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| 中文摘要: |
| 目的 为全面了解广东省住院医师规范化培训神经外科专业培训基地运行现状及存在的问题。方法 按中国医师协会毕业后医学教育神经外科专业委员会制定的《住院医师规范化培训评估指标——外科（神经外科方向）专业基地》评分细则，对28家培训基地进行督导评估。收集28家神经外科培训基地督导的评分结果，将培训基地按传统教学历史分为两类，传统医学院校附属医院6家、非传统的附属/教学医院22家。采用GraphPad 5.0软件对14项核心指标情况进行统计学分析，用t检验、方差分析和卡方检验进行分析。结果 发现传统教学医院与非传统教学医院14项核心指标达标率差异具有统计学意义（P = 0.003），技能操作和手术种类及数量（P = 0.041）与学员轮转计划（P =0.012）这两项差异也具有统计学意义。结论 本研究提示传统教学医院培训基地管理综合能力明显优于非传统教学医院，建议加强专业基地建设、加强基地制度化管理，实现神经外科住院医师的同质化培训。 |
| 英文摘要: |
| Objective To comprehensively understand the operational status and existing problems of the neurosurgery professional training bases for standardized residency training in Guangdong Province. Methods According to the scoring rules of "Standardized Residency Training Evaluation Indicators—Surgery (Neurosurgery) Professional Base" formulated by the Post-Graduation Medical Education Neurosurgery Professional Committee of the Chinese Medical Doctor Association, 28 training bases were supervised and evaluated. The scoring results of the supervision of 28 neurosurgery training bases were collected, and the training bases were divided into two categories according to the traditional teaching history, 6 affiliated hospitals of traditional medical schools and 22 non-traditional affiliated/teaching hospitals. GraphPad 5.0 software was used for statistical analysis of the 14 core indicators, and t-test, variance analysis and Chi-square test were used for analysis. Results The results showed that there was a statistically significant difference in the compliance rate of 14 core indicators between traditional teaching hospitals and non-traditional teaching hospitals (P = 0.003), skill operation and type and number of surgeries (P = 0.041) and student rotation plan (P = 0.012). The differences were also statistically significant. Conclusion This study reveals that the comprehensive management ability of training bases in traditional teaching hospitals is significantly better than that in non-traditional teaching hospitals. Additionally, it's suggested to strengthen the construction of professional bases, enhance the institutionalized management of bases, and thus realize the homogenization training of neurosurgery residents. |
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