基础医学与临床 ›› 2017, Vol. 37 ›› Issue (8): 1202-1205.

• 医学教育 • 上一篇    下一篇

麻醉住院医师的术前访视现状及培训

龚亚红1,王维嘉2,于春华3,裴丽坚3,黄宇光3   

  1. 1. 中国医学科学院&北京协和医院
    2. 北京协和医学院
    3. 北京协和医院
  • 收稿日期:2017-04-11 修回日期:2017-05-18 出版日期:2017-08-05 发布日期:2017-07-17
  • 通讯作者: 黄宇光 E-mail:garybeijing@163.com

Status and training of preoperative anesthetist visit in anesthesia residents

  • Received:2017-04-11 Revised:2017-05-18 Online:2017-08-05 Published:2017-07-17

摘要: 目的 通过调查北京地区麻醉住院医师术前访视的现状,为今后培训方法的改进提供参考。 方法 自行设计调查问卷,通过微信方式向在北京市接受规范化培训的麻醉科住院医师进行问卷调查。问卷内容主要包含住院医师的一般情况、术前访视现状及教学方式现状。 结果 问卷共回收160份,住院医师在术前访视过程中病史采集不够全面,对手术方式和范围的关注较少,对手术和麻醉相关风险的评估能力及风险交待能力欠佳。绝大多数住院医师认为他们的术前访视需要接受进一步的培训,而最佳的培训模式是情景模拟或床旁观摩。 结论 标准化病人模拟教学在麻醉术前访视的培训中可能具有广阔的应用前景。

关键词: 麻醉术前访视, 住院医师培训, 术前评估, 医患沟通

Abstract: Objective To investigate the resident performance on preoperative anesthetist visit in Beijing hospitals, thereby providing introduction for further training. Methods A self-designed questionnaire was distributed to the anesthesia residents who were receiving anesthesia residency training in Beijing through WeChat. The questionnaire covers geographic data of the residents, information on preoperative visit and existing training program. Results 160 questionnaires were reclaimed. History-taking and physical examination were not comprehensive in many residents, the nature of surgery was not evaluated by most residents. And the ability of risk assessment and risk informing were not competent in many residents. The most desired training methods for preoperative visit were scenario simulation and bedside observation. Conclusions Scenario simulation with standard patient may have a promising prospect in preoperative anesthetist visit training.

Key words: Preoperative anesthetist visit, Residency training, Preoperative evaluation, Doctor-Patient communication