核医学系统课教学引入影像专业住院医师规范化培训的实践与思考

Practice and thinking of introducing nuclear medicine systematic courses into standardized residency training in imaging specialty

目的:回顾近年将核医学系统课教学引入影像专业住院医师规范化培训的工作实践,探讨该教学对规培质量的影响。方法:纳入2015至2017年在北京大学第三医院核医学科参加规培的期间接受过完整的核医学系统课教学的53名影像专业住院医师列为授课组;将2012至2014年在核医学科参加规培、未接受过核学系统课教学的52人列为未授课组。以出科考试成绩(包括理论笔试与读片技能考核成绩)作为效果评价指标;应用SPSS 22.0行Mann-Whitney U检验,比较两组成绩差异。 结果:授课组医师参加出科考试的理论考核中位成绩为93.52(72.00~100.00)分、技能考核中位成绩为92.00(70.00~98.00)分,未授课组医师相应成绩分别为88.00(64.00~96.00)分、90.00(60.00~96.00)分;授课组理论及技能考核成绩均高于未授课组,差异有统计学意义( P=0.005, P=0.001)。 结论:在影像专业住院医师规范化培训阶段进行全面的核医学系统课教学,具有可行性,全面提高了学员的理论基础和临床技能,有助于提升整体培训质量。

Objective To review the practice of introducing nuclear medicine systematic courses into the standardized residency training in imaging specialty in recent years, and to explore the effect of nuclear medicine systematic courses on the training quality. Methods A total of 105 residents participated in the training of nuclear medicine from 2015 to 2017 were enrolled in this study. During the training period, those who took the complete nuclear medicine systematic courses were assigned to the teaching group, and the other 52 residents who participated in the standardized residency training from 2012 to 2014 but not received the systematic courses were enrolled in the non-teaching group. The results of the completion examination, including the theoretical written test and the film reading skill test, were analyzed as the evaluation index to compare the differences between the results of two groups by the Mann-Whitney U test using SPSS 22.0. Results The median scores of the theoretical test and the reading skill test in the teaching group were 93.52 (72.00-100.00) and 92.00 (70.00-98.00), respectively;while, the corresponding scores in the non-teaching group were 88.00 (64.00-96.00) and 90.00 (60.00-96.00), respectively. The scores of theoretical test and skill test in the teaching group were both significantly higher than those in the non-teaching group (P=0.005, P=0.001). Conclusion It is necessary and feasible to carry out comprehensive nuclear medicine systematic courses in the standardized residency training in imaging specialty, which can improve the theoretical basis and clinical skills of students and help to improve the overall training quality.