"教考分离"式住院医师规范化培训过程考核体系的构建及临床实践

Construction and clinical practice of a new"teaching-examination separation"assessment system in standardized resident training

为了加强住院医师规范化培训(简称住培)过程管理,深入提高住培均质化建设。本研究按照"教考分离"原则,构建标准化的住培过程考核体系,包括新建独立的考官队伍,规范和统一考核流程,扩建标准化的实践技能考题库和病例综合考题库等。培训实践结果表明考勤合格率、360°评价完成率、出科考核合格率和年度考核成绩等方面均有明显提高。"教考分离"式标准化住培过程考核体系对从制度上严格保障过程培训质量,实现以考促训、公平公正、提高住培效率和均质化建设等可起到积极的作用,具有进一步研究和推广的价值。

To strengthen the management of residents standardized training process,so as to further improve the homogenized construction of residents standardized training,we constructed a standardized assessment system for residents training process according to the principle of"teaching-examination separation",including a new independent team of examiners,standardization of the assessment process,and expansion of standardized test bank of practical skills and medical cases.Results showed that the rates of attendance,360-degree evaluation completion,and post-department examination,and annual assessment were all improved.The new assessment system of"teaching-examination separation"for residents standardized training strictly ensures the training quality and plays an active role in promotion of training by tests,being fair and just,and improving the efficiency and homogenization of resident standardized training,which is worthy of further research and popularization.