目的 探讨全程导师制在妇产科住院医师规范化培训中的应用效果。方法 本研究采用试验对照方法。选取2010年1月至2019年12月于北京大学第三医院妇产科接受规范化培训的94名住院医师为研究对象,根据有无导师分为试验组和对照组,比较两组住院医师的理论知识、临床能力以及专业英语考核成绩。结果 试验组住院医师轮转出科多站式考核成绩高于对照组住院医师[(92.4±4.2)分比(91.1±4.9)分,t=-2.300,P=0.022)],试验组住院医师妇产科基础理论考试成绩高于对照组住院医师[(77.6±7.3)分比(71.5±9.3)分,t=-4.648,P＜0.01)],年度专业英语考试成绩试验组住院医师高于对照组住院医师[(82.3±12.5)分比(70.0±15.9)分,t=-5.326,P＜0.01)]。结论 导师制的实施明显改善了妇产科住院医师规范化培训的基础理论知识掌握、临床分析和操作能力,以及专业英语水平。

Objective To explore the application effect of the whole-range tutorial system in the standardized training of obstetrics and gynecology residents. Methods Experimental control analysis method was used in this study. Totally 94 residents who received standardized training in obstetrics and gynecology department of Peking University Third Hospital from January 2010 to December 2019 were included,we compared the theoretical, clinical ability assessment and English test results of the residents with and without tutors. Results The scores of tutor group were significantly higher than that of non-tutor group [(92.4±4.2) vs (91.1±4.9), t=-2.300, P=0.022], the scores of theoretical test of obstetrics and gynecology were also improved significantly [(77.6±7.3) vs (71.5±9.3), t=-4.648, P<0.01], and the scores of annual English test were also enhanced significantly [(82.3±12.5) vs (70.0±15.9), t=-5.326, P<0.01]. Conclusions The implementation of the tutorial system has significantly improved the essential theoretical knowledge, clinical reasoning and operation skill, as well as English level for academic communication of the trainees of obstetrics and gynecology residents.