关键词: 重症医学, 规范化培训, 考核体系, 重症进修医生

Abstract: Objective To explore the standardized training model and assessment system for training intensivtists. Methods The training doctors in ICU of Peking Union Medical College Hospital from 2015—2017, the implementation of “basic training, infection control, critical thinking and critical care medicine research” module training,and set up to 3 months for a cycle of “theory + operation + subjective assessment” of comprehensive clinical ability assessment system. Results A total of 161 training doctors from all over the country participated in the intensive clinical standardized training. The initial pass rate of the theoretical examination was 34%: after 3 months' of basic training, the passing rate of theoretical examination was significantly increased up to 75.5% (P＜0.05). The first pass rate of aseptic training: 25%, through the enhanced training a significant increase to 95% (P＜0.05). In the first assessment cycle (the first 3 months), the passing rate of clinical competence assessment was 44%, and the passing rate of clinical competence assessment was 91% in second assessment cycles (sixth months). Conclusions The critical knowledge, sense of control and critical thinking are relatively weak in intensive care medicine training doctors, and they can be strengthened after clinical standardized training. The comprehensive evaluation system of “theoretical assessment + operation assessment + subjective evaluation” is helpful to evaluate the critical clinical ability of the training intensivtists.

Key words: critical care medicine, standardized training, evaluation system, training intensivtist