基础医学与临床 ›› 2018, Vol. 38 ›› Issue (8): 1187-1191.

• 医学教育 • 上一篇    下一篇

综合医院口腔科院内会诊分析及其对临床教学指导作用

景泉,穆月,万阔   

  1. 北京协和医院
  • 收稿日期:2017-11-03 修回日期:2017-12-02 出版日期:2018-08-05 发布日期:2018-07-24
  • 通讯作者: 景泉 E-mail:pumchjq@aliyun.com
  • 基金资助:
    北京协和医学院2016年青年医学教育学者计划

Analysis of in-hospital consultations completed by the department of dentistry in a general hospital and its guiding role in clinical teaching

  • Received:2017-11-03 Revised:2017-12-02 Online:2018-08-05 Published:2018-07-24
  • Contact: Quan Jing E-mail:pumchjq@aliyun.com

摘要: 目的 分析大型综合医院口腔科接受院内临床科室提请的会诊内容对于住院医师培养和临床教学的指导作用。方法 通过医院信息系统采集整理北京协和医院1年间临床科室向口腔科提请的院内会诊信息,对会诊的科室来源、会诊分类、与分类相关的疾病和状况以及完成会诊所需的口腔医学知识和技能进行总结。结果 1年间口腔科共接到院内临床各科室提请的会诊1 772次,涵盖30个临床科室,提请最多的为风湿免疫科,占22.9%。根据会诊目的可将其分为6类,包括协助诊断与鉴别诊断、进行诊疗前的口腔评估与准备、处理原发病相关的口腔问题、处理非原发病相关的口腔问题、处理诊疗并发症和其他。所有会诊内容与口腔医学教科书中的理论知识和技能均建立了对应的关系。结论 综合医院口腔科承担院内会诊是重要的工作内容,胜任此项工作需要有必要的岗位培训,也应纳入住院医师培养计划,本研究为这类培训大纲的制定提出了初步的参考依据。

关键词: 口腔科, 会诊, 住院

Abstract: Objective To analyze and discuss the guiding role of in-hospital consultations conducted by the department of dentistry in a general hospital to the clinical teaching and resident training. Methods Data of one year in-hospital consultations conducted by the department of dentistry in Peking Union Medical College Hospital was gathered and analyzed through the hospital information system. The clinical departments, classification of consultations, related diseases and conditions, correlated dental knowledge and skill were summarized. Results 1 772 in-hospital consultations were completed by the department of dentistry within 1 year. Most of the consultations were initiated by the department of rheumatology(22.9%). Average monthly consultation quantity was 147.7 cases. There were 6 types of consultations, including facilitation in diagnose and differential diagnosis, oral clearance and evaluation before treatment, management of diseases or conditions related to primary disease, management of diseases or conditions unrelated to primary disease, management of complications and other conditions. The knowledge and skill required to complete the consultations were mapped to the textbooks of dentistry. Conclusions In-hospital consultations compose of a majority of work to the department of dentistry in general hospitals. To be qualified for such works, it is essential to conduct specific training courses to the staff and those courses should be included in the resident training programs. This study offered preliminary references in this field.

Key words: department of dentistry, consultation, in-hospital