应用重症模拟病例对住院医师进行岗位胜任力培养的探索

Application of severe simulated cases in the training of residency competence

目的探索重症模拟病例在重症医学住院医师岗位胜任力培养中的应用。方法将2016年7月-2018年1月在北京大学第三医院危重医学科进行住院医师规范化培训的医师随机分为实验组55人与对照组42人，分别实施模拟培训和常规培训，并通过考核（病例分析和理论）和问卷调查的方式比较两种培训方式对住院医师岗位胜任力培养的差异。结果实验组医师在临床基本能力、掌握与运用医学知识能力、团队合作能力和信息素质方面评分均高于对照组医师．差异均具有统计学意义（均P〈0．05）。病例考试方面，实验组医师病例考试的临床基本能力、职业精神与素质、掌握与运用医学知识能力、团队合作能力和信息素质成绩高于对照组医师，差异均具有统计学意义（均P〈0．05）。结论重症模拟病例对住院医师岗位胜任力的培养优于常规培训方式，值得借鉴和推广。

Objective To explore the application of severe simulated cases in the competency training of intensive care physicians. Methods Physicians who underwent standardized training for residents in the Department of Intensive Care Unit, Peking University Third Hospital from July 2016 to January 2018 were randomly divided into a simulation training group and a regular training group, and passed assessment （case analysis and theory） and questionnaires. The way of the survey is to compare the differences in the competency of the resident training positions between the two training methods. Results There were 55 simulated training groups and 48 regular training groups. The simulated training group scores were higher in the elinieal basic ability, mastering and applying medical knowledge ability, team cooperation ability and information quality than the control group, and the differences were all statistically significant （all P〈0. 05 ）. In terms of case examination, the clinical basic ability, doctor＇s professional spirit and quality, mastery and application of medical knowledge, teamwork ability and information quality of the experimental group were higher than those of the control group. The differenees were all statistically signifieant （ all P〈0. 05 ） ）. Conclusions Severe simulated cases are better than conventional training methods for the training of resident positions. It is worth learning and promotion.