分层分类教学在消化内科住院医师规范化培训中的应用

Application of hierarchical classification method of teaching in the standardized residency training of department of gastroenterology

目的探讨分层分类教学对住院医师在消化内科轮转中的应用和效果分析。方法选取2018年9月至2019年7月在浙江大学医学院附属第二医院消化内科轮转的84名住院医师作为研究对象。根据年级和专业分别对轮转人员进行分组,内科医师55名,非内科医师29名;低年级医师46名,高年级医师38名。采用分层分类教学对所有住院医师进行带教和考核,住院医师对科室带教进行满意度评分。采用SPSS 21.0进行t检验和卡方检验。结果笔试、病历书写的成绩和通过率在内科专业和非内科专业组之间差异无统计学意义(P>0.05);内科专业医师技能操作评分较非内科专业医师高,内科专业医师的面试成绩和通过率较非内科专业医师成绩高,差异有统计学意义(P<0.05);笔试、面试、病历书写、技能操作考核的成绩和通过率在低年级组和高年级组之间差异无统计学意义(P>0.05)。不同年级和专业背景住院医师满意度调查结果均为满意。结论分层分类教学和考核方式能够有效提高消化内科不同专业和年级轮转住院医师的教学质量,提高住院医师对教学的满意度,值得在临床工作中推广应用。

Objective To analyze the application and effects of hierarchical classification method of teaching in the rotation of resident physicians in department of gastroenterology.Methods From September 2018 to July 2019,there were 84 residents who were selected as research objects including 55 physicians and 29 non-physicians rotating in the Department of Gastroenterology,The Second Affiliated Hospital Zhejiang University School of Medicine.According to seniority,there were 46 low-seniority physicians and 38 high-seniority physicians,respectively.Their performance and satisfaction were evaluated by hierarchical classification method of teaching.SPSS 21.0 was used for t test and chi-square test.Results There were no significant differences in the score and passing rate of written examination and medical record writing between the physicians and non-physicians(P>0.05).The skill operation examination scores of physicians were higher than those of non-physicians,and the interview scores and passing rate of physicians were also higher than those of non-physicians,with significant differences(P<0.05).There were no significant differences between the scores of written examination,interview,medical record writing and skill operation and the passing rate of residents in the low-seniority physicians and high-seniority physicians(P>0.05).Furthermore,all residents with different seniority and professional background were satisfied with this teaching method.Conclusion Hierarchical classification method of teaching can effectively improve the teaching quality of residents in department of gastroenterology,and improve the satisfaction of residents with teaching,which is deserved to be generalization and application.