超声医学硕士专业学位研究生与住院医师规范化培训并轨培养效果分析

Analysis on the effect of combining standardized training for professional degree candidates and for residents in the field of ultrasound medicine

目的分析超声医学硕士专业学位研究生(以下简称专硕)和住院医师规范化培训(以下简称住培)并轨后的培养效果,为制定科学合理的并轨培养模式提供参考。方法2021年8月,选取2014至2017年进入北京协和医院超声医学科参加住培的26名专硕与44名住院医师为研究对象,其中住院医师本科学历有19人,研究生学历有25人,通过制定个体化培训目标、设置多元化教学课程以及开展定期评价和反馈进行分层分级进阶式培养,通过综合能力阶段考核成绩和北京市住培结业考核通过率评价培训效果。采用Mann-Whitney U检验和χ2检验分析相关数据。结果在综合能力阶段考核中,专硕与住院医师的总成绩[573.75(55.50)分比569.75(89.00)分,P=0.496]差异无统计学意义;专硕在操作技能[86.00(9.25)分比80.00(12.00)分,P=0.032]、腹部病例读片[89.00(10.25)分比76.00(27.00)分,P=0.005]、心脏与外周血管病例读片[91.00(18.00)分比71.00(31.00)分,P<0.001]等考站的成绩和总成绩[573.75(55.50)分比533.00(72.00)分,P=0.001]高于19名本科学历住院医师。专硕的住培结业考核通过率与住院医师[(92.3%(24/26),81.8%(36/44)]的差异无统计学意义(P=0.303),但高于19名本科学历住院医师[(14/19),P<0.001]。结论超声医学专硕与住院医师的整体培养效果相当,本科学历住院医师的培训需进一步重视和加强。

Objective To analyze the effect of combining standardized training for professional degree candidates and resident trainees engaged in ultrasound medicine,so as to provide reference for the establishment of scientific and reasonable training mode.Methods In August 2021,26 professional degree candidates and 44 resident trainees(19 with bachelor degree,25 with master degree)who got standardized training at the ultrasonography department of Peking Union Medical College Hospital from 2014 to 2017 were selected as subjects.Through setting up individual training objectives and diversified teaching courses and conducting regular feedback for evaluation,the hierarchical and advanced training mode for resident trainees was carried out.The stage assessment results and the passing rate of Beijing graduation examination were analyzed as indicators to evaluate training effect.The Mann-Whitney U test or the Chi-square test were used to analyze the data.Results In stage assessment,there was no significant difference in the total scores between the professional degree candidates and resident trainees[573.75(55.50)vs.569.75(89.00),P=0.496].The scores of the professional degree candidates in operating skills[86.00(9.25)vs.80.00(12.00),P=0.032],abdominal case reading[89.00(10.25)vs.76.00(27.00),P=0.005],cardiac and peripheral vascular case reading[91.00(18.00)vs.71.00(31.00),P<0.001]and their total scores[573.75(55.50)vs.533.00(72.00),P=0.001]were significantly higher than those of the 19 residents with bachelor degree.There was no significant difference between the pass rate of the professional degree candidates[92.3%(24/26)]and of resident trainees[81.8%(36/44)](P=0.303),but the pass rate of the professional degree candidates was significantly higher than that of 19 resident trainees with bachelor degree(14/19)(P<0.001).Conclusions The overall training effect of professional degree candidates in ultrasound medicine is equivalent to the resident trainees.The training of resident trainees with bachelor degree needs further attention and strengthening.