PDCA循环在住院医师内分泌代谢疾病诊疗能力教学中的应用

Application of PDCA cycle in the teaching of residency diagnosis and treatment ability of endocrine and metabolic diseases

为评价PDCA循环在提高住院医师内分泌代谢疾病诊疗能力方面的效果,以内分泌科出科考试试卷结果出现的诊疗能力不足问题为研究切入点,通过问卷调查62名接受规范化培训的住院医师,分析其存在"临床工作忙""专业临床思维特殊性"和"内分泌科知识难于记忆"等问题的原因。实施了信息化教学、自我教学、遵循记忆规律、加强师资团队建设、改进教学方式等措施,并在教学结束后评价其效果。研究发现,PDCA循环用于教学后,提高了住院医师内分泌代谢疾病的临床诊疗能力。

To evaluate effects of PDCA cycle in improving residency diagnosis and treatment ability of endocrine and metabolic diseases,this paper selected the problems of insufficient diagnosis and treatment ability in the results of the endocrinology examination paper as the research breakthrough point,and investigated 62 residents receiving standardized residency training to analyze main reasons of the problems such as"busy clinical work","special clinical thinking"and"difficult to remember knowledge of endocrinology".The study implemented information-based teaching and daily self-education,followed the law of memory,strengthened the construction of teaching staff,improved teaching methods,etc.,and effects of these methods were assessed after the teaching.It's found that the application of PDCA cycle can improve the residents'ability of clinical diagnosis and treatment in endocrine and metabolic diseases.