基于PDCA理念的老年病住院医师规范化培训效果评价

Evaluation on the effect of standardized training of geriatric residents based on PDCA Zhao

目的：探讨基于PDCA理念的带教法在老年病住院医师规范化培训中的效果，为老年病住培医师规范化培训提供参考。方法将2015年进入西安交通大学第一附属医院老年内科进行规范化培训的50名住院医师按照进科时间分为传统带教组和改进组，每组各25人。传统带教组按照既往进修医师培训模式带教，改进组在传统带教的基础上把PDCA理念落实到规范化培训带教管理中，引入导师制，加强理论知识学习、临床技能培训、科研能力培训和病例分析能力培训。2个月后进行全面考核，比较两组在理论知识、临床技能、科研能力和病例分析方面的差异。采用SPSS 22.0处理数据，进行t检验。结果与传统带教组相比，改进组的理论知识成绩更优[（92.48±3.28） vs.（89.12±3.17）]，操作技能成绩更优[（42.20±2.33） vs.（40.08±2.04）]，病例分析成绩更优[（42.08±2.29） vs.（39.84±2.15）]，科研能力成绩更优[（41.12±2.22） vs.（39.12±2.26）]，差异均有统计学意义。结论基于PDCA理念的带教法应用于老年病住院医师规范化培训，可明显提高规培质量。

Objective To investigate the effect of teaching method based on PDCA concept on the standardized training of geriatric residents, and provide the standardized training of geriatric residents with effective training methods. Method The 50 resident doctors, who entered the senile internal medicine department of The First Affiliated Hospital of Xi＇an Jiaotong University in 2015 for receiving the standard-ized training, were divided into the traditional teaching group and the improved group with 25 in each group. The traditional teaching group was given coaching according to the previous training mode for physi-cians engaging in advanced studies. While for the improved group, the PDCA concept was put into the teaching management of the standardized training on the basis of the traditional teaching mode, the tutorial system was brought in, and the theoretical knowledge, clinical skills training, research capability training and case analysis capability training were strengthened. The training took 2 months in total. Two months later , a comprehensive assessment was conducted to compare the difference between the two groups in terms of the theoretical knowledge, the clinical skills, the research capability and the case analysis. SPSS 22.0 was applied to processing the data and the two groups of data were given a t test. Results Compared with the traditional teaching group, the improved group has made great progress in terms of the theoretical knowledge [（92.48±3.28） vs. （89.12±3.17）], the clinical skills [（42.20±2.33） vs. （40.08±2.04）], the case analysis [（42.08 ±2.29） vs. （39.84 ±2.15）] and the research capability [（41.12 ±2.22） vs. （39.12 ±2.26）]. Conclusion The teaching method based on PDCA concept adopted in the standardized training of geri-atric residents can significantly enhance the training quality of geriatric resident trainees.