基础医学与临床 ›› 2018, Vol. 38 ›› Issue (6): 886-889.

• 医学教育 • 上一篇    下一篇

电子化日常评估在麻醉学住院医师规范化培训中的应用

李旭1,裴丽坚1,阮侠2,叶干3,李琦1,于春华1,易杰4,黄宇光1   

  1. 1. 北京协和医院
    2. 中国医学科学院 北京协和医学院 北京协和医院
    3. 中投远恒科技有限公司
    4. 北京协和医院麻醉科
  • 收稿日期:2018-04-13 修回日期:2018-04-20 出版日期:2018-06-05 发布日期:2018-05-25
  • 通讯作者: 于春华 E-mail:yuchh@pumch.cn
  • 基金资助:
    北京协和医学院青年教师培养项目;北京协和医学院青年教师项目

Application of daily electronic assessment in standardized training of anesthesiology resident

  • Received:2018-04-13 Revised:2018-04-20 Online:2018-06-05 Published:2018-05-25

摘要: 目的 研究电子化日常评估在麻醉科住院医师规范化培训的应用效果。方法 分析比较既往纸质评估表和近3年的电子化日常评估表的回收率,并通过电子系统提取总结不同年级(1~3年级)和不同来源住院医师(本院、北京市基地、研究生)的日常评估结果。结果 纸质评估表格和电子评估表格的回收率分别为59.5%和96.7%。随着年级的增加,总分和各项评分均逐渐增高。各年级住院的最低分均为麻醉决策/紧急处理的评分;2年级住院医整体表现低于预期的比例最高;3年级整体表现高于预期的比例最高。北京市基地住院医师,除麻醉理论知识外,其他各项评分和总分均高于本院住院医和规培研究生。相比较基地住院医师和规培研究生,本院住院医整体表现低于预期比例最高。教学小组根据不同住院医师日常评估成绩,针对该住院医的弱项,在排班方面和授课内容方面加以重点培训,从而达到个体化优质高效教学的目的。结论 这种电子化日常评估的考核模式,有助于及时全面的了解住院医师的日常工作情况,调整教学方法,逐渐实现过程考核和形成性评价,对提高教学效果有积极的促进作用。

关键词: 麻醉学, 住院医师规范化培训, 电子系统, 日常评估

Abstract: Objective To study the effect of electronic daily assessment on the application of standardized training for residents of anesthesiology department. Methods Compared the feedback rate of the previous paper evaluation form and the electronic daily evaluation submission, and summarized the results of the daily evaluation of residents of different grades and different sources through the electronic system. Results The feedback rate of the paper form and the electronic for was 59.5% and 96.7% separately. Comparing the scores of different grads, the total score and sub option scores gradually increased from Grade one to Grade three. The lowest score of sub options in all grades were anesthetic plan/crisis management scores. The worst overall rating (performance worse than expected) happened in the second-year residents. The best overall rating (performance better than expected) happened in the third-year resident. The residents form other hospitals had higher scores than PUMCH(Peking Union Medical College Hospital)'s residents and graduate students except for the score of theoretical knowledge. The PUMCH’s residents got lower score in overall rating. The teaching staff rescheduled and modified the training program according to the educational defect, so as to individualize resident training. Conclusion The electronic daily assessment helps to understand the daily work of residents in a timely and comprehensive manner, adjust teaching methods, and contributes to conduct formative evaluation, which has a positive effect on improving teaching effectiveness.

Key words: anesthesiology, standard resident training, electric document, daily assessment

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