基础医学与临床 ›› 2011, Vol. 31 ›› Issue (5): 594-596.

• 医学教育 • 上一篇    

强化初始培训在医学生向急诊住院医生转换中的作用

刘继海1,于学忠1,朱华栋1,王仲1,徐腾达1,Veronica Pei2,3,Jeffery Smith2,4   

  1. 1. 中国医学科学院北京协和医学院北京协和医院急诊科
    2.
    3. 美国 马里兰大学医院 急诊科
    4. 美国 乔治华盛顿大学 罗纳德?里根急诊医学研究所
  • 收稿日期:2011-01-10 修回日期:2011-03-14 出版日期:2011-05-05 发布日期:2011-05-06
  • 通讯作者: 于学忠 E-mail:yxz@medmail.com.cn
  • 基金资助:
    中华医学基金会(CMB)资助

Efficiency of the intensive orientation for the new graduate medical students to become emergency residents

Ji-hai LIU1,Xue-zhong YU1,Hua-dong ZHU2,Zhong WANG2,Teng-da XU2,Veronica Pei 2,2,Jeffery Smith 2   

  • Received:2011-01-10 Revised:2011-03-14 Online:2011-05-05 Published:2011-05-06
  • Contact: Xue-zhong YU E-mail:yxz@medmail.com.cn

摘要: 目的 初始培训是住院医师开始临床工作前的培训。探讨不同的初始培训方式对医学生向临床医生角色转换的作用。方法 15名上岗前的住院医师随机分成2组,强化培训8人,进行系统的基本知识和技能的培训,常规培训组7人,沿用传统的方法,在培训前后分别进行理论考核,1月及3月后针对自我能力评价和主治医师评价进行问卷调查打分。结果 初始培训后的考核成绩分别为78.25±5.90和59.71±3.90(P<0.05),强化培训组对于急诊知识和技能的掌握情况更好。3个月后强化培训组在临床工作中的自信心评价结果为91.20±8.76,显著高于常规训练组的75.46±6.56(P<0.05)。结论 针对毕业的医学生进行强化初始培训能更好地帮助他们完成由学生向医生的转变,尽快树立信心,提高临床工作能力,改善患者的满意度和降低医疗风险。

关键词: 强化初始培训, 急诊住院医师培养

Abstract: Objective Orientation is a kind of training for the residency who just graduated from medical school. We perform different types of orientation and discuss their efficiency for the new graduate medical students to become emergency residents. Methods 15 new graduate medical students randomly divided into 2 groups. One group is intensive orientation training, and the other group is traditional group. We compare their written exam scores before and after the orientation training. We perform surveys on their self-evaluation after they finish the orientation and 3 months later。Differences between these 2 groups are analyzed. Results The intensive training group has better scores on the written exam scores than the traditional group(78.25±5.90 Vs. 59.71±3.90,P=0.02). They have more confidence 3 months after orientation training(91.20±8.76 Vs. 75.46±6.56,P=0.03). Conclusion Intensive orientation training helps the medical students to become a residency more efficiently.

Key words: intensive orientation training, emergency residency training