住院医师培训基于场景的知识推送系统研究

Research on the knowledge push system based on business scenarios in the residency training

目前,住院医师规范化培训存在一些问题,如规培基地常会将住院医师培训学员看作是普通医师进行使用,将其时间和精力都投入到日常的医疗程序性工作当中,没有给予足够的培训和带教,对规培学员的基本技能培训产生了忽视。因此,本文构建了基于业务场景的主动知识推送系统,系统主要包括敏感操作识别层、知识索引层、资源推送层3个部分,以培养规培学员诊疗的规范,合理解决临床工作中资源获取不便的问题。通过初步应用,发现该系统有效提高了规培学员住院医师迷你评价量表(mini-clinical evaluation exercise,Mini-CEX)评分,取得了较好的效果。

At present,there are still some problems in the standardized residency training.Some standardized training bases often regard the resident trainees as ordinary practitioners,and devote their time and energy to the daily medical procedural work without giving enough training and teaching,ignoring the basic skills training of resident trainees.Therefore,this study constructed an active knowledge push system based on business scenarios.The system mainly includes three parts:sensitive operation identification layer,knowledge index layer and resource push layer in order to cultivate the norms of diagnosis and treatment of standardized training students and reasonably solve the problem of inconvenient resource acquisition in clinical work.Through the preliminary application,it was found that the system has effectively improved the mini-clinical evaluation exercise(Mini-CEX)score of the trainees and achieved good results.