院级教学督导模式在住院医师规范化培训中的探索与实践

Practice and Experiences of Hospital-Level Teaching Supervision Mode in Standardized Residency Training

目的探索在住院医师规范化培训中采用院级教学督导模式的实施效果。方法选取2022年3月―2023年9月在郑州大学附属洛阳中心医院参加住培的98名学员,按照是否接受院级教学督导模式分为对照组和研究组,对照组为在2022年未接受院级教学督导模式,并在2022年首次参加结业考核或执业医师资格考试的96名学员,研究组为在2023年接受院级教学督导模式,并首次参加结业考核或执业医师资格考试的75名学员。比较2组的执业医师资格考试首考通过率、结业考核首考通过率及对教学活动和整体教学效果的满意度。结果对照组的结业考核首考通过率为81.82%,低于研究组的结业考核首考通过率(86.05%),差异无统计学意义(P>0.05)。对照组的执业医师资格考试首考通过率为65.85%,低于研究组的执业医师资格考试首考通过率(78.13%),差异无统计学意义(P>0.05)。研究组对各项教学活动和整体教学效果的满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论在住院医师规范化培训中采用院级教学督导模式,有助于提升培训质量,提高学员的满意度。

Objective To explore the teaching supervision mode and implementation effect of the standardized training of residents at the hospital-level.Methods A total of 98 students who participated in residential training in Luoyang Central Hospital Affiliated to Zhengzhou University from March 2022 to September 2023 were selected.They were divided into control group and study group according to whether to accepted the hospital-level teaching supervision mode.The control group consisted of 96 students who did not accepted the hospital-level supervision mode in 2022,and participated in exit examination or medical qualification examination for the first time in 2022.The study group consisted of 75 students who accepted the hospital-level supervision mode in 2023,and participated in exit examination or medical qualification examination for the first time in 2023.The first pass rate of the licensed physician qualification examination,the first pass rate of the completion examination,the satisfaction of the teaching activities and the overall teaching effect of two groups were compared.Results The pass rate of the first exam in the graduation examination of the control group was 81.82%,which was lower than that of the study group(86.05%),and there was no statistically significant difference(P>0.05).The first pass rate of the medical licensing examination of the control group was 65.85%,which was lower than that of the study group(78.13%),and the difference was no statistically significant(P>0.05).The satisfaction scores of the teaching activities and the overall teaching effect of the study group were higher than those of the control group,and the difference were statistically significant(P<0.05).Conclusion The application of the hospital-level teaching supervision mode in the standardized training of residents can improve the quality of training,improve the satisfaction of the residents.