[1]宋桂瑜a,刘振荣a,张永明b,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):181-183+191.[doi:10.3969/j.issn.1671-7414.2024.02.033]
 SONG Guiyua,LIU Zhenronga,ZHANG Yongmingb,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(02):181-183+191.[doi:10.3969/j.issn.1671-7414.2024.02.033]
点击复制

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()
分享到:

《现代检验医学杂志》[ISSN:/CN:]

卷:
第39卷
期数:
2024年02期
页码:
181-183+191
栏目:
质量控制·实验室管理
出版日期:
2024-03-31

文章信息/Info

Title:
Application of A Tiered Progressive Training Model in the Standardized Residency Training on Laboratory Medicine
文章编号:
1671-7414(2024)02-181-04
作者:
宋桂瑜a刘振荣a张永明b张立媛a台文琦a焦 彦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 Guiyua LIU Zhenronga ZHANG Yongmingb ZHANG Liyuana TAI Wenqia JIAO Yana CUI Weia
(a.Department of Clinical Laboratory; b.Education Department, 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:
分层递进检验医学科住院医师规范化培训岗位胜任力
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2024.02.033
文献标志码:
A
摘要:
目的 多方面培养检验住院医师的能力,提升检验住院医师岗位胜任力。方法 将招录进入中国医学科学院肿瘤医院检验基地的住院医师分成低年级住院医师和高年级住院医师,根据培养内容和培养目标的不同进行分层递进培养模式的探索,主要从培训计划、过程培养、过程考核三大方面进行分层递进培养的实施。结果 实施分层递进培养模式后住院医师的平均理论成绩提升至90 分以上;技能操作考核平均成绩提升至95 分以上,临床综合能力显著提升;教学科研、荣誉等实现从实施前“无”到实施后“有”的突破;积极促进了检验住院医师岗位胜任力的提高。结论 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对于住院医师岗位胜任力的培养起到良好的推动作用。
Abstract:
Objective To cultivate the ability of laboratory resident physicians in multiple aspects and enhance their postcompetence for laboratory medicine. Methods The residents recruited into the Cancer Hospital of China Academy of Medical Sciences Laboratory Base were divided into junior residents and senior residents. According to the different training contents and objectives, the exploration of the hierarchically progressive training model was carried out, which mainly included three aspects: training plan, process training and process assessment. Results After the implementation of the hierarchical progressive training model, the average theoretical score and the average score in the skill operation examination of the residents increased to over 90 and 95, respectively. Meanwhile, the comprehensive clinical ability was also improved. Breakthroughs of teaching, scientific research and honor were achieved from “nothing” before the implementation to “something” after the implementation, and it actively promoted the improvement of the post-competency of the residents in laboratory medicine. Conclusion The application of the hierarchically progressive training mode in standardized training of residents in laboratory medicine could play a good role in promoting the training of post-competence for residents.

参考文献/References:

[1] 姜连生, 吴洪坤, 王淇泓, 等. 检验医师规范化培训临床教学设置及现状思考[J]. 检验医学与临床,2021, 18(23): 3493-3495. JIANG Liansheng, WU Hongkun, WANG Qihong,et al. Reflections on the clinical teaching settings and current status of standardized training for laboratory physicians[J]. Laboratory Medicine and Clinic, 2021,18(23): 3493-3495.
[2] 姜晓莹, 陈予宁, 冯雪颖, 等. 胜任力为导向的住院医师分层递进式培训模式研究[J]. 中国高等医学教育, 2020(1): 14-15. JIANG Xiaoying, CHEN Yuning, FENG Xueying, et al. A study of a competency-based tiered progressive training model for residents[J]. China Higher Medical Education, 2020(1): 14-15.
[3] 黎四维, 郑芳, 涂建成, 等. 医学检验专业住院医师规范化培训的实践与思考[J]. 中国毕业后医学教育,2021, 5(1): 19-21. LI Siwei, ZHENG Fang, TU Jiancheng, et al. Standardized training of residents in clinical laboratory medicine[J]. Chinese Journal of Graduate Medical Education, 2021, 5(1): 19-21.
[4] 王莉, 田李芳, 高洁, 等. 分层分段式教学在住院医师规范化培训中的探索与实践[J]. 医学教育研究与实践, 2018, 26(4): 704-707. WANG Li, TIAN Lifang, GAO Jie, et al. Exploration and practice of the stratified-grading teaching mode in standardized training of residents[J]. Medical Education Research and Practice, 2018, 26(4): 704-707.
[5] 北京市卫生健康委员会, 北京市中医管理局. 北京市住院医师规范化培训招录工作方案的通知[EB/OL][2020-08-18]. http://wjw.beijing.gov.cn/zwgk_20040/tzgg/202008/t20200818_1985254.html. Beijing Municipal Health Commission, Beijing Administration of Traditional Chinese Medicine. Notice on the recruitment plan for the 2020 Beijing residency standardized training[EB/OL]. [2020-08-18],http://wjw.beijing.gov.cn/zwgk_20040/tzgg/202008/t20200818_1985254.html.
[6] 黄文先, 王卫星, 卢章洪, 等. 临床病理科住院医师规范化培训分层培养教学模式总结及思考[J]. 中国毕业后医学教育, 2022, 6(2): 126-130. HUANG Wenxian, WANG Weixing, LU Zhanghong,et al. Summary and thoughts of the stage training mode on the pathological residents standardized training[J].Chinese Journal of Graduate Medical Education, 2022,6(2): 126-130.
[7] 胡芳, 曾映娟, 梁文, 等. 分层递进式教学法在内分泌及代谢病科住院医师规范化培训中的探索[J]. 教育教学论坛, 2020(23): 249-250. HU Fang, ZENG Yingjuan, LIANG Wen, et al. Exploration of the hierarchical progressive teaching in the standardized training of the residents in department of endocrinology and metabolic diseases[J]. Education Teaching Forum, 2020(23): 249-250.
[8] DE SILVA GARCIA NASCIMENTO J, SIQUEIRA T V, DE OLIVEIRA J L G, et al. Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy[J]. Revista Brasileira De Enfermagem, 2021, 74(1): e20200135.
[9] 柯冀, 张立军, 马山, 等. 分层递进式微创外科技能培训在外科住院医师规范化培训中的应用实践[J].中国毕业后医学教育, 2020, 4(5): 457-461. KE Ji, ZHANG Lijun, MA Shan, et al. Hierarchical and progressive teaching in standardized training of residents of minimally invasive surgery[J]. Chinese Journal of Graduate Medical Education, 2020, 4(5):457-461.
[10] BORG SAPIANO A, SAMMUT R, TRAPANI J. The effectiveness of virtual simulation in improving student nurses’ knowledge and performance during patient deterioration: A pre and post test design[J]. Nurse Education Today, 2018, 62: 128-133.
[11] 郭轶, 李中福. 普外科住院医师规范化培训的差异化教学探讨[J]. 现代医药卫生, 2020, 36(13): 2116-2117. GUO Yi, LI Zhongfu. Discussion different teachings in standardized training of general surgical residents[J].Journal of Modern Medicine & Health, 2020, 36(13):2116-2117.
[12] 王忠山, 牛丽娜, 田敏, 等. 口腔修复专业住院医师规范化培训的分层分段式教学研究[J]. 中华医学教育探索杂志, 2020, 19(8): 956-959. WANG Zhongshan, NIU Lina, TIAN Min, et al. Study on the stratified-grading teaching mode of standardized training of residents in prosthodontics[J]. Chinese Journal of Medical Education Research, 2020, 19(8):956-959.
[13] 高佳, 李佳, 崔婵娟, 等. 多元化教学与过程性考核相结合在临床生化检验教学中的实践[J]. 中华检验医学杂志, 2019, 42(12): 1078-1080. GAO Jia, LI Jia, CUI Chanjuan, et al. Exploration and practice of the combination of pluralistic teaching and process assessment in the clinical biochemical teaching[J]. Chinese Journal of Laboratory Medicine,2019, 42(12): 1078-1080.
[14] 严晓蕾, 潘沛, 王欣倍, 等. 培训基地住院医师规范化培训质量保证体系的建立[J]. 中国医院管理,2019, 39(2): 60-61, 67. YAN Xiaolei, PAN Pei, WANG Xinbei, et al. Establishment of quality assurance system for residents standardized training in training base[J]. Chinese Hospital Management, 2019, 39(2): 60-61, 67.
[15] 袁贤凤, 刘卫华, 邓兰, 等. 以立项形式开展分层递进院级专项教改课题对提高住院医师规范化培训质量的作用研究[J]. 中国毕业后医学教育, 2022, 6(1):65-69. YUAN Xianfeng, LIU Weihua, DENG Lan, et al. Study on the effect of tiered progressive hospital-level item teaching and reform projects in the form of projects on improving the quality of standardized residency training[J]. Chinese Journal of Graduate Medical Education, 2022, 6(1): 65-69.

备注/Memo

备注/Memo:
基金项目: 北京市住培质量提升探索及推广项目(2021jy065):北京市肿瘤外科专科医师一体化培训基地培训效果评价;中国医学科学院肿瘤医院管理研究课题(LC2021D02):通过信息化智能化质量指标监测持续改进检验为临床服务的能力;中国医学科学院医学与健康科技创新工程项目(2021-I2M-C&T-B-056):抗肿瘤药物对血培养病原菌检出的影响研究。
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: 2024-03-15