基础医学与临床 ›› 2020, Vol. 40 ›› Issue (2): 257-260.

• 医学教育 • 上一篇    下一篇

外科住院医师规范化培训需求的调查分析及对策

白雪杉#, 林国乐#*, 薛晓强   

  1. 中国医学科学院 北京协和医学院 北京协和医院 基本外科, 北京 100730
  • 收稿日期:2018-12-18 修回日期:2019-04-03 出版日期:2020-02-05 发布日期:2020-02-05
  • 通讯作者: *linguole@pumch.cn
  • 作者简介:#对本文有相同贡献
  • 基金资助:
    北京市科技重大专项基金(D171100002617003);北京协和医学院青年教师培养项目(2014zlgc0720);北京协和医院临床骨干师资海外培训项目(2018-PUMCHFDO-LGL)

Investigation and analysis of needs for standardized training of surgical residents

BAI Xue-shan#, LIN Guo-le#*, XUE Xiao-qiang   

  1. Department of General Surgery, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China
  • Received:2018-12-18 Revised:2019-04-03 Online:2020-02-05 Published:2020-02-05
  • Contact: *linguole@pumch.cn

摘要: 目的 调查外科住院医师规范化培训中临床技能及科研技能的教学需求,指导教学改革方向。方法 采取自填式问卷调查法,于2018年7月集中开会形式,召集在培第二年和第三年的北京协和医院外科住院医师,在阶梯教室隔位就座,统一讲解填写方法与注意事项,学员们“背靠背”式不记名自行填写。到场收取问卷85份,有效问卷83份。主要调查了培训的临床诊疗与操作技能学习需求、科研技能学习需求两方面共5道多项选择题。结果 临床技能方面需求最多的为外科常见病的诊疗和手术教学,其中手术教学较多需求是有更多的动手机会。科研技能方面主要需求是数据资料收集、统计学方法(Meta分析)、科研设计与立项、标书的书写与投标,论文的写作与发表。结论 外科住院医师对常见病诊疗、临床动手操作能力、科研能力的欠缺。对此外科教研室提出了“导师制”“动物模型”“全要素模拟手术”“增加科研培训课程”等改革方案。

关键词: 住院医师, 规范化培训, 临床技能, 科研技能, 外科

Abstract: Objective To investigate the teaching needs of clinical skills and scientific research skills in standardized training of surgical residents and to crient teaching remodeling. Methods A self-filling questionnaire survey was conducted in July 2018. Surgical residents of Peking Union Medical College Hospital, who are at the second and the third year of training, were gathered to sit in separate in classrooms. The filling methods and matters needing attention were explained uniformly. The trainees filled in the form of “back-to-back” by themselves. Totally 85 questionnaires were collected and 83 questionnaires were valid. This paper mainly investigates the training needs of clinical diagnosis and treatment, operation skills and scientific research skills. Results The demand of clinical skills is mostly manifested in the diagnosis and treatment of common surgical diseases and surgical teaching. The most demanded surgical teaching was “hand-holding” and acting as a assistant or master knife. The main requirements of scientific research skills are data collection, statistical methods (Meta analysis), scientific research design and project establishment, tender writing and bidding, and paper writing and publication. Conclusions The needs of surgical residents reflect their deficiencies in the diagnosis and treatment of common diseases, operation skill and research capacity. For this reason, the Surgical Teaching Group has put forward such reform schemes as “tutorial system” “animal model” “all-factor simulated surgery” “more scientific research training courses” and so on.

Key words: residents, resident training, clinical skill, scientific research skill, surgery

中图分类号: