标准化课程建设应用于重症医学科住院医师规范化培训教学的效果探索

doi:10.3969/j.issn.2096-045X.2024.01.015

医学教育管理 ›› 2024, Vol. 10 ›› Issue (1): 86-93.doi: 10.3969/j.issn.2096-045X.2024.01.015

标准化课程建设应用于重症医学科住院医师规范化培训教学的效果探索

韩丹诺¹，吴婷婷¹，张颖²，王红^1*

1.首都医科大学附属北京安贞医院心外危重症中心，北京 100029； 2.首都医科大学附属北京安贞医院教育处，北京 100029

收稿日期:2023-12-04 出版日期:2024-02-20 发布日期:2024-03-15
通讯作者: 王红 E-mail:wanghong@mail.ccmu.edu.cn
基金资助:
北京市住院医师规范化培训质量提高项目（探索项目）：重症医学科住培基地标准化专业课程建设及效果研究(科教处2023jy032)

Effect of standardized curriculum construction applied to standardized training for residents in intensive care medicine

Han Dannuo¹, Wu Tingting¹, Zhang Ying², Wang Hong^1*

1. Department of Intensive Care Unit, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China; 2. Department of Education, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China

Received:2023-12-04 Online:2024-02-20 Published:2024-03-15

摘要/Abstract

摘要： 目的　探讨标准化课程建设是否能够提高重症医学科住院医师规范化培训（简称住培）的质量和满意度。方法　选取首都医科大学附属北京安贞医院重症医学科住培基地2021级、2022级共24名学员。将研究对象按照专业化课程建立授课前后分组，进行自身对照比较。采用历史性对照方法，将2022级学员（第一年即接受标准化课程）一年住培结束后的成绩与2021级（无标准化课程）一年住培结束后的成绩进行对比分析。并根据标准化课程设立的不同的系统内容，进行相关成绩分析。360°评估量表对住培学员及指导医师等进行多角度和全方位的综合性评估。通过满意度调查评估住培学员满意度。结果　标准化课程授课一年后住培学员自身的考核成绩得分显著高于授课前（P＜0.05），按年级分层比较也显示标准化课程后住培学员考核成绩高于之前（2022级P＜0.05）。以住培第一年为节点，比较无标准化课程的学习成绩与接受标准化课程的学习成绩，后者有显著提高（P＜0.05）。标准化课程建立后，学员成绩较标准化课程建立前的各系统成绩有提高，且掌握各系统内容更均质、全面。360°评价发现，住培学员与带教老师的相互评价提高。满意度调查发现学员满意度有所提升。结论　标准化课程建立对重症住培质量和满意度有明显提升作用。标准化课程的建设和实施可能为重症医学科住培提供范本，培养出可造之才。

关键词: 重症医学, 住院医师规范化培训, 标准化课程, 培训质量, 满意度

Abstract: Objective　To investigate whether standardized curriculum construction could improve the results satisfaction of standardized training for residents in intensive care medicine.Methods　A total of 24 students from the standardized training base of intensive care medicine in Beijing Anzhen Hospital, Capital Medical University were selected from Grade 2021 and Grade 2022, and were divided into groups before and after the establishment of standardized curriculum for self-comparison. A historical comparison method was used to compare and analyze the score of Grade 2022 (with standardized curriculum in the first year) and Grade 2021 (without standardized curriculum in the first year) after one year of residential training. We analyzed the score of different systems before and after the establishment of standardized curriculum, and evaluated the trainees and teachers from all-round view. The satisfaction of trainees was investigated.Results　The scores of students with one year standardized curriculum training were significantly higher than one year ago (P<0.05), and the comparison by grade also showed that the scores of students with one year standardized curriculum training were significantly higher than one year ago (P<0.05 for Grade 2022). Taking the first year of standardized training as the node, the scores of the students with standardized curriculum was significantly improved than without (P<0.05). The residents' performance was more uniform and comprehensive in each system after the establishment of the standardized curriculum. The 360°evaluation found that the mutual evaluation between resident trainees and teachers was improved. The satisfaction rate of trainees was also improved.Conclusion　The establishment of standardized curriculum can significantly improve the quality and satisfaction of standardized training for intensive care medicine students. The construction and implementation of the standardized curriculum may provide a model for the standardized training of residents in intensive care medicine, and cultivate talents.

Key words: intensive care medicine, standardized training for residents, standardized curriculum, training quality, satisfaction rate

中图分类号:

R4
G424.1

韩丹诺, 吴婷婷, 张颖, 王红. 标准化课程建设应用于重症医学科住院医师规范化培训教学的效果探索[J]. 医学教育管理, 2024, 10(1): 86-93.

Han Dannuo, Wu Tingting, Zhang Ying, Wang Hong. Effect of standardized curriculum construction applied to standardized training for residents in intensive care medicine[J]. Medical Education Management, 2024, 10(1): 86-93.

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标准化课程建设应用于重症医学科住院医师规范化培训教学的效果探索

Effect of standardized curriculum construction applied to standardized training for residents in intensive care medicine

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