| 基金项目:首都医科大学宣武医院教育教学改革研究课题(2018XWJXGG-16，2019XWJXGG-15) |
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| 中文摘要: |
| 目的 探讨模拟病例库在急诊住院医师岗位胜任力培养中的应用效果。方法 选择2018年6月至2019年10月在首都医科大学宣武医院急诊科轮转的规范化培训住院医师63人，分为观察组32人和对照组31人。观察组应用急诊模拟案例库进行培训，对照组应用理论讲授和单项技能培训等常规培训方法。通过理论考核、技能考核的方式，比较两种培训方法对急诊住院医师诊疗能力、医学知识、人际沟通能力、基于实践的学习和改进等岗位胜任力的区别。分别对两组进行问卷调查，对岗位胜任力进行自评和满意率调查，比较两组评分的区别。采用SPSS 19.0软件进行t检验和卡方检验。结果 观察组住院医师在医学知识[（43.53±9.26）分]、技能操作成绩[（7.32±1.03）分]评分与对照组[（42.47±8.64）分、（7.24±1.12）分]比较，差异无统计学意义（P>0.05），但在临床诊疗能力、职业素养、人际沟通能力、基于实践的学习和改进方面评分均高于对照组（均P<0.05）。调查问卷自评显示观察组医学知识[（4.23±0.46）分]、技能操作自评得分[（4.05±0.52）分]与对照组[（4.14±0.38）分、（3.98±0.69）分]比较，差异无统计学意义（P>0.05），但在职业素养、人际沟通能力、临床诊疗能力和基于实践的学习和改进能力方面自我评分均高于对照组（P<0.05）。观察组对教学方法满意率也大于对照组（P=0.020）。结论 应用模拟案例库对急诊规范化培训住院医师进行培训，可以提高岗位胜任力，具有良好的培训效果。 |
| 英文摘要: |
| Objective To study the effect of simulated case base on the training of resident’s post competency in the department of emergency. Methods The study selected 63 residents who had the standardized training in the Department of Emergency, Xuanwu Hospital of Capital Medical University from June 2018 to October 2019, and they were randomly divided into observation group (n=32) and control group (n=31). The observation group was trained by emergency simulated case base, while the control group was trained by routine training methods such as theoretical lecturing and single skill training. The differences between the two training methods in the abilities of diagnosis and treatment, medical knowledge, interpersonal communication, practice-based learning and improvement of post competencies were compared by means of theoretical and operational assessments. Two groups were investigated with questionnaires, self-evaluation and satisfaction degree of post competency, and the differences between the two groups were compared. SPSS 19.0 software was used for t test and chi-square test. Results There was no significant difference in the scores of medical knowledge and skill operation between the observation group [(43.53± 9.26) points and (7.32±1.03) points] and the control group [(42.47±8.64) points and (7.24±1.12) points] (P>0.05). However, the scores of clinical diagnosis and treatment ability, professional accomplishment, interpersonal communication ability and practice-based learning and improvement were all significantly higher in the observation group than those in the control group (P<0.05). The questionnaire self-assessment showed that there was no significant difference in scores of medical knowledge and skill operation between the observation group [(4.23±0.46) points and (4.05±0.52) points] and the control group [(4.14±0.38) points and (3.98±0.69) points] (P>0.05), and the self-evaluation scores of professional accomplishment, interpersonal communication ability, clinical diagnosis and treatment ability, practice-based learning and improvement ability were higher than those in the control group (P<0.05). The satisfaction with teaching method in the observation group was also higher than that in the control group (P=0.020). Conclusion The application of simulated case base can improve post competency in the standardized training of residents in the department of emergency, with good training effect. |
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