Volume 22 Issue 6
Jun.  2024
Turn off MathJax
Article Contents
ZHAO Wenxuan, YUAN Sheng, LIU Sha, TANG Xiaoyan, JIN Yalei, MA Chunwei. Analysis of the national proposition to promote the standardized training quality of general practice residents[J]. Chinese Journal of General Practice, 2024, 22(6): 919-921. doi: 10.16766/j.cnki.issn.1674-4152.003534
Citation: ZHAO Wenxuan, YUAN Sheng, LIU Sha, TANG Xiaoyan, JIN Yalei, MA Chunwei. Analysis of the national proposition to promote the standardized training quality of general practice residents[J]. Chinese Journal of General Practice, 2024, 22(6): 919-921. doi: 10.16766/j.cnki.issn.1674-4152.003534

Analysis of the national proposition to promote the standardized training quality of general practice residents

doi: 10.16766/j.cnki.issn.1674-4152.003534
Funds:

 HBJG-22D0006

 T-Z-05-2023179

  • Received Date: 2023-10-23
    Available Online: 2024-07-22
  •   Objective  In 2023, the national unified proposition was adopted in the assessment of clinical practice ability after standardized training for general practice residents. There is no research on the effect of this proposition on the assessment of the clinical practice ability level of residents and the impact on the improvement of the quality of resident training. This paper aims to compare the evaluation effect of the national proposition and provincial proposition method on the clinical practice ability of general practice residents in standardized training, analyze the promotion effect of the national proposition on the improvement of assessment quality, and put forward reliable suggestions.  Methods  The results of the clinical practice ability assessment of standardized training of general practice residents in Hubei Province in 2022 and 2023 were collected, the difficulty of the examination was analyzed, and the suggestions and feedback of candidates and examiners on different proposition methods were collected by questionnaires.  Results  There was no significant difference in the pass rate between 2023 (98.88%) and 2022 (98.38%). The average score of the basic skills operation test station in 2023 (19.00±2.34) was lower than that in 2022 (20.88±2.40), the average score of the doctor-patient communication test station in 2023 (11.78±1.44) was lower than that in 2022 (13.20±1.09), and the average score of the total score in 2023 (79.24±6.75) was lower than that in 2022 (81.86±7.29), all of which showed significant significance(P < 0.001). Candidates and examiners tend to choose the organizational form of the practical assessment of the national unified proposition assessment. The difficulty coefficient of the 2023 exam (0.79) was more difficult than that of 2022 (0.82).  Conclusion  The national proposition promotes the improvement of the standardized training and assessment quality of general practice residents, which is more in line with the current development situation of resident training.

     

  • loading
  • [1]
    国家卫生健康委员会科技教育司. 我国临床医师培养进入住院医师规范化培训时代[J]. 中国医刊, 2020, 55(12): 1271-1272. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI202012001.htm

    Department of Science, Technology and Education, National Health Commission. The training of clinical doctors in China has entered the era of standardized training for resident doctors[J]. Chinese Journal of Medicine, 2020, 55(12): 1271-1272. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI202012001.htm
    [2]
    中国医师协会. 中国医师协会关于印发住培内容与标准、基地标准(2022年版)的通知(医协函〔2022〕557号)[EB/OL]. (2022-08-05)[2022-09-09]. https://www.ccgme-cmda.cn/news/15117/article.

    Chinese Medical Doctor Association. Notice of the Chinese Medical Doctor Association on printing and distributing Contents and Standards of Residential training and Base Standards (2022 version) (Letter of the Medical Association (2022) No. 557)[EB/OL]. (2022-08-05)[2022-09-09]. https://www.ccgme-cmda.cn/news/15117/article.
    [3]
    国家卫生健康委人才交流服务中心. 全科住院医师规范化培训结业临床实践能力考核标准方案(2022版)[EB/OL]. (2022-12-29)[2023-06-10]. https://www.21wecan.com/wsrcw/c100224/202212/1000910.shtml.

    National Health Commission personnel exchange service center. Standard Program for evaluating clinical Practice ability after standardized Training of General Practice Residents (2022 edition)[EB/OL]. (2022-12-29)[2023-06-10]. https://www.21wecan.com/wsrcw/c100224/202212/1000910.shtml.
    [4]
    陈晓晖, 陈静, 王伟, 等. 客观结构化临床考试在住院医师规范化培训年度考核中的应用[J]. 中华全科医学, 2021, 19(11): 1935-1938. doi: 10.16766/j.cnki.issn.1674-4152.002205

    CHEN X H, CHEN J, WANG W, et al. Application of objective structured clinical examination in annual assessment of standardised training for residents[J]. Chinese Journal of General Practice, 2021, 19(11): 1935-1938. doi: 10.16766/j.cnki.issn.1674-4152.002205
    [5]
    周晖, 唐旭华, 卢荣标, 等. 2022年广东省皮肤科住院医师规范化培训皮肤病理结业考核成绩分析[J]. 中国毕业后医学教育, 2023, 7(7): 513-516, 521. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202307001.htm

    ZHOU H, TANG X H, LU R B, et al. Results of dermatopathological diagnostic skills assessment of graduation examination for dermatology residents joining a standardized training program in Guangdong Province in 2022[J]. Chin J Grad Med Educ, 2023, 7(7): 513-516, 521. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202307001.htm
    [6]
    曹倩. 上海市住院医师规范化培训结业综合考核通过率及其影响因素的研究[D]. 上海: 中国人民解放军海军军医大学, 2021.

    CAO Q. A study on the passing rate and its influencing factors in the comprehensive examination of standardized training completion of resident doctors in Shanghai[D]. Shanghai: People' s Liberation Army Naval Medical University, 2021.
    [7]
    韩雪灵, 李靓, 徐玉萍. 基于OSCE的全科专业住院医师规范化培训实践技能结业考核成绩分析[J]. 中国毕业后医学教育, 2020, 4(6): 565-568. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202006024.htm

    HAN X L, LI L, XU Y P. Results of assessment of clinical practice skills during standardized training of general practitioners based on OSCE assessment mode[J]. Chin J Grad Med Educ, 2020, 4(6): 565-568. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202006024.htm
    [8]
    姜睿, 王永晨, 姜礼红, 等. 全科住院医师规范化培训考核体系的应用与评价研究[J]. 中国全科医学, 2020, 23(25): 3212-3215, 3219. doi: 10.12114/j.issn.1007-9572.2019.00.590

    JIANG R, WANG Y C, JIANG L H, et al. Application and Evaluation of Standardized General Medicine Residency Training Assessment System[J]. Chinese General Practice, 2020, 23(25): 3212-3215, 3219. doi: 10.12114/j.issn.1007-9572.2019.00.590
    [9]
    郝佳佳, 丘惠嫦, 莫隽全, 等. OSCE应用于住培医师结业考试实施中相关问题的思考[J]. 继续医学教育, 2023, 37(1): 125-128. doi: 10.3969/j.issn.1004-6763.2023.01.032

    HAO J J, QIU H C, MO J Q, et al. Thoughts on Problems in Implementation of Applying OSCE to Graduation Tests for Residents[J]. Continuing Medical Education, 2023, 37(1): 125-128. doi: 10.3969/j.issn.1004-6763.2023.01.032
    [10]
    杜妍蓉, 陈彦桦, 王培成, 等. 置信职业行为在全科医学领域的应用现状与展望[J]. 中国全科医学, 2022, 25(19): 2307-2314. doi: 10.12114/j.issn.1007-9572.2022.0235

    DU Y R, CHEN Y Y, WANG P C, et al. Entrustable Professional Activities in General Practice: Applications and Prospects[J]. Chinese General Practice, 2022, 25(19): 2307-2314. doi: 10.12114/j.issn.1007-9572.2022.0235
    [11]
    BAGHUS A, GIROLDI E, MURIS J, et al. Identifying entrustable professional activities for shared decision making in postgraduate medical education: a national delphi study[J]. Acad Med, 2021, 96(1): 126-133. doi: 10.1097/ACM.0000000000003618
    [12]
    叶晨静, 张弦, 周淑颖, 等. 操作技能直接观察评估考核在全科住院医师规范化培训中的应用及效果评价[J]. 诊断学理论与实践, 2021, 20(3): 311-313. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDLS202103020.htm

    YE C J, ZHANG X, ZHOU S Y, et al. Application and effect evaluation of direct observation on procedural skills in standardized training for general practitioner[J]. Journal of Diagnostics Concepts & Practice, 2021, 20(3): 311-313. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDLS202103020.htm
    [13]
    王世魁, 张云波, 宋艳玲, 等. 全科专业基地出科考核中模拟技能考核的组织与实施探讨[J]. 中国毕业后医学教育, 2022, 6(4): 302-306. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202204004.htm

    WANG S K, ZHANG Y B, SONG Y L, et al. Exploration on the organization and implementing of mock skill rotation assessment in general practice residential training bases[J]. Chin J Grad Med Educ, 2022, 6(4): 302-306. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202204004.htm
    [14]
    赵旭东, 高贝贝, 李雷. "心身医学-导师负责制"新模式在全科规范化培训中的探索[J]. 医学研究杂志, 2023, 52(4): 189-192. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYZ202304041.htm

    ZHAO X D, GAO B B, LI L. Exploration of the new model of "Psychosomatic medicine-tutor responsibility system" in the standardized training of general practice[J]. Journal of Medical Research, 2023, 52(4): 189-192. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYZ202304041.htm
    [15]
    王燕, 黄敏, 丁志良, 等. 标准化病人在培养全科住院医师医患沟通能力中的应用探索[J]. 中国毕业后医学教育, 2020, 4(4): 315-319. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202004007.htm

    WANG Y, HUANG M, DING Z L, et al. The application of standardized patients in cultivating doctor-patient communication ability of general practice residents[J]. Chin J Grad Med Educ, 2020, 4(4): 315-319. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202004007.htm
    [16]
    彭涛, 汤镇海, 邹川, 等. 全科医师规范化培训中医患沟通现状调查[J]. 中华全科医学, 2022, 20(1): 134-137, 168. doi: 10.16766/j.cnki.issn.1674-4152.002295

    PENG T, TANG Z H, ZHOU C, et al. Investigate on status quo of doctor-patient communication skills in standardized training of general practice[J]. Chinese Journal of General Practice, 2022, 20(1): 134-137, 168. doi: 10.16766/j.cnki.issn.1674-4152.002295
    [17]
    李衬衬. 结合LAP的形成性评价对全科住院医师接诊能力培养作用的探讨[D]. 佳木斯: 佳木斯大学, 2022.

    LI C C. Discussion on the effect of formative evaluation of LAP on the training of admission ability of general practice residents[D]. Jiamusi: Jiamusi University, 2022.
    [18]
    刘宣言, 黄劼, 胡巧巧, 等. 目标教学法结合PDCA循环在全科住培门诊教学中的应用[J]. 中国继续医学教育, 2023, 15(16): 60-65. doi: 10.3969/j.issn.1674-9308.2023.16.013

    LIU X Y, HUANG J, HU Q Q, et al. Application of Target Teaching Method Combined With PDCA Cycle in Standardized Outpatient Teaching and Training of General Department[J]. Chin Continuing Med Educ, 2023, 15(16): 60-65. doi: 10.3969/j.issn.1674-9308.2023.16.013
    [19]
    中国医师协会. 中国医师协会关于发布住院医师规范化培训手术操作指导等教学活动指南的通知(医协函〔2022〕413号)[EB/OL]. (2022-08-05)[2022-09-09]. https://www.ccgme-cmda.cn/news/14873/article.

    Chinese Medical Doctor Association. Notice of the Chinese Medical Doctor Association on Issuing Guidelines on Standardized Training for Resident Doctors, Surgical Operation Guidance and other Teaching Activities (Letter of the Medical Association (2022) No. 413)[EB/OL]. (2022-08-05)[2022-09-09]. https://www.ccgme-cmda.cn/news/14873/article.
    [20]
    中国医师协会. 中国医师协会关于发布《住院医师规范化培训教学活动指南(2021年版)》的通知(医协函〔2021〕883号)[EB/OL]. (2021-12-13)[2022-09-09]. https://www.ccgme-cmda.cn/news/13963/article.

    Chinese Medical Doctor Association. Notice of the Chinese Medical Doctor Association on the Release of the Guide to Standardized Training and Teaching Activities for Resident Doctors (2021 Edition) (Letter of the Medical Association (2021) No. 883)[EB/OL]. (2021-12-13)[2022-09-09]. https://www.ccgme-cmda.cn/news/13963/article.
    [21]
    王宜, 叶瑜, 林锋, 等. 住院医师规范化培训结业临床实践能力考核全国统考模式的建立及探索[J]. 中国毕业后医学教育, 2021, 5(3): 254-257. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202103015.htm

    WANG Y, LIN Y, LIN F, et al. Exploration of the establishment of the national unified examination mode for the graduation assessment of clinical practice ability after standardized residency training[J]. Chin J Grad Med Educ, 2021, 5(3): 254-257. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202103015.htm
    [22]
    齐学进. 以党的二十大精神为指导, 推进住培质量建设再上新台阶: 在2022年住院医师规范化培训高峰论坛上的主旨报告[J]. 中国毕业后医学教育, 2023, 7(1): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202301001.htm

    QI X J. Promoting the quality construction of standardized residency training to a higher level guided by the spirits of 20th National Congress: keynote speech on the 2022 Summit Forum of China' s Standardized Residency Training[J]. Chin J Grad Med Educ, 2023, 7(1): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202301001.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (91) PDF downloads(8) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return