians to meet the requirements for standardized training.