武汉大学中南医院住院医师规范化培训临床技能考核结果分析

Analysis of clinical skill assessment results of standardized training for resident doctors in Zhongnan Hospital of Wuhan University

目的分析武汉大学中南医院住院医师规范化培训(以下简称“住培”)第一阶段技能考核成绩及其影响因素。方法收集2021级202名住院医师在2021年4月第一阶段技能考核成绩。利用单因素分析及logistic回归分析评估住院医师考核合格率的主要影响因素。结果住培医师考核合格率为68.32%。单因素分析结果显示,学员轮转科室和基础教育背景合格率比较,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,985院校的住培学员考核合格率高于基础教育背景为普通本科院校的住培学员(OR=2.604,95%CI:1.198~5.658,P<0.05)。非临床科室的住培学员考核合格率低于非手术科室的住培学员(OR=0.194,95%CI:0.074~0.504,P<0.05)。不同轮转科室住培学员考核合格率在第一项、第二项、第三项和第四项考核项目中差异有统计学意义(P<0.05)。多组间两两比较,在第一项考核项目中,非手术科室学员合格率高于非临床科室(P<0.017)。在第二项考核项目中,手术科室和非手术科室学员合格率均高于非临床科室(P<0.017)。结论住院医师考核合格情况可能与其本科基础教育背景和培训轮转过程有关。培训基地须根据存在的问题采取相应的对策,加强过程管理,提升培训质量。

Objective To analyze the results and influencing factors of clinical skill assessment of the first year standardized training of residents in Zhongnan Hospital of Wuhan University.Methods The first-stage skill assessment results in April 2021 of 202 residents in grade 2021 were collected.Univariate analysis and logistic regression analysis were used to evaluate the main influencing factors of the passing rate of residents.Results The passing rate of residents was 68.32%.Univariate analysis results showed that the qualified rate of students in rotation departments and basic education background was statistically significant(P<0.05).Multivariate logistic regression analysis showed that the passing rate of standardized training students in 985 colleges and universities was higher than that of students with basic education background of ordinary undergraduate colleges and universities(OR=2.604,95%CI:1.198-5.658,P<0.05).The passing rate of standardized training students in non-clinical departments was lower than that in non-surgical departments(OR=0.194,95%CI:0.074-0.504,P<0.05).The qualified rate of standardized training studentsin different rotation departments had statistical significance in the first,second,third,and fourth assessment items(P<0.05).In the first assessment item,the qualified rate of standardized training students in non-surgical departments was higher than that in non-clinical departments(P<0.017).In the second assessment item,the qualified rate of trainees in surgical and non-surgical departments was higher than that in non-clinical departments(P<0.017).Conclusion The passing rate of residents may be related to their undergraduate education background and clinical departments.The hospital should take corresponding countermeasures according to the existing problems,strengthen the process management,and improve the quality of training.