全科住院医师规范化培训指导医师绩效考核体系的探索

Exploration on the performance evaluation system of standardized training of general residents for trainers

本研究通过建立适合全科住院医师规范化培训的指导医师绩效考核体系,旨在调动住院医师规范化培训指导医师的主观能动性,激发教学积极性,培养高水平师资队伍,进一步提高住院医师规范化培训的质量。本文采用文献分析法,根据国家和北京市各级各类文件和检查细则中对师资队伍、培训过程的要求,结合全科医师培养特点,构建全科住院医师规范化培训指导医师绩效考核体系,包括2个一级指标(包括岗位履职和教学活动)、5个二级指标(包括教学主任、教学秘书、指导医师、门诊教学活动、病房教学活动)和14个三级指标(包括病历修改、迷你临床演练评估考核等),并对各个评估指标设置了详细的评分细则。该考核体系在北京某三级综合医院试点使用,结果显示其具备适用性、实用性等特点。在本研究绩效考核的基础上,形成科学的奖惩机制,引入适度的竞争机制,有助于推动师资体系的整体发展,提高教学的热情与自觉性,从而保障住院医师的培训质量。

This research aims to mobilize the subjective initiative of resident physicians in standardized training of resident physicians,stimulate teaching enthusiasm,cultivate high-level teachers,and further improve the quality of standardized training of resident physicians by establishing a performance evaluation system for instructing physicians suitable for standardized training of general resident physicians.This article adopts the literature analysis method,according to the requirements of the national and Beijing various documents and inspection rules for the faculty and training process,combined with the characteristics of general practitioner training,constructs a general resident doctor standardized training guidance doctor performance evaluation system,including two first-level indicators(including job performance and teaching activities),five second-level indicators(including teaching director,teaching secretary,instructor,outpatient teaching activities,ward teaching activities)and 14 third-level indicators(including medical record modification,Mini-CEX assessment,etc.),and set up detailed scoring rules for each evaluation index.The assessment system is used on a pilot basis in a tertiary general hospital in Beijing,and the results show that it has the characteristics of applicability and practicality.On the basis of the performance evaluation of this study,the formation of a scientific reward and punishment mechanism and the introduction of an appropriate competition mechanism will help to promote the overall development of the teacher system,improve the enthusiasm and consciousness of teaching,and ensure the training quality of residents.