引用本文:蔡贞,冯厚梅,郑磊.“系统疾病诊断小组”工作模式对检验医师和技师能力提升的实践与思考[J].中华医学教育探索杂志,2024,23(5):662-666
“系统疾病诊断小组”工作模式对检验医师和技师能力提升的实践与思考
Practice and reflection on the enhancement of laboratory physicians and technicians' abilities through the "Systemic Disease Diagnosis Team" working model
DOI:10.3760/cma.j.cn116021-20220714-01558
中文关键词:  系统疾病诊断小组  检验医学  临床思维能力
英文关键词:System disease diagnosis team  Laboratory medicine  Clinical thinking ability
基金项目:南方医科大学高等教育教学改革项目(JG2019113)
作者单位邮编
蔡贞 南方医科大学南方医院检验科广州 510515 510515
冯厚梅 南方医科大学南方医院检验科广州 510515 510515
郑磊* 南方医科大学南方医院检验科广州 510515 510515
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中文摘要:
      为了提高检验科工作人员的临床思维和检测结果的临床解读能力,本研究提出了一种新的工作模式,即“系统疾病诊断小组”模式。该模式借鉴“器官导向教学”和“PBL教学”的指导思想,组织科室检验医师和具有临床医学背景的检验技师从学习疾病诊疗指南和典型案例诊断路径入手,通过多种途径和形式参与临床沟通和合作。该模式的目的是打破检验亚专业界限,强调检验专业知识的融会贯通和相关临床诊疗知识的学习积累,最终具备将检验结果有效转换为诊疗信息的能力。该工作模式已经运行了2年多,科室陆续成立了8个系统疾病诊断小组,小组成员的临床诊疗参与意识和能力得到了显著提升。受邀参加临床会诊和加入多学科诊疗模式(multiple disciplinary team,MDT)团队的人次较前明显增多,并尝试创建具有诊疗意义的检验分析报告和疾病临床诊断检验路径等,受到临床广泛好评。然而,在运行过程中,仍存在需要制定小组成员个性化培养计划和完善系统疾病诊断小组工作制度和管理制度等问题。
英文摘要:
      To enhance the clinical thinking of laboratory personnel and their capability to interpret clinical results, this study proposes a new working model known as the "Systemic Disease Diagnosis Team" mode. Drawing inspiration from the guiding principles of "Organ-oriented Teaching" and "PBL Teaching," this mode organizes laboratory physicians and laboratory technicians with clinical medical backgrounds to engage in learning through disease diagnosis and treatment guidelines and typical case diagnostic pathways. Through various channels and forms, they actively participate in clinical communication and collaboration. The objective of this model is to break down the boundaries of laboratory sub-specialties, emphasizing the integration of laboratory expertise and the accumulation of relevant clinical diagnostic and treatment knowledge. Ultimately, the aim is to develop the ability to effectively translate laboratory results into diagnostic and treatment information. Having been in operation for over two years, eight systemic disease diagnosis teams have been established within the department. Members of these teams have experienced a significant improvement in their awareness and abilities to participate in clinical diagnosis and treatment. The number of invitations to clinical consultations and involvement in multidisciplinary treatment models (MDT) has notably increased. Attempts to create laboratory analysis reports with diagnostic significance and disease clinical diagnostic pathways have been well-received in the clinical community. However, during the operational process, challenges persist, including the need to develop personalized training plans for team members and to refine the working and management systems of the systemic disease diagnosis teams.
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