妇产科住院医师规范化培训实施效果分析

Implementation effect of standardized training of residents in obstetrics and gynecology

目的探讨妇产科住院医师规范化培训实施效果。方法以我院参加2016至2018年妇产科住院医师规范化培训的40名学员为调查对象,通过对其培训前后的敬业精神、责任感、沟通技巧、文书书写、病史采集、体格检查、诊断与鉴别能力、药物使用、临床技能、计算机运用等行为的评分情况,以及培训前后的理论与技能考试成绩进行搜集、整理和对比;以此分析妇产科住院医师规范化培训实施的效果。数据比较采用SPSS 22.0进行Z检验及t检验。结果学员培训前后行为变化评分:敬业精神[(4.775±0.366)vs.(7.475±0.362)]、责任感[(4.800±0.333)vs.(7.850±0.366)]、沟通技巧[(4.575±0.382)vs.(7.550±0.339)]、文书书写[(4.833±0.376)vs.(7.762±0.343)]、病史采集[(4.762±0.314)vs.(7.738±0.316)]、体格检查[(4.434±0.347)vs.(7.565±0.317)]、诊断与鉴别能力[(4.239±0.274)vs.(7.348±0.314)]、药物使用[(4.370±0.261)vs.(8.022±0.246)]、临床技能[(4.370±0.330)vs.(8.217±0.265)]、计算机运用[(4.652±0.260)vs.(8.630±0.289)],差异有统计学意义(P<0.05);学员培训前后理论考试成绩[(70.95±1.165)vs.(89.675±1.164)]、技能考试成绩[(67.575±0.947)vs.(88.15±0.877)],差异有统计学意义(P<0.05)。结论妇产科住院医师规范化培训可以加强学员对临床技能的掌握,提高学员临床思维能力。

Objective To investigate the implementation effect of standardized training of residents in obstetrics and gynecology. Methods A total of 40 students who participated in the standardized residency training of obstetrics and gynecology in our hospital from 2016 to 2018 were selected as respondents. The scores of professional dedication, sense of responsibility, communication skills, document writing, medical history collection, physical examination, diagnostic and differential abilities, drug use, clinical skills, and computer use were evaluated before and after training. The scores of theoretical and skill exams before and after training were collected and compared to evaluate the implementation effect of standardized training of residents in obstetrics and gynecology. Results After training, there were significant changes in the scores of professional dedication [(4.775±0.366) vs.(7.475±0.362), P<0.05)], sense of responsibility [(4.800±0.333) vs.(7.850±0.366), P<0.05], communication skills [(4.575±0.382) vs.(7.550±0.339), P<0.05], document writing [(4.833±0.376) vs.(7.762±0.343), P<0.05], medical history collection [(4.762±0.314) vs.(7.738±0.316), P<0.05], physical examination [(4.434±0.347) vs.(7.565±0.317), P<0.05], diagnostic and differential abilities [(4.239±0.274) vs.(7.348±0.314), P<0.05], drug use [(4.370±0.261) vs.(8.022±0.246), P<0.05], clinical skills [(4.370±0.330) vs.(8.217±0.265), P<0.05], and computer use [(4.652±0.260) vs.(8.630±0.289), P<0.05]. There were also significant changes after training in the scores of theoretical exam [(70.950±1.165) vs.(89.675±1.164), P<0.05] and skill exam [(67.575±0.947) vs.(88.150±0.877), P<0.05]. Conclusion Standardized training of residents in obstetrics and gynecology can enhance their clinical skills and improve their clinical thinking ability.