云南省综合医院临床技能培训中心建设现状的调查研究

Investigation on the construction status of clinical skills training centers of general hospitals in Yunnan Province

目的通过对云南省二级及以上综合西医院临床技能培训中心的调查,了解临床技能培训中心建设现状,为推进云南省各级医院临床技能培训中心(以下简称"中心")科学、规范、标准化建设和发展提供依据。方法确立临床技能培训中心建设评价指标,拟定调查问卷对全省二级及以上综合西医院临床技能培训中心建设现状进行调查。采用SPSS 17.0统计学软件进行卡方检验。结果 79.1%(72/91)的云南省二级及以上综合西医院已建成规模不一的临床技能中心,但84.6%(77/91)的中心每年参与临床技能教学的师资人数小于50人次,师资队伍力量薄弱,且各级医院师资队伍差异较大(P<0.05);64.6%(84/130)的中心开展的模拟教学课程仅为单项基础技能课程,培训内容较单一,模拟教学课程开设现状差异较大(P<0.05);仅有33.0%(30/91)的中心初步建立了内部质量控制体系,开展质量评价的方式差异有统计学意义(P=0.023)。结论建立体系完整、专业且有梯度的师资团队和阶梯式的临床技能培训课程体系是临床技能中心内涵建设的根本,构建完善的内部质量控制体系是临床技能中心发展的生命力,科学研究是中心持续发展的源泉。

Objective To investigate the construction status of clinical skills training centers of secondary and above comprehensive western hospitals in Yunnan Province,and to provide a basis for the scientific,specific and standardized construction and development of clinical skills training centers of hospitals at all levels in Yunnan Province.Methods The evaluation index of the construction of clinical skills training center was established,and questionnaires were developed to investigate the current situation of the construction of clinical skills training center in the secondary and above comprehensive western hospitals in the whole province.SPSS 17.0 software was used for chi-square test.Results According to the investigation,79.1%(72/91)of secondary and above comprehensive western hospitals in Yunnan Province have established clinical skills centers of different scales,but 84.6%(77/91)of them have fewer than 50 teachers participating in clinical skills teaching each year,with weak faculty and big differences in the faculty of hospitals at all levels(P<0.05).In 64.6%(84/130)of the centers,the simulated teaching courses are only single basic skill courses,and the training content is relatively single,with great differences in the current situation(P<0.05).Only 33.0%(30/91)of the centers have initially established an internal quality control system,and there are statistically significant differences in the way of conducting quality evaluation(P=0.023).Conclusion The foundation of the connotation construction of the clinical skill center is to establish a complete,professional and gradient teaching team and a stepped clinical skills training curriculum system.The construction of a perfect internal quality control system is the vitality of the development of the clinical skill center,and scientific research is the source of the sustainable development of the center.