基于SECI模型的中医药师承管理新模式效果评价

Evaluation on the effect of the new management mode of inheritance of traditional Chinese medicine based on SECI model

目的探索并评价医院中医药师承管理新模式的效果。方法以2014年1月~2017年1月北京市房山区中医医院第一届院级师承人员为研究对象,将SECI知识转化模型引入医院中医药师承管理工作,通过跟师学习、临床实践、集中学习、参与培训、共同读经典、撰写文章、创办专刊、承担科研项目、修订院级师承管理办法等方式,实现中医药隐性知识的社会化、外部化、综合化、内部化,并通过自行设计的调查问卷分别在师承前后对导师和继承人进行问卷调查。结果医院在师承期间共组织院内培训12次,院外培训17次,完成市级继续医学教育项目1项;师承人员在院内及全国《伤寒论》比赛中均获得优异成绩;出版师承专刊4期、师承学术汇编1部;申报各级各类科研项目16项;修订医院师承工作方案,完善院级师承制度,督导考核21次;以院级师承为契机开展了区级师承。问卷调查结果提示师承前后继承人的专业技能有明显提高(P<0.05)。师承前后继承人的基础知识、临床能力、科研水平差异无统计学意义(P>0.05),师承前后导师的带教水平、临床水平、科研水平差异无统计学意义(P>0.05)。结论将管理学SECI模型引入中医药师承管理切实可行,能够提升师承效果,促进中医药知识的继承与发展,加快中医药人才的培养。

Objective To explore and evaluate the effect of the new management mode for inheritance of traditional Chinese medicine. Methods From January 2014 to January 2017, the inheritance persons of the first session in Fangshah Traditional Medical Hospital of Beijing were selected as the research objects. The SECI knowledge transformation model was introduced into the management of inheritance of traditional Chinese medicine. Through the way of learning with the teacher, clinical practice, learning together, participation in training, reading classics together, writing articles, setting up professional periodicals, undertaking research projects, revising management measures, the socialization, ex- ternalization, integration and internalization of the implicit knowledge of Chinese medicine were promoted. Before and after the inheritance, a self-designed questionnaire was used to conduct a questionnaire survey on the tutors and students. Results Total 12 times of hospital training and 17 times of out of hospital training were organized, 1 item of municipal continuing medical education projects was completed. Tutors and students got excellent results in the hospital and national competition of Treatise on Febrile Diseases. 4 issues of professional periodicals and 1 academic compila- tion were published. 16 items of scientific research were declared. Work programs of inheritance were revised. Manage- ment system of inheritance was improved. 21 times of supervision and assessment were completed. The inheritance of district level was developed based on the inheritance of hospital level. Survey results showed that the professional ability of students was significant enhanced before and after inheritance （P 〈 0.05）. There were no significant dif-ferences in the basic knowledge, clinical ability, scientific research level of students （P 〉 0.05）. There were no significant differences in the teaching level, clinical level and scientific research level of tutors （P 〉 0.05）. Conclusion It is feasible to introduce SECI model into the management of inheritance of traditional Chinese medicine, which can improve teaching effect, promote the inheritance and development of Chinese medicine knowledge, accelerate the cultivation of talents of Chinese medicine.