综合医院产科医师专科技能培训体系的构建与实践

Construction and practice of specialized skill training system for obstetricians in general hospitals

目的构建科学规范的产科医师专科技能培训体系,为提高产科医师临床综合能力提供参考。方法采用文献分析法归纳产科医师专科技能培训相关内容;选取产科全体医护人员开展问卷调查,对培训内容进行补充打分;组织专家访谈,确定产科医师较为完整的培训体系。结果初步形成了涵盖组织管理、培训目标、培训内容、考核要求、效果评估、保障条件6部分的培训体系,培训内容包括2个一级指标、20个二级指标和39个三级指标。自2018年至今完成50余场产科专科理论授课20次急救演练,产科医师在培训形式、培训师资、培训内容、考核方法 4个方面总满意率分别为94%、97%、95%、96%。三年成功抢救145例危急重症孕产妇,高危孕产妇转诊率下降30.4%,患者满意度提高至96%。结论本研究构建的产科医师专科技能培训体系较为科学合理,有利于产科医师专业能力提高,可为其他地区医院产科医师培训提供参考。

Objective Toconstruct a scientific specialized skill training system for obstetricians to provide the reference for improving obstetricians’ comprehensive clinical abilities.Method The specialized skill training contents for obstetricians were summarized through analyzing literature. All the medical staff in Obstetrics Department were recruited to participatein the questionnaire survey and gave supplementary scores to the training contents. Expert interviews were organized to determine a relatively complete training system for obstetricians.Result The initial training system was formed and included six parts: organization management,training objectives, training contents, assessment requirements, effect evaluation, and guarantee conditions. The training system consisted of 2 primary indicators, 20 secondary indicators, and 39 third-level indicators. More than 50 theoretical courses and 20 first aid drills have been completed since 2018. The total satisfaction rates of training form, teaching resources, training content, and assessment method were 94%, 97%, 95%, and 96%, respectively. A total of 145 critical pregnant women were rescued successfully over the past three years. The referral rate of high-risk pregnant women decreased by 30. 4%, and the patient satisfaction rate increased to 96%.Conclusion The specialized skill training system for obstetricians in this study is scientific and reasonable. It contributes to improving the professional ability of obstetricians and providing a reference for the training of obstetricians in other hospitals.