目的 比较全科医师不同眼科规范化培训方式的实施效果。方法 选择2017年7月至2018年9月在中山大学附属第一医院眼科规范化培训基地轮转的34名全科医师为研究对象,将其随机分为先轮医技组和先跟门诊组,每组17名医师。在入科和出科时,采用微型临床能力评估(mini-clinicalevaluationexercise,Mini-CEX)方法,分别对两组全科医师的培训效果进行评价,并对评价结果进行分析比较。结果 先轮医技组全科医师入科总分为(19.71±1.57)分,出科总分为(39.41±1.91)分,其差异具有统计学意义(t=-32.889,P<0.01);先跟门诊组全科医师入科总分为(19.65±1.69)分,出科总分为(34.71±2.62)分,其差异具有统计学意义(t=-19.922,P<0.01)。两组全科医师出科评分比入科评分提高幅度分别为(19.71±2.57)分和(15.06±3.77)分,其差异具有统计学意义(t=4.203,P<0.01)。结论 对于接受短期眼科规范化培训的全科医师,先轮转医技室(辅助检查室和治疗室)再跟导师门诊,可以达到更好的培训效果。
Objective To compare the effects of different standardized training modes for general practitioners in ophthalmology.Methods A total of 34 general practitioners who were trained in the ophthalmology base of the First Affiliated Hospital,Sun Yat-sen University from July 2017 to September 2018 were randomly divided into the prior-medical technology group and the prior-outpatient group.Mini-CEX was conducted respectively when they were enrolled in the department and two weeks after completion of the training.The difference in scores between the two groups was compared using a completely random independent sample t-test.Results The difference between enrollment (19.71±1.57) and half a month later (39.41±1.91) was statistically significant in Mini-CEX of the prior-medical technology group (t=-32.889,P<0.01).The difference between enrollment (19.65±1.69) and half a month later (34.71±2.62) was also statistically significant in Mini-CEX of the prior-outpatient group (t=-19.922,P<0.01).The improvement of the scores of the two groups were (19.71±2.57) and (15.06±3.77) respectively,the difference was statistically significant (t=4.203,P<0.01).Conclusions For general practitioners who receive short-term standardized training in ophthalmology,better training effect can be achieved by prior-medical technology room training (auxiliary examination room and treatment room) than prior-outpatient training.
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