目的 了解广东省住院医师规范化培训(简称住培)基地的住院医师信息化管理现状,为住培管理提供依据。方法 2023年4至7月,采用问卷调查法调查广东省61家西医住培基地住院医师信息化管理功能现状。采用描述性统计、相关分析等方法分析调查结果。结果 广东省住培基地信息系统覆盖率为98.4%(60/61)。60家住培基地住院医师信息化管理整体功能评分为(63.18±11.64)分,各细分功能评分为(59.71±12.22)分。其中,入院和入科教育等细分功能评分较高[(76.45±24.10)分],沟通反馈等细分功能评分较低[(38.70±30.84)分]。住院医师信息化管理整体功能、轮转管理等评分与住院医师结业考核通过率成正相关(r值为0.33、0.37,均P<0.05)。结论 住院医师信息化管理水平高低取决于住培基地的重视程度和投入力度,信息化系统指引下住培管理的重视程度决定了住院医师的培养质量。研究信息系统建设标准有助于基础薄弱的住培基地快速实现管理体系和培养质量的提升。搭建省级住院医师信息化管理平台可推动全省住培工作的高质量发展。
陈璐
,
余京飞
,
张心怡
,
乡汝浩
,
黎尚荣
,
陈嘉慧
,
王丹
,
常江沂
,
曾晖
,
姚瑶
. 广东省住院医师规范化培训基地住院医师信息化管理现状的调查分析[J]. 中华医学教育杂志, 2024
, 44(11)
: 864
-868
.
DOI: 10.3760/cma.j.cn115259-20231225-00616
Objective To understand the current status of information management in standardized residency training bases in Guangdong Province, and to provide a basis for the standardized residency training. Methods From April to July 2023, a questionnaire survey was used to investigate the current status of the information management function of residents in 61 residency training bases in Guangdong Province. Descriptive statistics and correlation analysis were used to analyze the results. Results The information system coverage rate of residency training bases in Guangdong Province was 98.4% (60/61). The overall functional score for the information management of residents across the 60 residency training bases was (63.18±11.64), with an average score of (59.71±12.22) for various subdivided functions. Among them, subdivided functions such as admission and admission education scored higher (76.45±24.10), while communication and feedback scored lower (38.70±30.84). The overall functional score for the information management of residents and the score for rotation management positively correlated with the pass rate of the residents' final assessment (r=0.33 and 0.37, both P<0.05). Conclusions The level of information management of residents depends on the degree of attention and investment of the residency training base, and the degree of attention given to the management of residency training under the guidance of the information system determines the quality of the training of residents. The study of information system construction standards can help residency training bases with a relatively weak foundation quickly realize the need of improvement in management system and training quality. The establishment of a provincial residency information management platform can promote high-quality development of residency training in the region.
[1] 齐学进, 李海潮, 夏志俊, 等. 住院医师规范化培训过程考核建设发展的思考[J].中国毕业后医学教育,2022,6(4):289-293. DOI: 10.3969/j.issn.2096-4293.2022.04.001.
[2] 齐学进.以党的二十大精神为指导,推进住培质量建设再上新台阶——在2022年住院医师规范化培训高峰论坛上的主旨报告[J].中国毕业后医学教育,2023,7(1):1-5. DOI:10.3969/j.issn.2096-4293.2023.01.001.
[3] 甘宓, 刘丽, 王真, 等. 住院医师规范化培训管理系统的构建及应用[J].中国卫生信息管理杂志,2023,20(2):247-252. DOI: 10.3969/j.issn.1672-5166.2023.02.013.
[4] 刘会范, 赵瑶, 花卉, 等. 信息化建设在住院医师规范化培训管理中的应用与思考[J].中国毕业后医学教育,2022,6(6):549-551,556. DOI: 10.3969/j.issn.2096-4293.2022.06.009.
[5] 罗杰伟, 魏奇, 余双志, 等. 医学教育教学与信息技术深度融合研究[J].高教学刊,2021,7(26):76-79.
[6] 管丽丽, 黄童童, 周欣, 等. 某三甲医院住院医师规范化培训管理系统的设计与应用[J].安徽医专学报,2023,22(5):1-3. DOI: 10.20072/j.cnki.issn2097-0196.2023.05.001.
[7] 陈璐, 王倩, 林尚雄, 等. 住院医师规范化培训效果的影响因素分析[J].中国继续医学教育,2021,13(14):68-72. DOI: 10.3969/j.issn.1674-9308.2021.14.019.
[8] 张文刚, 姜众. “干”是保证住院医师规范化培训质量的关键[J].中国毕业后医学教育,2019,3(4):296-299.
[9] 中国住院医师培训精英教学医院联盟. 中国住院医师培训精英教学医院联盟住院医师核心胜任力框架共识[J].协和医学杂志,2022,13(1):17-23. DOI: 10.12290/xhyxzz.2021-0755.
[10] 李凌云, 黄佳培, 姜鹏超, 等. 毕业后医学教育院级督导体系探索与实践[J].教育教学论坛,2021(28):108-111.
[11] 姚瑶, 黎尚荣, 吴玲玲, 等. 以住培临床实践教学规范性为重点的专业课程全面质量控制探索[J].广东医学,2021,42(5):515-518. DOI: 10.13820/j.cnki.gdyx.20210951.
[12] 姚瑶, 黎尚荣, 袁联雄. 原位模拟和引导性反馈在住院医师规范化培训小讲课督导培训中的应用[J].中华医学教育杂志,2021,41(12):1081-1085. DOI: 10.3760/cma.j.cn115259-20210406-00455.
[13] 鲍红琴, 王丽, 王国增, 等. 住院医师规范化培训信息化建设的实践与体会[J].中国毕业后医学教育,2019,3(5):401-404.
[14] 陈璐, 袁联雄, 王倩, 等. 住院医师规范化培训过程考核核心因素研究[J].中国毕业后医学教育,2023,7(4):330-334. DOI: 10.3969/j.issn.2096-4293.2023.04.014.
[15] 罗媛竞. 住培管理信息系统运用在住院医师规范化培训中的教育效应[D].重庆:西南大学,2023.
