导师制联合OMP教学在急诊住院医师规范化培训中的应用

Application of tutorial system combined with OMP in the teaching of standardized residency training of emergency medicine

目的探讨导师制联合一分钟教学(OMP,one minute preceptor)在急诊住院医师规范化培训中的应用效果。方法选取2017年1月至2019年12月在济宁医学院附属枣庄市立医院急诊科进行培训且培训时间≥3个月的规培医师48名作为教学对象,按照随机数字表法将其分为对照组(n=24)和观察组(n=24)。对照组采用传统教学;观察组采用导师制联合OMP教学,即给每名规培医师指派一位导师,按照教学计划展开带教培养。轮转结束后进行出科考试,比较两组之间差异。采用SPSS 22.0软件进行t检验。结果出科时,观察组与对照组临床技能成绩分别为(47.50±3.91)分与(43.80±6.52)分,两组之间差异有统计学意义(t=2.42,P=0.020);临床操作技术成绩分别为(80.00±6.51)分与(75.10±6.19)分,两组之间差异有统计学意义(t=2.68,P=0.010)。两组医师自身前后的临床技能成绩和临床操作技术成绩,出科时都比入科时有提高。结论导师制联合OMP的新型教学法能有效提高急诊规陪医师临床技能和操作技术,值得在临床教学中推广应用。

Objective To explore the application effect of the tutorial system combined with one minute preceptor(OMP)in the standardized residency training of emergency medicine.Methods A total of 48 residents who trained in the Department of Emergency,Zaozhuang Municipal Hospital Affiliated to Jining Medical College from January 2017 to December 2019 for≥3 months were assigned randomly into control group(n=24)and observation group(n=24).The control group were given the traditional teaching mode only;while the observation group were given the tutorial system combined with OMP teaching mode,that was,a tutor was assigned to each training resident,and the teaching and training was carried out according to the teaching plan.After the rotation,the graduation examination was conducted,and the differences between the two groups were compared.SPSS 22.0 software was used for t test.Results The clinical skills examination scores of the control and observation group were(47.50±3.91)points and(43.80±6.52)points respectively,with significant differences between the two groups(t=2.42,P=0.020).The clinical operation technology examination scores of the control and observation group were(80.00±6.51)points and(75.10±6.19)points respectively,with significant differences between the two groups(t=2.68,P=0.010).The clinical skills score and operation techniques score of the residents in the observation group were significantly better than those in the control group,and both were better than before training.Conclusion The new training method of tutorial system combined with OMP can improve the clinical skills and operation techniques of the emergency residents significantly,which is worth being popularized and applied in clinical teaching.