以临床胜任力为导向的培训模式在心内科教学查房中的应用

Application of the competency-based medical education in teaching rounds of cardiology

目的探讨基于胜任力为导向的医学教育体系在心内科教学查房中的应用成效。方法选取本院心内科轮转的30名规范化培训住院医师,根据培训前后时间分为胜任力导向教查组和传统教查组。出科前评价两组的考核成绩、核心能力和教查满意度的差异。结果胜任力导向教查组的实践操作成绩高于传统教查组,差异有统计学意义(t=2.28,P<0.05),胜任力导向教查组在核心能力评估中的职业素养、人际交往和沟通能力的达标率高于传统教查组,差异均有统计学意义(χ^(2)分别=6.14、7.03,P均<0.05),胜任力导向教查组的学习积极性和教查满意度均高于统教查组,差异均有统计学意义(t分别=4.82、3.71,P均<0.05)。结论以临床胜任力为导向在心内科教学查房中的融入,能提升住院医师的综合素质和实践能力,提高教学和规范化培训质量。

Objective To investigate the application of the competency-based medical education(CBME)in teaching rounds of cardiology.Methods A total of 30 residents in cardiology department were enrolled,who were divided into two groups with CBME and traditional teaching.The comparison was performed between two groups including the evaluation of after-department examination,core competencies and teaching satisfaction.Results Compared to traditional teaching group,CBME improved examination score of practice ability(t=2.28,P<0.05),and core competencies as professionalism,interpersonal and communication skills(χ^(2)=6.14,7.03,P<0.05).The scores of learning enthusiasm and teaching satisfa-ction were higher in CBME group than the traditional teaching group(t=4.82,3.71,P<0.05).Conclusion By incorpor-ation of CBME in cardiology teaching rounds,it might improve the overall ability and practice competencies in medical residents,as well as teaching effects in standardized resident training.