风湿免疫科规范化培训在内科住培学员中的效果评价

Evaluation of the effect of the standardized training of department of department of rheumatology and immunology in internal medicine students

目的:了解风湿免疫科规范化培训在内科住培学员中的实施效果,为进一步提高培训效果提供参考依据。方法:采取方便抽样法,2018年12月至2019年1月选取安徽省立医院内科专业基地的住培学员作为调查对象,采用自行设计的调查表进行自填式问卷调查。结果:共调查195名学员,在风湿免疫科轮转前,有87.18%的学员在临床工作中遇到风湿免疫性疾病病人。调查中已参加风湿免疫科轮转学员88人,未轮转学员107人。与未轮转学员相比,轮转学员中分别有79.55%、77.27%、80.68%的学员了解3种及以上风湿免疫科常见疾病的诊断标准、鉴别标准和治疗方法,比例均高于未轮转学员(P<0.01)。轮转学员对抗风湿药物以及风湿免疫科临床技能掌握情况也明显高于未轮转学员(P<0.01)。大部分学员希望采用的风湿免疫科轮转培训方式是教学查房和病例讨论;考核方式是平时表现考核;带教老师的职称是3年以上的主治医师。结论:通过风湿免疫科规范化培训轮转能够明显提高学员对风湿免疫科理论知识、临床技能、风湿免疫性疾病诊治等方面的认知,提高规培学员的专科技能和诊疗水平。

Objective:To understand the effects of standardized training of rheumatology and immunology department in internal medicine students,and provide a basis for further improving the effects of training.Methods:In this study,the convenience sampling method was adopted.From December 2018 to January 2019,the residential training students from the medical professional base of Anhui Provincial Hospital were investigated using self-filling questionnaire survey of self-designed questionnaire.Results:A total of 195 participants were investigated.Before the rotation of rheumatology and immunology department,87.18%of participants encountered rheumatic patients in clinical work.Eighty-eight students had participated in the rotation of rheumatology and immunology department,and 107 students had not.Compared to non-rotating students,the 79.55%,77.27%and 80.68%of the rotating students understood the diagnostic criteria,differential criteria and treatment methods of three or more common diseases in rheumatology and immunology department,respectively,the ratio of those in rotating students was higher than those in non-rotating students(P<0.01).The understanding degree of anti-rheumatism drugs and clinical skills of rheumatology and immunology department in rotating students were significantly better than those in non-rotating students(P<0.01).Most of the students thought that the teaching rounds and case discussions were good method of rotation training in rheumatology and immunology department,the daily performance assessment was good the assessment method,and the professional title of the teacher was physician for more than three years.Conclusions:The standardized training of rheumatology and immunology department can significantly improve the students′knowledge,clinical skills,diagnosis and treatment of rheumatic immune disease,and professional skills and level of diagnosis and treatment.