目的 探讨江苏省综合医院和精神病专科医院精神科住院医师规范化培训(以下简称住培)结果同质化状况。方法 2016年11月至12月,选取在江苏省3所综合医院、4所精神病专科医院的精神科进行规范化培训的106名住院医师(以下简称住培生)为研究对象。采用问卷调查住培生的科研能力、健康和心理,并对住培生进行考核,调查其精神科知识、通科知识、临床基本技能、人文素质。结果 综合医院和精神病专科医院精神科住培生的临床能力,包括精神科知识[(77.8±10.7)分比(72.6±11.0)分]、通科知识[(72.1±10.5)分比(62.2±11.5)分]、临床基本技能[(79.2±5.1)分比(74.0±7.4)分],人文素质[(86.7±8.3)分比(90.2±5.2)分]比较,其差异均具有统计学意义(均P<0.05)。结论 通过培训,综合医院精神科住培生的临床能力优于精神病专科医院的住培生,而人文素质相反。不同类型医院精神科住培生的住培结果同质化有待于进一步提高。
Objective To explore the homogeneity of standardized resident training (SRT) in psychiatric department between general and psychiatric hospital in Jiangsu province. Methods Using questionnaire survey for research ability, health and psychology, and assessment of psychiatry and general medicine ability, clinical skills ,humanistic quality, investigations about the homogeneity of psychiatric SRT results in Jiangsu province were made by investigating 106 SRT trainees in 7 psychiatric SRT bases (3 bases general hospital and 4 bases in psychiatric hospital) from November to December in 2016. Results The differences of trainees' clinical ability including psychiatry [(77.8±10.7) vs (72.6±11.0)], general medicine [(72.1±10.5) vs (62.2±11.5)], clinical skills [(79.2±5.1) vs (74.0±7.4)] and humanistic quality [(86.7±8.3) vs (90.2±5.2)] between general and psychiatric hospitals are significant (all P<0.05). Conclusions The SRT training effect on clinical skills for general hospitals are better than those for psychiatric hospitals, and the effect on humanistic quality is just the opposite. The homogeneity still needs to be further improved.
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