住院医师规范化全纬度督导体系的构建和应用研究

Construction and application research of resident standardized full-latitude supervision system

目的探讨标准化全纬度督导体系在住院医师规范化培训中的应用与效果。方法构建全纬度督导体系改进住培督导工作。结果全纬度督导体系建立并实施后,临床教师查房考核评分由实施前的(79.10分±2.972)提高到(82.84分±3.659),且差异具有统计学意义(P<0.05);近3年学员结业考试通过率也由实施前的88.70%上升到95.45%;培训基地通过了检查并获得好评。结论构建全纬度督导体系解决了当前督导工作面临的主要问题,有效提高了管理人员的管理能力、临床教师的教学水平、住培学员的知识水平和成绩,有助于住培工作的顺利开展。

ObjectiveTo explore the application and effect of standardized full-latitude sup-ervision system in standardized training of residents.MethodsFull-latitude supervision system was constructed to improve supervision work of resident training.ResultsAfter the establish-ment and implementation of full-latitude supervision system,the clinical teacher's rounds assess-ment increased from(79.10±2.972)before the implementation to(82.84±3.659),with signi-ficantly statistical difference(P<0.05).The pass rate of students'completion examination in the recent 3 years rose from 88.70%to 95.45%.Besides,the training base passed the examination su-ccessfully and acquired good evaluation.ConclusionThe construction of full-latitude supervision system could solve the main problems faced by the current supervision work,effectively improv-ing management ability of the managers,teaching level of the clinical teachers as well as know-ledge level and achievements of the students,and contributing to the development of the resident training.