目的 了解临床医学硕士专业学位研究生教育与住院医师规范化培训相结合的模式对提高地方院校研究生综合能力的影响,为今后临床医学硕士专业学位研究生培养提供借鉴。方法 采用实验对照方法。选取滨州医学院2014级临床医学硕士专业学位研究生28人为研究对象,其中,14名参与住院医师规范化培训的研究生为实验组,14名未参与住院医师规范化培训的研究生为对照组。实习结束后,比较两组研究生实习之后的各科室轮转考核成绩、病历考核成绩以及品德、素质考核成绩。结果 两组研究生的品德、素质考核,各科室轮转出科考核成绩及病历考核成绩对比,差异均有统计学意义(均P<0.05)。结论 临床医学硕士专业学位研究生教育与住院医师规范化培训相结合的培养模式更有利于提高地方医学院校临床医学硕士专业学位研究生的综合能力。
Objective To understand the effect of clinical practice in postgraduate education model combing with residency standardized training.Methods In this study, 28 clinical postgraduate students in 2014 grade were selected, which 14 students asObjective group, and other 14 as control. After clinical practice, the professional theory knowledge, professional skill, morel quality, clinical rotation performance appraisal and medical record were assessed in each group.Results The results showed that 10 months later, there were difference in two groups of the moral character, each department rotation of examination and the medical record review.Conclusions The education model of postgraduate students combined with residency standardized training can improve the comprehensive ability of the students.
[1] 李培杰,孙玉国,姜相君,等.第一阶段住院医师培训在医学研究生培养中的实践性探索[J].中华医学教育杂志,2011,31(3):450-452,469.DOI:10.3760/cma.j.issn.1673-677X.2011.03.047.
Li PJ, Sun YG, Jiang XJ, et al. The innovate investigation of the firstly phase resident physician training in medical graduate student[J]. Chin J Med Edu,2011,31(3):450-452,469.DOI:10.3760/cma.j.issn.1673-677X.2011.03.047.
[2] 邹菁,黄平,陈晓,等. 临床医学 (中医学) 硕士专业学位研究生教育与住院医师规范化培训衔接的改革与实践[J].高校医学教学研究 (电子版),2012,2(3):1-4.
Zou J,Huang P,Chen X,et al. Reform practice and exploration of master clinical medicine specialty degree of TCM connected with residency training[J]. Medicine Teaching in University (Electronic Edition),2012,2(3):1-4.
[3] 李培杰,郑乃智,王琛,等.临床医学专业硕士研究生培养模式创新性研究与探索——青岛市市立医院经验[J].南京医科大学学报(社会科学版),2011,11(4):309-312.
Li PJ,Zheng NZ,Wang C,et al. The innovate research and exploration of clinical medical postgraduate training mode——Taking Qingdao Municipal Hospital as an example[J]. Acta Universitatis Medicinalis Nanjing(Social Science),2011,11(4):309-312.
[4] 徐幻,杨国斌,易学明,等.关于住院医师规范化培训的几点思考[J].医学研究生学报,2010,23(8):865-867.
Xu H,Yang GB,Yi XM,et al. Reflections on standardized training of resident doctors[J]. J Med Postgra ,2010,23(8):865-867.
[5] Slavin SJ. Reforming higher specialist training: a view from pediatrics in the United States[J]. Med Educ, 1999,33(1):6-7.
[6] 陈旻敏.临床医学专业学位研究生培养与住院医师规范化培训相结合的可行性探究[J].中国高等医学教育,2011(9):118-119,129.
Chen MM. Study of feasibility of combination training of clinical professional degree graduate education with standardized training of resident physicians[J]. China Higher Medical Education,2011(9):118-119,129.
[7] 雷丽萍,王晓民,吕兆丰.临床医学专业学位研究生培养模式改革与实践[J].学位与研究生教育,2015(3):27-31.
[8] 汪玲. 临床医学专业学位教育综合改革的探索和创新——以上海“5+3”人才培养模式为例[J].学位与研究生教育,2012(10):49-54.
[9] 李晓峰.对住院医师规范化培训制度下临床医学专业型硕士研究生培养的思考[J].继续医学教育,2015,29(7):30-31. DOI:10.3969/j.issn.1004-6763.2015.07.021.
[10] 张勘,许铁峰,胡天佐,等.上海探索建立住院医师规范化培训制度[J].中国卫生人才,2010(3):24-26.
Zhang K, Xu TF, Hu TZ, et al. Shanghai build system exploration and practice of resident standardization training[J].China Health Human Resources,2010(3):24-26.
[11] 汪玲,吴海鸣.推进住院医师规范化培训改革临床医学研究生教育[J].中华医学教育杂志,2011,31(4):600-603.DOI:10.3760/cma.j.issn.1673-677X.2011.04.043.
Wang L, Wu HM. Carry out residence training and reform the graduate education in clinical medicine[J]. Chin J Med Edu,2011,31(4):600-603.DOI:10.3760/cma.j.issn.1673-677X.2011.04.043.
[12] 冯静静.临床专业学位研究生与住院医师规范化培训“双轨合一”模式研究[J].中国中医药现代远程教育,2014,12(17):70-71,77. DOI:10.3969/j.issn.1672-2779.2014.17.045.
Feng JJ. Progress in “track one” training mode of the clinical postgraduate education and standardized training of residencies[J]. Chinese Medicine Modern Distance Education of China,2014,12(17):70-71,77.DOI:10.3969/j.issn.1672-2779.2014.17.045.
[13] 南京医科大学.南京医科大学创新完成研究生与住院医师双向接轨试点工作[EB/OL].(2012-10-30)[2016-07-20].http://www.ec.js.edu.cn/art/2012/10/30/art_4344_91264.html.
[14] 盛淑桢.住院医师规范化培训与医学在职研究生培养对接模式的研究[D].南昌:南昌大学,2011.
