基层医院新模式住院医师规范化培训教学质量双向评价管理实践体会

目的 了解住院医师规范化培训过程中,住院医师及带教老师存在的主要问题,完善住院医师与带教老师双向评价体系。 方法 2012年10月—2016年3月在某三乙医院进行住院医师规范化培训的住院医师(包括助理全科医师)及其带教老师为本研究的研究对象;收集、分析住院医师与带教老师双向评价情况;向研究对象发放调查表,征求对评价表的意见与建议;并对评价表作进一步完善。 结果 (1)住院医师对带教老师的评价:带教老师的“仪表端庄,举止文明,医德医风好”与“对学生严格要求,全面关心学生成长”项目评分最高,而“学生的科研和论文写作能力得到提高”项目评分最低;(2)住院医师对科室带教质量的评价:“科室按要求安排带教老师”与“科主任对教学工作重视”这两项得分较高,而科室“入科有岗前教育”得分最低。(3)带教老师对住院医师的评价:住院医师的“医德医风”、“服务态度”得分比例最高,而“临床诊断、治疗水平、抢救能力”与“临床分析、判断能力”得分比例最低。 结论 带教老师的带教方式、方法有待改进、提高;住院医师规范化培训中应注意住院医师科研素质的培养;科室的岗前教育有待加强;住院医师临床诊疗能力是最薄弱的一个方面,需加强培养;双向评价的实施,使教学相长。 

Practice and experience of two-way evaluation of teaching quality in standardized resident training program in primary hospital

Objective To investigate the main problems existing in the standardized resident training and to improve the resident-clinical teacher two-way evaluation system. Methods Two-way evaluation was adopted using two-way appraisal scale to assess the performances of both clinical teachers and residents involving in standardized resident training program from October, 2012 to March, 2016 in a Grade 3 Class B hospital. Results Residents' evaluation on clinical teachers:teachers' dignity of manner or appearance, medical ethics and moral, and being demanding and being concerned about residents gained the highest scores, but the ability of scientific research and academic writing the lowest. Residents' evaluation on the departments' teaching quality:clinical teachers allocation as required and departments' directors' paying much attention to teaching gained the highest scores, but departments orientation training the lowest score. Clinical teachers' evaluation on residents:medical ethics and moral and professional attitudes were on the top of the list, but the clinical skills, analyses and decision making hit the bottom. Conclusion Clinical teachers' teaching ability and methods need further improvement. Cultivation of students' scientific research ability and academic writing skill should be emphasized.Much attention should be paid to the orientation training and residents' clinical skills cultivation. Two-way evaluation system could improve the teaching quality.