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目的探讨以需求为导向的一年资全科医师规范化培训学员集中技能培训及考核方法。方法以天津市医师规范化培训医学实践技能培训中心99名一年资全科医师规范化培训基地学员为研究对象,根据全科医师规范化培养标准细则要求,结合全科医师职业特点,通过调查问卷分析,确定全科医师临床基本技能模拟训练与知识强化教育的需求,制定标准的培训课程,培训全科师资队伍,使用标准考核及评价方法测评培训效果,对所有学员培训前后的理论、技能掌握程度进行对比分析,评价课堂效果。结果学员认为培训的目的最主要是为了更好的胜任本职工作(68.69%)、完成规范化学习(58.59%)、提升临床技能(58.59%);最需要的知识与技能为临床技能操作(95.96%)和临床诊疗能力(88.89%);最喜欢的培训方式是视频、讲授与操作相结合(68.69%);最喜欢的人文课程是医患沟通(51.51%)。培训前后操作技能掌握程度及综合成绩对比差异均有统计学意义(P<0.001),培训后学员成绩均有提高。结论以全科医师培训的需求为依据确定标准培训课程,进行规范化培训,应用科学的评价体系可显著提高临床基本技能及相关理论集中培训的效果。
Objective To explore demand-oriented one-year general practitioners standardized training of trainees focus skills training and assessment methods. Methods Ninety-nine one-year general practitioners training bases in Tianjin Medical Practitioners Training Center were selected as research subjects. According to the requirements of standardized training for general practitioners, combined with the occupational characteristics of general practitioners, through questionnaire analysis, Determine the basic clinical practice of general practitioners to simulate training and knowledge-intensive education needs, develop standard training courses, training of teachers in general disciplines, the use of standard assessment and evaluation methods to evaluate the effectiveness of training, training of all participants before and after the theory, skills mastery Comparative analysis, evaluation of classroom effect. Results The participants believed that the main purpose of training was to better perform their duties (68.69%), to complete standardized learning (58.59%) and to improve clinical skills (58.59%); to use the most needed knowledge and skills for clinical skills operation (95.96% ) And clinical diagnosis and treatment ability (88.89%). The most liked training methods are video, teaching and operation (68.69%), and the favorite humanistic course is doctor-patient communication (51.51%). The degree of mastery of operation skills before and after training and the comparison of comprehensive scores showed significant differences (P <0.001), and the scores of trainees increased after training. Conclusion The standard training curriculum is defined based on the needs of general practitioner training, and standardized training is conducted. Applying the scientific evaluation system can significantly improve the effectiveness of clinical basic skills and relevant theories focused training.