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Application of Differentiated Training Program for Ophthalmic Postdoctoral Trainees in Peking Union Medical College Hospital
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摘要:
目的 探索差异化培养方案在北京协和医院眼科临床医学博士后学员培养中的实施效果。 方法 选取2018—2020级北京协和医院眼科临床医学博士后学员为评估对象。根据学员的教育背景和能力水平，制订差异化培养方案和进阶式手术培训体系，横向比较分析临床医学博士后学员与同年级其他学员的理论考核成绩，纵向比较分析临床医学博士后学员连续3年理论与技能综合评估成绩及发展趋势，并通过核心胜任力模型分析学员3年间在职业素养、沟通合作、病人照护、知识技能、教学能力和终生学习6个维度的纵向发展趋势。 结果 第1年、第3年临床医学博士后学员的理论考核成绩较同年级其他学员高，临床医学博士后学员的理论与技能综合水平逐年提高，第3年临床医学博士后学员6个维度的核心胜任力均得到有效发展。 结论 差异化培养方案可有效提升临床医学博士后学员的综合水平，为培养高层次复合型医学精英人才作出了积极有益的探索。 Abstract:Objective To establish a differentiated training program for ophthalmic postdoctoral students and explore its teaching effects in the Department of Ophthalmology, Peking Union Medical College Hospital. Methods All of the in-training clinical postdocs were evaluated. The differentiated training program and the stepwise surgical training system were established based upon different education backgrounds. The results of the theoretical examination of clinical postdocs and other students were analyzed by horizontal comparison, and the development of theory and skill levels was analyzed by longitudinal comparison. The progress of postdocs in the past three years was also evaluated through the competence model in six dimensions of professionalism, skills of communication and cooperation, patient care, knowledge and skills, teaching ability, and lifelong learning. Results The median scores of theoretical examination of the first- and third-year postdocs were higher than those of other students, and the levels of theory and skill of the postdocs improved year by year. The postdocs effectively developed in all six dimensions of the competence model in the third year. Conclusion The differentiated training program can effectively improve the integrated skills of postdocs and creates favorable conditions for the cultivation of high-level medical talents. 作者贡献：陈迪负责提出构思、撰写论文; 于伟泓、张潇、张扬参与研究设计及论文修订; 张美芬负责总体把关、审校论文。利益冲突：所有作者均声明不存在利益冲突志谢：感谢所有参与该项目研究的带教老师和学员。 -
表 1 北京协和医院眼科临床医学博士后学员连续3年理论与技能综合评估成绩比较
临床医学博士后学员 综合评估成绩1 综合评估成绩2 综合评估成绩3 第1年学员 93.08 (90.33，96.83) - - 第2年学员 88.88 (85.50，92.25) 94.30 (94.10，94.50) - 第3年学员 85.00 (83.00，87.00) 92.05 (91.78，92.31) 94.65 (94.2，95.1) 注：综合评估成绩采用中位数(最小值，最大值)描述 
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