专业学位医学研究生临床技能培训的实践与研究

Practice and exploration of clinical skill training for post-graduates of clinical speciality degree

目的探讨专业学位医学研究生实施临床技能培训的效果。方法选择上海交通大学附属胸科医院专业学位硕士研究生100名,随机分为两组,每组各50人;一组实施住院医师规范化培训,另一组实施传统的临床实践培训,根据考试成绩比较两组研究生在培训前后临床技能方面的差异。同时,在已毕业的研究生(n=200)中发放问卷,了解研究生对于包括住院医师规范化培训在内的临床技能培训的认识和看法。结果分析研究生的毕业考核成绩发现,与传统方式培养的研究生相比,经过住院医师规范化培训的研究生综合理论、临床技能考核成绩均较传统方式培养的研究生有较大幅度提高[(90.53±3.17)分和(80.23±4.42)分,(89.46±3.78)分和(80.50±4.16)分,均P<0.001];而专业外语、医德医风考核成绩两组间比较差异无统计学意义[(90.43±3.18)分和(90.58±3.43)、(89.06±3.57)和(90.47±3.15)分,均P>0.05]。对已毕业研究生的问卷调查显示,大多数研究生认为实施住院医师规范化培训使临床专业学位研究生的临床技能有所提高。结论住院医师规范化培训有利于提高研究生的临床技能。

Objective To explore the effects of clinical skill training in post-graduates with clinical speciality degree. Methods One hundred post-graduates with clinical speciality degree in Shanghai Chest Hospital were randomly divided into two groups,with 50 post-graduates in each group.One group of post-graduates were managed with residents' training,while the other with traditional clinical training.Clinical skills were compared between two groups before and after training by examinations.The knowledge and idea of residents' training were obtained from 200 residents and instructors through questionnaire survey. Results It was revealed by the examinations that the scores of comprehensive theory and clinical skills in post-graduates with residents' training were significantly higher than those in post-graduates with traditional clinical training [(90.53±3.17) vs(80.23±4.42) and(89.46±3.78) vs(80.50±4.16),P<0.001 for both].However,there was no significant difference in scores of major English ability and profession morals between two groups [(90.43±3.18) vs(90.58±3.43) and(89.06±3.57) vs(90.47±3.15),P>0.05 for both].The questionnaire survey indicated that most post-graduates considered residents' training could improve the clinical skills. Conclusion Residents' training is helpful to improve the clinical skills for post-graduates with clinical speciality degree.