北京协和医院普通内科住院医师小组长制实施效果初步评估

The evaluation of training program "resident team leader in the Department of General Internal Medicine" at Peking Union Medical College Hospital

目的评估北京协和医院普通内科住院医师小组长制的实施效果。方法选取北京协和医院2014年10月到2018年9月被选拔担任普通内科小组长的内科临床医师进行问卷调查,应用视觉模拟评分法(0~10分)对小组长岗位培训后的效果进行评估,以及收集对于普通内科小组长制的意见和建议。结果22名曾担任小组长的医师完成问卷调查。其中95.5%(21/22)认为接受普通内科小组长培训收获优于在专科作为高年住院医师进行轮转。接受培训医生在临床方面的收获评分为(7.23±1.27)分,对教学能力方面的提高评分为(7.86±1.32)分,对领导力培训的收获评分为(8.14±0.89)分。小组长培训经历对于担任内科总住院医师的帮助评分为(8.44±1.26)分。对于上岗前的培训需求,72.7%(16/22)的受访者希望管病房主治医师能在岗前明确提出对小组长工作的期望和要求;36.4%(8/22)希望能接受更系统的教学技能培训。结论普通内科住院医师小组长制有助于高年住院医师综合能力的提高,为综合医院内科住院医师培养的改革和创新做出了有益探索,值得进一步推广实践。

Objective To evaluate senior resident training program "resident team leader in the Department of General Internal Medicine" at Peking Union Medical College Hospital. Methods We surveyed the residents or the fellows who had been selected as resident team leaders and received the training from October 2014 to September 2018 on their comments and suggestions. Results Twenty-two rotated senior residents who were selected as team leaders in the Department of General Internal Medicine completed the survey. Almost all (21/22, 95.5%) of the respondents reported that they learnt more in general as team leaders by Visual Analog Scale (VAS). The mean VAS scores of clinical skills were 7.23±1.27, 7.86±1.32 in teaching abilities, 8.14±0.89 in leadership evaluation. Scales as chief resident assistants were 8.44±1.26. Sixteen respondents (72.7%) considered that pre-job training by attending doctors was necessary. Another 8 (36.4%) respondents addressed their demands on training of teaching skills. Conclusions The senior resident training program "resident team leader in the Department of General Internal Medicine" improves the competency of rotated senior residents. It is a valuable pilot study on senior resident training and worthy of further application in other departments and hospitals.