[1]宋桂瑜,刘振荣,方合志,等.分层递进过程考核模式在检验住院医师规范化培训中的应用探索[J].现代检验医学杂志,2026,41(03):188-191.[doi:10.3969/j.issn.1671-7414.2026.03.034]
　SONG Guiyu,LIU Zhenrong,FANG Hezhi,et al.Exploration of the Application of a Tiered Progressive Process Assessment Model in the Standardized Training of Laboratory Residents[J].Journal of Modern Laboratory Medicine,2026,41(03):188-191.[doi:10.3969/j.issn.1671-7414.2026.03.034]
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分层递进过程考核模式在检验住院医师规范化培训中的应用探索()

《现代检验医学杂志》[ISSN:/CN:]

卷:
第41卷
期数:
2026年03期
页码:
188-191
栏目:
质量控制 实验室管理
出版日期:
2026-05-13

文章信息/Info

Title:
Exploration of the Application of a Tiered Progressive Process Assessment Model in the Standardized Training of Laboratory Residents
文章编号:
1671-7414（2026）03-188-04
作者:
宋桂瑜a，刘振荣a，方合志a，张永明b，马玲玉a，崔 巍a
国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院a.检验科；b.教育处，北京100021
Author(s):
SONG Guiyu a，LIU Zhenrong a，FANG Hezhi a，ZHANG Yongming b，MA Lingyua，CUI Wei a
a.Department of Clinical Laboratory; b.Department of Education, National Cancer Center/ National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China
关键词:
住院医师规范化培训; 检验医学科; 过程考核; 分层递进; 反馈评价
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2026.03.034
文献标志码:
A
摘要:
目的建立分层递进的过程考核模式，体现检验专业特色，提升检验住院医师岗位胜任力。方法①通过建立过程考核制度、题库和考官团队等构建分层递进考核模式。②将中国医学科学院北京协和医学院肿瘤医院检验基地住院医师分成高年级住院医师和低年级住院医师，并对其从日常考核、出科考核、年度考核、模拟考核四个层面进行分层递进过程考核模式的应用探索。③将临床思维能力考核纳入分层递进过程考核模式中，高、低年级住院医师考核内容分层递进。④对分层递进考核模式应用成效进行总结和反馈评价。结果分层递进过程考核模式在该基地应用效果显著，近三年北京市结业考核通过率保持100%；检验基地住院医师岗位胜任力较之前有明显提高，多次获得北京市和院级奖项；检验基地教学成果显著提升，2024年首次申请获得北京市教学课题1项，累计获得院级教学课题13项，发表教学文章11篇。结论?分层递进过程考核模式在检验住院医师规范化培训中的应用有效提升了检验住院医师的岗位胜任力，推动了检验住院医师规范化培训的质量提升和内涵建设。
Abstract:
Objective To establish a hierarchical, progressive process assessment model that reflects the characteristics of the lab-oratory medicine specialty and enhances the job competence of laboratory medicine residents. Methods A tiered and progressive assessment model was established by implementing a process-based assessment system, a question bank, and an examiner team. Residents at the Standardized Training Base for Clinical Laboratory Physicians, Cancer Hospital of the Chinese Academy of Med-ical Sciences and Peking Union Medical College were divided into senior and junior resident physicians. The application of the tiered and progressive process-based assessment model was explored across four levels: daily assessments, departmental rotation assessments, annual assessments, and simulated assessments. Clinical reasoning skills were incorporated into the tiered and progres-sive process-based assessment model, with assessment content tailored to the respective levels of senior and junior residents. The application effectiveness of the tiered and progressive assessment model was summarized and the feedback evaluation was provid-ed. Results This training base has achieved remarkable results by applying the tiered and progressive process assessment model. The pass rate for the Beijing Residency Final Exam has remained at 100% over the past three years. The competency of resident physicians at the training base has improved significantly compared to previous years, and they have received multiple awards at municipal and institutional levels. The teaching outcomes of the training base have also improved notably, with the base securing its first municipal-level teaching grant in 2024 and accumulating a total of 13 institutional-level teaching grants. The base has also pub-lished 11 teaching-related articles. Conclusions The application of a tiered progressive process assessment model in the evaluation of standardized training for resident physicians has effectively enhanced the job competence, thereby promoting the improvement of training quality and the development of substantive content in the standardized training program.

参考文献/References:

[1] 陈静勿,列潮炜,余林,等.知识输入与输出——以岗位胜任力为目标的放射科住院医师规范化培训的教学实践[J].中国毕业后医学教育,2025,9(2):91-94. CHEN J W, LIE C W, YU L, et al. Knowledge input and output——the teaching practice of standardized residency training in radiology department aiming at post competence[J]. Chinese Journal of Graduate Medi-cal Education, 2025, 9(2): 91-94.
[2] 宋桂瑜,刘振荣,张永明,等.分层递进培养模式在检验医学科住院医师规范化培训中的应用[J].现代检验医学杂志,2024,39(2):181-183, 191. SONG G Y, LIU Z R, ZHANG Y M, et al. Application of a tiered progressive training model in the standardized residency training on laboratory medicine[J]. Journal of Modern Laboratory Medicine, 2024, 39(2): 181-183, 191.
[3] 姚瑶,陈璐,屈琪,等.广东省住院医师规范化培训基地临床实践保障现状调查与分析[J].中华医学教育杂志,2025,45(2):146-151. YAO Y, CHEN L, QU Q, et al. Investigation and analysis of clinical practice guarantee mechanisms in standardized training base for residents in Guangdong Province[J]. Chi-nese Journal of Medical Education, 2025, 45(2): 146-151.
[4] 谭颖,洪月慧,李佳,等.“大带小”教学模式在肌电图临床教学中的探索及效果评价[J].协和医学杂志,2025,16(1):263-268. TAN Y, HONG Y H, LI J, et al. Near peer learning in neurology residency training on electromyography[J]. Medical Journal of Peking Union Medical College Hos-pital, 2025, 16(1): 263-268.
[5] 黄贇,沈珍珍,吴丽丽,等.基于核心胜任力的科普+师生角色互换病例讨论教学模式在全科住院医师规范化培训中的应用[J].中国毕业后医学教育, 2025, 9(2): 117-121. HUANG Y, SHEN Z Z, WU L L, et al. Application of the innovative teaching model of popular science + the role reversal between teachers and students based on core competency in standardized training teaching of general practice residents[J]. Chinese Journal of Gradu-ate Medical Education, 2025, 9(2): 117-121.
[6] 贺涓涓,李莉莉,何霞,等.康复专业住院医师规范化培训结业技能统一考核的组织和效果评价[J].中国康复, 2025, 40(1):60-64. HE J J, LI L L, HE X, et al. The organization and evaluation of the unified assessment of the standardized training for rehabilitation residency physicians after their training[J]. Chinese Journal of Rehabilitation, 2025, 40(1): 60-64.
[7] 王雅楠,王耀,何佳林,等.不同年级住院医师心理健康教育和职业倦怠感研究[J].全科医学临床与教育,2025,23(1):56-59. WANG Y N, WANG Y, HE J L, et al. Investigation on mental health education and job burnout of residents in different grades[J]. Clinical Education of General Prac-tice, 2025, 23(1): 56-59.
[8] 李兰,曹怡,黄丹丹,等.住院医师规范化培训招收考核评价框架构建和考核方式探索[J].中国毕业后医学教育,2025,9(1):37-41. LI L, CAO Y, HUANG D D, et al. Construction of the evaluation framework and methods for resident recruit-ment[J]. Chinese Journal of Graduate Medical Educa-tion, 2025, 9(1): 37-41.
[9] 陈先志,冯其柱,丁升,等.分层递进式教学法在住院医师腹腔镜技能训练中的应用探索[J].中国医疗管理科学,2025,15(1):119-123. CHEN X Z, FENG Q Z, DING S, et al. Application of hierar-chical and progressive teaching in laparoscopic skill training for resident standardized training physicians[J]. Chinese Jour-nal of Medical Management Sciences, 2025, 15(1): 119-123.
[10] 肖美霞,施胜铭,温晓红,等.助理全科专业住院医师规范化培训教学门诊中融入思政教育元素的探索与实践[J].全科医学临床与教育,2025,23(1):46-49. XIAO M X, SHI S M, WEN X H, et al. Exploration and practice of integrating civic and political education elements in teaching clinic for residents standardized training of assistant general practitioner[J]. Clinical Ed-ucation of General Practice, 2025, 23(1): 46-49.
[11] 全丽娟,金惠红,庄静,等.改良Mini-CEX在住院医师规范化培训心脏超声教学中的应用研究[J].中国毕业后医学教育, 2025, 9(2): 113-116, 121. QUAN L J, JIN H H, ZHUANG J, et al. Application of modified Mini-CEX in standardized echocardiography training among residents[J]. Chinese Journal of Gradu-ate Medical Education, 2025, 9(2): 113-116, 121.
[12] 李艾为,王冠,孙晓燕,等.基于移动端的实时核心胜任力评估在内科住院医师规范化培训中的应用[J].中华医学教育探索杂志,2025,24(1):121-125. LI A W, WANG G, SUN X Y, et al. Real-time core compe-tency assessment by Mobile terminal in the standardized training of internal medicine residents[J]. Chinese Journal of Medical Education Research, 2025, 24(1): 121-125.
[13] 周杰,金莹,韩德雄,等.中医住培过程考核体系构建[J].中国中医药现代远程教育,2025,23(2):160-162. ZHOU J, JIN Y, HAN D X, et al. Construction of the as-sessment system for the process of standardized training of traditional Chinese medicine residents[J]. Chinese Medicine Modern Distance Education of China, 2025, 23(2): 160-162.
[14] 张梅,陈艳芹,张懿刚.教学督导模式在住院医师规范化培训中的作用研究[J].中国标准化,2025(4):261-264. ZHANG M, CHEN Y Q, ZHANG Y G. Study on the role of teaching supervision model in the standardized training of resident doctors[J]. China Standardization, 2025(4): 261-264.
[15] 康莹,梁亚玲,李玥,等.情境教学对全科住院医师核心胜任力的影响[J].中国毕业后医学教育,2025,9(1):67-71. KANG Y, LIANG Y L, LI Y, et al. Influence of simu-lation-based education on core competency of general practice resident physicians[J]. Chinese Journal of Graduate Medical Education, 2025, 9(1): 67-71.

相似文献/References:

[1]宋桂瑜,刘振荣,张永明,等.分层递进培养模式在检验医学科住院医师规范化培训中的应用[J].现代检验医学杂志,2024,39(02):181.[doi:10.3969/j.issn.1671-7414.2024.02.033]
　SONG Guiyu,LIU Zhenrong,ZHANG Yongming,et al.Application of A Tiered Progressive Training Model in the Standardized Residency Training on Laboratory Medicine[J].Journal of Modern Laboratory Medicine,2024,39(03):181.[doi:10.3969/j.issn.1671-7414.2024.02.033]

备注/Memo

备注/Memo:
基金项目：北京市2024年住院医师规范化培训质量提高项目（住培2024069）；中国医学科学院肿瘤医院住培教学研究课题（E2025007）。
作者简介：宋桂瑜（1989-），女，本科，主管技师，主要研究方向：临床免疫学检验，E-mail：1016749822@qq.com。
通讯作者：崔巍（1969-），女，博士，研究员，主要研究方向：临床检验诊断学，E-mail：wendycuiwei@sina.cn。
更新日期/Last Update: 2026-05-15