日常病例报告评价及反馈系统在超声住院医师培训中的应用

Application of case report evaluation and feedback system in ultrasonic resident training

目的探讨日常病例报告评价及反馈系统在超声住院医师规范化培训中的应用价值。方法按照规范化操作、规范留图、体表标记、彩色血流、语言表达及报告书写等方面制定住院医师考核评分评估的方法;按照评分方法对培训后的住院医师的日常病例报告进行评分,并对病例进行定期点评反馈;以往届未经过培训的住院医师同时期的诊断报告为对照,在以上方面及常规定期考核成绩进行配对t检验,判断同期水平住院医师报告诊断水平有无差别。结果经过日常病例报告评价及反馈系统培训后的住院医师临床报告各方面的评分(总分46.70)水平均较对照组的评分(总分40.70)有提高(P<0.05);住院医师在超声诊断及报告水平提高方面的自我评价结果满意率为90%。结论日常病例报告评价与反馈系统在临床教学实践中具有较高的可行性,可以有效地提高医师培训的质量。

Objective To evaluate the application of case report and feedback system in residents training in ultrasound scanning. Methods In accordance with the standardized scanning, marking, color flow, and report writing and other aspects of hospital physician assessment method, score according to the scoring method of residency training in the daily report, and were scheduled to feedback. Taking the past untrained resident s diagnosis report as the control, we made paired t test in the above aspects and regular examination results, and judged whether there was difference in the diagnostic level of the residents in the same period. Results After daily case report evaluation and feedback system training, the scores of clinical reports of all residents （total score 46.70） increased compared with the score of the control group （total score 40.70）, the difference between them was significant （ P 〈0.05）. Conclusions The case report evaluation and feedback system has high feasibility in clinical training, which can improve the quality of residents training effectively.