“双轨合一”培养模式对血液内科专业型硕士研究生影响的分析

Analysis of the outcome of graduate students of master's degree in hematology under the new"dual track integration"policy

目的:探讨“双轨合一”新政策下,新的培养模式对血液内科专业学位型硕士研究生的影响。方法:回顾性分析2013年1月-2018年9月在我院血液内科学习的硕士研究生。按培养模式将研究生分为“双轨合一”培养及“非双轨合一”培养两组,比较两组学生的医德医风、血液专业基础理论、临床技能、科研能力及就业情况。结果:两组研究生在医德医风方面成绩差异无统计学意义(P>0.05);而“双轨合一”培养组研究生的专业理论考核成绩、临床诊疗及技能考核成绩均高于“非双轨合一”培养组(P<0.05)。“双轨合一”培养组研究生以第一作者发表论文比例明显少于“非双轨合一”培养组(P<0.05);而两组在II类以上期刊发表论文比例上差异无统计学意义(P>0.05)。结论:“双轨合一”培养模式能提高专业型研究生的临床思维能力以及专科技能水平,但由于科研培训时间明显减少,导致其科研能力有所下降,提示在“双轨合一”培养体制中应注重研究生科研能力的培养,为研究型医院培养优秀人才。

AIM:To analyze the effect of the new"dual track integration"training policy on graduate students of master's degree in hematology.METHODS:The graduate students of master's degree majoring in hematology from January,2013,to September,2018 at the First Affiliated Hospital of Wannan Medical College were retrospectively analyzed.They were divided into the"dual track integration"training group and"non-dual track integration"training group.Their health care ethics,basic knowledge in hematology,clinical skills,medical research capabilities,and employment were compared and analyzed.RESULTS:There were no significant differences with regard to the health care ethics,and employment by class A tertiary referral hospitals of the dual track group relative to those from the non-dual track group(P>0.05);However,the dual track training group scored much higher on their basic medical knowledge,clinical skills and reasoning than that of the non-dual track training group(P<0.05);The dual track training group published fewer papers than the non-dual track group(P<0.05).CONCLUSION:The dual track training system enhances significantly clinical skills and basic medical knowledge of graduate students of master's degree.However,more attention needs to be paid to improve their research capabilities.