基础医学与临床 ›› 2022, Vol. 42 ›› Issue (8): 1314-1317.doi: 10.16352/j.issn.1001-6325.2022.08.1314

• 医学教育 • 上一篇    下一篇

规范化培训模拟考试在超声规培学员培养中的实践

贾欣颖, 田艳, 陆薇丹, 席雪华, 周彤彤, 卢潇, 张波*   

  1. 中日友好医院 超声医学科, 北京 100029
  • 收稿日期:2021-07-30 修回日期:2022-01-28 出版日期:2022-08-05 发布日期:2022-08-01
  • 通讯作者: *thyroidus@163.com
  • 基金资助:
    北京协和医学院2019年学科建设(专项建设项目)(201920102305)

Practice of standardized training simulation examination in the national standardized training base for residents in ultrasound medicine

JIA Xin-ying, TIAN Yan, LU Wei-dan, XI Xue-hua, ZHOU Tong-tong, LU Xiao, ZHANG Bo*   

  1. Department of Ultrasound Medicine, China-Japan Friendship Hospital, Beijing 100029, China
  • Received:2021-07-30 Revised:2022-01-28 Online:2022-08-05 Published:2022-08-01
  • Contact: *thyroidus@163.com

摘要: 目的 探讨规范化培训模拟考试在超声医学科住院医师规范化培训学员培养中的应用价值。方法 2018—2020年在中日友好医院超声医学科参加住院医师规范化培训的全体学员(17人)作为研究对象。每月进行一次规范化培训模拟考核,内容包括临床思维、上机操作和人文,共3次,分别以学历、年级分组分析考核成绩。问卷调查学员对模拟考试主观评价。结果 临床思维和心脏操作研究生组和本科组3次成绩均呈上升趋势,研究生组成绩均高于本科组{[临床思维(342.10±26.73)分vs.(269.55±30.35)分,(336.00±22.58)分vs.(287.18±22.18)分,(352.00±31.00)分vs.(327.27±22.31)分],[心脏操作(89.67±7.59)分vs.(62.00±2.00)分,(83.00±7.79)分vs.(67.50±7.50)分,(97.33±2.05)分vs.(89.50±2.50)分]},年级间差距不明显。上机操作1~3年级间成绩进步明显[(243.19±18.39)分vs.(268.00±25.06)分],本科组1、3次成绩进步显著[(234.59±15.24)分 vs.(262.00±33.34)分]。问卷显示17名学员认为模拟考试能够有效提升超声技能水平。结论 规培模拟考试能提升超声规培学员临床技能水平并增加学员应试信心,对住院医师规范化培训教育有临床价值。

关键词: 规范化培训, 超声医学

Abstract: Objective To evaluate standardized training simulation examination for residents trainees in ultrasound medicine. Methods From 2018 to 2020, all the 17 resident trainees participated in the training at the standardized training base for residents located in the department of ultrasound medicine of China-Japan Friendship Hospital.The examination was conducted in stages for capacity building for clinical reasoning, the equipment operation and humanity, three rounds.The assessment performance was analyzed in groups based on academic degree and grade respectively. Questionnaire survey was implemented for trainees' subjective evaluation for simulation examination. Results Both clinical reasoning and the ultrasonic operation dealing with heart check by the graduate group and the undergraduate group showed a progressing trend for three grades, and the postgraduate group had higher performance than the undergraduate group {[clinical reasoning (342.10±26.73) points vs (269.55±30.35) points, (336.00±22.58) points vs (287.18±22.18) points, (352.00±31.00) points vs (327.27±22.31) points], [untrasonic operation for heart check (89.67±7.59) points vs (62.00±2.00) points, (83.00±7.79) points vs(67.50±7.50) points, (97.33±2.05) points vs (89.50±2.50) points]}. There was no statistically significant difference among grades. Performance was evident between grades 1 and 3 with the machine operation [(243.19±18.39) points vs (268.00±25.06) points]. In the undergraduate group, the 1st and 3rd examination progressed significantly [(234.59±15.24) points vs (262.00±33.34) points]. The questionnaire showed that 17 trainees believed that the simulation examination effectively improved their ultrasound skills. Conclusions The simulation examination can improve the clinical skill and increase trainees' confidence, so this method should be shared by other institutions for standardized residents training.

Key words: standardized resident training, ultrasound medicine

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