目的 构建肿瘤放射治疗专业住院医师规范化培训(以下简称“住培”)的新模式及考评体系,并对其实施效果进行评价。方法 2016年6月1日至12月31日,江苏省肿瘤医院采用文献研究法、访谈法及德尔菲法建立肿瘤放射治疗专业住培的新模式及考评体系,并在江苏省肿瘤医院(以下简称“本基地”)78名住培学员中实施。通过问卷调查收集本基地78名住培学员和21名教职人员对新培训模式的评价,比较本基地78名住培学员与使用传统培训模式的江苏省卫生健康委员会认定的肿瘤放射治疗专业其他住培基地的同期80名住培学员的住培理论考试成绩、临床操作技能考试成绩和沟通能力考试成绩。结果 新模式实施效果的问卷调查中,本基地住培学员满意度为76.3%(58/76),本基地教职人员满意度为66.7%(14/21)。与其他基地住培学员比较,本基地住培学员的住培理论考试成绩[(77.89±14.83)分比(72.45±18.78)分,P=0.045]、临床操作技能考试成绩[(83.01±12.67)分比(77.34±15.11)分,P=0.012]及沟通能力考试成绩[(85.94±9.33)分比(81.76±11.19)分,P=0.011]均优于其他基地学员,差异有统计学意义。结论 住培学员和教职人员对肿瘤放射治疗专业住培的新模式和考评体系比较满意;与传统模式相比,新培训模式有助于提高住培学员的住培理论考试成绩、临床操作技能考试成绩及沟通能力考试成绩。

Objective To structure the new training mode and the results of on-the-spot assessment of standardized training for residents of cancer radiotherapy specialty,and evaluate the implementation effect. Methods From June 1 to December 31, 2016, by using the methods of literature research, expert interview and Delphi, the improved training mode of tumor radiotherapy residents was initially established, and the two-way selection method and questionnaire survey method were used for evaluation. Based on the questionnaire survey, the evaluation of the new training mode by the resident trainees and teachers in Jiangsu cancer hospital base(hereinafter referred to as "the base") was collected, and the results of the resident training test, clinical operation skill test and communication ability test between the base trainees and other base trainees were compared. Results A total of 78 questionnaires were sent out, the recovery rate was 97.4% (76/78) and the satisfaction rate was 76.3% (58/76). A total of 21 points were given out in the questionnaire (teacher part), the recovery rate was 100% (21/21), and the satisfaction rate was 66.7% (14/21). Compared with other base students, the scores of resident training test of the base students (77.89±14.83), clinical skill operation level (83.01±12.67) , communication ability (85.94±9.33) were all better than those of other base students(72.45±18.78),(77.34±15.11),(81.76±11.19),the difference are statistically significant. Conclusions Compared with the traditional training mode, the training effect of the improved training mode is significantly improved.