住院医师规范化培训中应用链式管理的效果分析

Analysis of the Effect of Applying Chain Management in Standardized Residency Training

目的:评估链式管理住院医师规范化培训工作2年的效果.方法:引入链式管理理念,构建管理系统,理清考评单元,建立各单元之间运行和监督机制.运行2年,观察其效果.结果:住院医师在国家年度业务水平测试中成绩百分位由2018年的(59.0±8.7)位升至2019年的(67.4±9.5)和2020年的(72.0±23.3),医院住培工作在全国排名由2018年54位升至2019年的第25位和2020年的第21位.2019年有1个专科排名全省第一,3个专科进入全省前三.2020年有2个专科排名全国第一,2个专科排名全省前三.结论:链式管理有可能可以通过强化过程控制,从而提高住培工作的质量.

Objective:To evaluate the effect of chain management on standardized residency training over a two-year period.Methods:The chain management concept was introduced to construct a management system,streamline evaluation units,and establish operational and supervision mechanisms among units.After two years of implementation,the outcomes were observed.Results:The percentile ranking of trainees in the national annual competency tests improved from(59.0±8.7)in 2018 to(67.4±9.5)in 2019 and(72.0±23.3)in 2020.The hospital's residency training work ranking improved from 54th in 2018 to 25th in 2019 and 21st in 2020.In 2019,one specialty ranked first in the province,and three specialties ranked in the top three.In 2020,two specialties ranked first nationally,and two ranked in the top three provincially.Conclusion:Chain management may improve the quality of residency training by enhancing process control.