全科医师不同眼科规范化培训方式的实施效果比较

Comparison of the effects of different standardized training modes for general practitioners in ophthalmology

目的 比较全科医师不同眼科规范化培训方式的实施效果.方法 选择2017年7月至2018年9月在中山大学附属第一医院眼科规范化培训基地轮转的34名全科医师为研究对象,将其随机分为先轮医技组和先跟门诊组,每组17名医师.在入科和出科时,采用微型临床能力评估(mini-clinical evaluation exercise,Mini-CEX)方法,分别对两组全科医师的培训效果进行评价,并对评价结果 进行分析比较.结果先轮医技组全科医师入科总分为(19.71±1.57)分,出科总分为(39.41±1.91)分,其差异具有统计学意义(t=-32.889,P<0.01);先跟门诊组全科医师入科总分为(19.65±1.69)分,出科总分为(34.71±2.62)分,其差异具有统计学意义(t=-19.922,P<0.01).两组全科医师出科评分比入科评分提高幅度分别为(19.71±2.57)分和(15.06±3.77)分,其差异具有统计学意义(t=4.203,P<0.01).结论 对于接受短期眼科规范化培训的全科医师,先轮转医技室(辅助检查室和治疗室)再跟导师门诊,可以达到更好的培训效果.

Objective To compare the effects of different standardized training modes for general practitioners in ophthalmology. Methods A total of 34 general practitioners who were trained in the ophthalmology base of the First Affiliated Hospital, Sun Yat-sen University from July 2017 to September 2018 were randomly divided into the prior-medical technology group and the prior-outpatient group. Mini-CEX was conducted respectively when they were enrolled in the department and two weeks after completion of the training. The difference in scores between the two groups was compared using a completely random independent sample t-test. Results The difference between enrollment (19. 71±1. 57) and half a month later (39. 41±1. 91) was statistically significant in Mini-CEX of the prior-medical technology group (t=-32. 889, P<0. 01). The difference between enrollment (19. 65±1. 69) and half a month later (34. 71±2. 62) was also statistically significant in Mini-CEX of the prior-outpatient group ( t=-19. 922, P<0. 01) . The improvement of the scores of the two groups were (19. 71±2. 57) and (15. 06±3. 77) respectively, the difference was statistically significant ( t=4. 203, P<0. 01) . Conclusions For general practitioners who receive short-term standardized training in ophthalmology, better training effect can be achieved by prior-medical technology room training ( auxiliary examination room and treatment room) than prior-outpatient training.