全程一体化培训模式在血液内科住院医师规范化培训中的应用

董红娟; 徐莉; 唐海龙; 梁蓉; 黄亚渝; 王艺; 胡菁梦; 张璐; 梁储君; 高广勋

doi:10.16766/j.cnki.issn.1674-4152.004225

全程一体化培训模式在血液内科住院医师规范化培训中的应用

doi: 10.16766/j.cnki.issn.1674-4152.004225

董红娟¹,
徐莉¹,
唐海龙¹,
梁蓉^{1, 2},
黄亚渝²,
王艺²,
胡菁梦³,
张璐³,
梁储君³,
高广勋^1, ,

1.
空军军医大学第一附属医院血液内科，陕西西安 710032
2.
空军军医大学第一附属医院内科教研室
3.
空军军医大学第一附属医院医务处培训办

基金项目:

国家自然科学基金项目 82470203

空军军医大学2022年教学研究课题 KJJYDXYB2022012

详细信息

通讯作者:
高广勋，E-mail: gaoguangxun@fmmu.edu.cn

中图分类号: R192.3 R552
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出版历程
- 收稿日期: 2024-11-12

Application of the whole-process integrated training model in the standardized training of hematology residents

1.
Department of Hematology, the First Affiliated Hospital of Air Force Medical University, Xi' an, Shaanxi 710032, China

摘要

摘要: 目的探讨全程一体化培训模式在血液内科住院医师规范化培训中的应用效果，以提升培训质量及住培医师的知识掌握力与岗位胜任力。方法选取2022年9月—2024年7月在血液内科接受培训的空军军医大学第一附属医院内科专业住培医师102名，按照进入血液科培训的不同时间分为A、B两组。A组为2022年9月—2023年7月入血液科的住培医师，B组为2023年9月—2024年7月入科的住培医师。A组56名住培医师采用传统培训模式进行培训，B组46名住培医师采用新的全程一体化培训模式进行培训。2组住培医师分别经过2个月的培训后，全部参加血液内科出科考核(含理论考核和临床胜任力考核)及国家住院医师规范化培训结业考核。结果 (1) 2个月培训结束后，住培医师参加出科考核，2组医师理论成绩合格率均为100%，但B组理论成绩优秀率(80.4%，37/46)及临床胜任力考核优秀率(89.1%，41/46)均高于A组[58.9%(33/56)、62.5%(35/56)]，差异有统计学意义(P＜0.05)。(2)各组住培医师参加当年5月份由国家举办的的住院医师规范化培训结业考核，B组合格率(100.0%, 46/46)显著高于A组合格率(83.9%, 47/56)，差异有统计学意义(χ²=6.234, P=0.013)。结论相较于传统培训模式，全程一体化培训模式有助于提高住院医师规范化培训的质量，培养兼具扎实的基础知识与较高的临床胜任力的医师。
- 全程一体化培训模式 /
- 血液内科 /
- 住院医师规范化培训
Abstract: Objective To explore the application effect of the whole-process integrated training model in the standardized training of hematology residents, so as to improve the quality of training and the knowledge mastery and job competency of resident physicians. Methods A total of 102 resident physicians from the First Affiliated Hospital of the Air Force Medical University who received training in the Department of Hematology from September 2022 to July 2024 were selected and divided into two groups, A and B, according to different training times in the Department of Hematology. Group A is the resident physicians who entered the Department of Hematology from September 2022 to July 2023; Group B is the resident physicians who were admitted from September 2023 to July 2024; 56 resident physicians in Group A were trained in the traditional training mode, and 46 resident physicians in Group B were trained in the new integrated training mode. After two months of training, the two groups of resident physicians all participated in the hematology discharge assessment (including theoretical assessment and clinical competency assessment) and the national standardized training for resident doctors. Results (1) After the two-month training, the pass rate of the two groups was 100%, but the excellent rate of theoretical performance (80.4%, 37/46) and clinical competency assessment (89.1%, 41/46) of group B were higher than those of group A [58.9% (33/56), 62.5% (35/56)], and the difference was statistically significant (P < 0.05). (2)Each group of resident physicians participated in the completion assessment of the standardized training of resident physicians held by the state in May of that year, and the pass rate of group B (100.0%, 46/46) was significantly higher than that of group A (83.9%, 47/56, χ²=6.234, P=0.013), and the difference was statistically significant. Conclusion Compared with the traditional training mode, the whole-process integrated training model helps to improve the quality of standardized training for residents, and helps to cultivate physicians with solid basic knowledge and high clinical competency.
- The whole process of integrated training mode /
- Hematology /
- Standardized training for residents
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表 1 2组住陪医师基本资料比较

Table 1. Comparison of basic information between two groups of resident physicians

组别	人数	学历[人(%)]			性别[人(%)]
组别	人数	学士	硕士	博士	男性	女性
传统模式	56	47(83.9)	4(7.1)	5(8.9)	15(26.8)	41(73.2)
全程一体化模式	46	38 (82.6)	4(8.7)	4(8.7)	18(39.1)	28(60.9)
统计量		0.156^a			1.759^b
P值		0.876			0.185
注：^a为Z值，^b为χ²值。

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表 2 2组住陪医师考试成绩比较[人(%)]

Table 2. Comparison of the examination results between two groups of resident physicians[cases (%)]

组别	总人数	理论成绩		临床胜任力		结业考试成绩合格
组别	总人数	合格	优秀	合格	优秀	结业考试成绩合格
传统模式	56	56(100.0)	33(58.9)	56(100.0)	35(62.5)	47(83.9)
全程一体化模式	46	46(100.0)	37(80.4)	46(100.0)	41(89.1)	46(100.0)
χ²值			5.425		9.430	6.234
P值			0.020		0.002	0.013

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