江苏省中医住院医师规范化培训结业人员置信职业行为评价

Evaluation of Entrustable Professional Activities of Completed Standardized Training TCM Resident Doctors in Jiangsu Province

目的:分析江苏省中医住院医师规范化培训结业人员置信职业行为水平,为完善中医住院医师规范化培训提供参考。方法:采用配额抽样的方法,抽取江苏省28家医疗机构526名上级医师,评价所在科室2020年与2021年中医规培结业人员的置信职业行为水平。结果:江苏省中医住院医师整体置信职业行为评分为73.504,规培结业后需要在上级医师间接监督下完成15项临床任务。国家级规培基地与非国家级规培基地之间住院医师置信职业行为得分存在差异(P<0.05)。不同地区之间置信职业行为得分的差异具有统计学意义(P<0.05)。其中苏北地区12项置信职业行为得分显著低于苏南和苏中地区(P<0.05),苏南与苏中地区置信职业行为得分差异较小。结论:江苏省中医住院医师置信职业行为水平有待提升,需要注重培训效果同质化和中医特色化的协调统一,提高中医规培结业人员临床实践能力与用人单位需求的匹配程度,健全督导评估机制加强培训效果同质化水平,形成“医教协同、通专融合”的特色化中医规培模式。

Objective:To analyze the level of entrustable professional activities of TCM resident doctors who complete standardized training in Jiangsu province,so as to provide reference for improving the standardized training of TCM resident doctors.Methods:526 senior physicians from 28 medical institutions in Jiangsu province were selected by using a quota sampling method.The level of entrustable professional activities of TCM resident doctors who completed standardized training in their departments in 2020 and 2021 was evaluated.Results:The score of overall entrustable professional activities was 73.504.After completing the standardized training,they were required to complete 15 clinical tasks under the indirect supervision of their supervising physician.There was a difference in the scores of entrustable professional activities between national and non-national standardized training bases(P<0.05).The distributions were significantly different among different regions(P<0.05).The scores of 12 entrustable professional activities in northern Jiangsu were significantly lower than those in southern and central Jiangsu(P<0.05),and the difference between the entrustable professional activities of TCM resident doctors in southern and central Jiangsu was small.Conclusion:The level of entrustable professional activities of TCM resident doctors in Jiangsu province is not satisfying.It is necessary to pay attention to the homogenization of training effects and form a characteristic standardized training for TCM resident doctors,improve the degree of matching of the clinical practice ability of TCM resident doctors who complete standardized training with the needs of employers,improve the supervision and evaluation mechanism to strengthen the homogenization of training effect,and form a special TCM standardized training model with"medical-educational synergy and general-specialized integration".