区域性中心医院住院医师急救技能规范化培训的效果分析

The effect of standardized training for first aid skills in regional central hospital

目的探讨区域性中心医院住院医师进行急救规培的有效方法。方法对60名来自于不同区域性中心医院的住院医师，分别采用OSCE项目和标准指导下的重技能为主教学方式（30人）和传统面授方式（30人）进行急救技能培训，按统一标准进行考核并进行比较。结果OSCE项目和标准指导下的重技能为主的培训组学员的心电图、心肺复苏、气管插管考核和执业医师考试成绩优于传统面授组，差异有统计学意义（P〈0．05）。结论采用OSCE项目和标准指导下的重技能为主的教学方式进行区域性中心医院住院医师急救技能规范化培训，能提高住院医师的急救技能水平，值得推广。

Objective To explore the effective way of first aid skill standard training in regional central hospital. Methods 60 residents from different regional central hospitals were received aid skills training based on two ways： namely OSCE （ multi-station structured skills test ） which lay particular em phasis on skills and traditional face to face way; and were assessed by uniform standards. Results The scores of residents who received OSCE training were significantly better than those which received traditional face to face training （ P〈0.05 ） , including. ECG, cardiopulmonary resuscitation, endotraeheal intubation and doctor examination. Conclusion First aid skills standard training used by OSCE approach in regional central hospital can improve their first aid skills and should be promoted.