目的 在儿科住院医师规范化培训中,评价读书报告会对住院医师临床科研能力培养的效果。方法 选取在西安交通大学第一附属医院进行规范化培训的22名儿科住院医师为研究对象,采用问卷测评的方法,评价开展读书报告会第一次及24个月后这些住院医师的文献检索能力、阅读分析文献能力、专业英语阅读能力、电子课件制作能力、语言表达能力,以及评价读书报告会是否提高了住院医师的学习兴趣、培养了独立思维的能力、主动探索知识的能力。对住院医师自身能力的评价采用Likert 5分制;描述性资料采用百分比表示,开展读书报告会后(以下简称近期测试)及24个月后(以下简称远期测试)住院医师自身能力得分采用中位数表示,二者的比较采用两个相关样本的Wilcoxon符号秩和检验,以P<0.05为差异具有统计学意义。结果 ①读书报告会提高了住院医师的文献检索能力、阅读分析文献的能力、专业英语阅读能力、电子课件制作能力、语言表达能力。开展读书报告会后近期测试及远期测试上述能力比较,差异均具有统计学意义(均P<0.05)。②100.0%(22/22)的住院医师认为读书报告会提高了学习兴趣;90.0%(20/22)的住院医师认为激发了独立思维的能力;68.2%(15/22)的住院医师认为提高了自己主动探索知识的能力。结论 在住院医师规范化培训中,读书报告会是培养儿科住院医师科研素质和能力的可行而有效的方法之一。
Objective To explore effect of reading report meeting on improving capability of clinical scientific research in standardized training of pediatrics residents. Methods The questionnaire survey of capability of medical scientific research before and after reading report meeting were conducted among 22 pediatrics residents. Capability of clinical scientific research includes searching literatures, reading and analyzing papers, professional English, making power point as well as language expression. The effect of reading report meeting was also explored. Data were analyzed using mean, proportion for description and the results in capability of research on two different times were used Wilcoxon rank sum test. Results Compared with the first reading report meeting, the capability of research including searching literatures, reading and analyzing papers, professional English, making power point as well as language expression were improved after 24 months training (P<0.05). Interest in learning(100.0%), capacity of independent thinking (90.0%) and active exploration (68.2%) in standardized training of pediatrics residents were improved by reading report meeting. Conclusions The reading report meeting is proved to be one of the most feasible and effective method in improving capability of clinical scientific research in standardized training of pediatrics residents.
[1] 牛启超,仰曙芬,韩冰,等.我国住院医师规范化培训现状的文献研究[J]. 中华医学教育探索杂志,2014,13(12):1267-1271. DOI: 10.3760/cma.j.issn.2095-1485.2014.12.021.
Niu QC,Yang SF,Han B, et al. The literature research on current residency standardized training in China[J]. Chin J Med Edu Res, 2014,13(12):1267-1271.DOI: 10.3760/cma.j.issn.2095-1485.2014.12.021.
[2] 王伟,施国伟,洪洋,等. SUPER教学提升规范化培训住院医师科研能力的研究[J]. 中华医学教育杂志,2016,36(3):469-471,479. DOI:10.3760/cma.j.issn.1673-677X. 2016.03.039.
Wang W, Shi GW, Hong Y, et al. Study on promotion of research capability by SUPER teaching in standardized resident training[J]. Chin J Med Edu, 2016,36(3):469-471,479. DOI:10.3760/cma.j.issn.1673-677X. 2016.03.039.
[3] 吕曦.住院医师规范化培训中科研能力培养的现状与策略[J].中外医疗,2013,32(15):129-130. DOI:10.3969/j.issn.1674-0742.2013.15.077.
lyu X. Problems and countermeasures of standardized training for residents in scientific research ability [J]. China and Foreign Medical Treatment, 2013,32(15):129-130.DOI: 10.3969/j.issn.1674-0742.2013.15.077.
[4] 巴晓红. 英文文献学习报告会在硕士研究生临床神经病学教学中的应用[J]. 中国校外教育(下旬刊),2016(10):94-95. DOI:10.3969/j.issn.1004-8502.2016.10.057.
Ba XH. Application of reading report meeting by English literatures in clinical neurology postgraduate education[J]. Chin After School Edu, 2016(10):94-95. DOI:10.3969/j.issn.1004-8502.2016.10.057.
[5] 孟婕,谢伟,蔡兴东,等. 读书报告会在呼吸专科研究生培训中的应用[J].中国高等医学教育,2010(4):119-120,137. DOI:10.3969/j.issn.1002-1701.2010.04.059.
Meng J, Xie W, Cai XD, et al. Application of reading report meeting in respiratory medical postgraduate education[J]. Chinese Higher Medical Education, 2010(4):119-120,137. DOI:10.3969/j.issn.1002-1701.2010.04.059.
[6] 李友芳,王振龙,李和程,等. Journal club教学在泌尿外科研究生科研素质培养中的作用[J].中华医学教育探索杂志,2014,13(12):1276-1279. DOI:10.3760/cma.j.issn.2095-1485.2014.12.023.
Li YF, Wang ZL, Li HC, et al. Effect of Journal club in postgraduate education of urology[J].Chin J Med Edu Res,2014,13(12):1276-1279. DOI:10.3760/cma.j.issn.2095-1485.2014.12.023.