会商制度在血管神经病学进修医师教学中的应用

目的 探讨会商制度在血管神经病学进修医师教学中的作用。方法 选取2015年4月-2016年3月首都医科大学附属北京天坛医院脑血管病中心的进修医师，在进行传统进修教学的同时，组织进修医师参加病例会商，通过出入科考核和进修医师的满意度调查评价会商制度在血管神经病学进修医师教学中的作用。结果 共有42名进修医师完成了结合会商制度的教学计划。入科考核成绩平均分为（72.1±8.9）分，出科考核成绩平均分为（86.5±9.2）分，有显著差异（P =0.02），进修医师对进修教学的满意度为95.2%。结论 会商制度可以提高进修医师管理血管神经病科患者的综合能力，对提升进修医师教学质量有重要影响。

Application of Consultation System in Teaching Refresher Physicians of Vascular Neurology

Objective To explore the effect of consultation system in teaching refresher physicians of vascular neurology. Methods The physicians who carried out further study in Beijing Tiantan Hospital Cerebral Vascular Center from April 2015 to March 2016 were enrolled into study. They received traditional teaching method and involvement of case consultationat at the same time. The role of consultation system in teaching refresher physicians of Vascular Neurology was assessed by entrance examination and satisfaction survey. Results There were 42 physicians who completed the combination of teaching and consultation system. The mean entrance examination scores were 72.1±8.9, and the mean export examination scores were 86.5±9.2, which had signiifcant difference (P=0.02). The satisfaction rate of teaching method by refresher physicians was 95.2%. Conclusion Consultation system can improve comprehensive capability in patient management of refresher physicians of vascular neurology, which exerts great importance in improving the quality of refresher physicians’ teaching quality.