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Development of the System of Training Surgical Skills Based on Hierarchical Progressive Training for Clinical Postdoctoral Trainees
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摘要:
目的 临床医学博士后项目是探索医学精英人才培养的新形式，北京协和医院外科学系以此为依托，探索操作技能进阶培养体系在外科临床医学博士后培养中的可行性。 方法 选取2016—2019级外科临床医学博士后学员和同期接受住院医师规范化培训的医师为研究对象，回顾分析操作技能进阶培养体系的建设过程及培训效果。 结果 初步建立了外科操作技能进阶培养体系，已成功培养三届外科临床医学博士后学员(共26人)，其近3次年度操作技能考核成绩均显著高于同期住院医师。此外，在操作技能进阶培养体系建立过程中，19项教学改革课题项目立项，14篇相关教学论文发表。 结论 操作技能进阶培养体系在外科临床医学博士后的培养过程中具有显著优势; 该体系的建设和完善仍需进一步结合临床医学博士后的实际需求和国家住院医师规范化培训目标。 Abstract:Objective Postdoctoral program in clinical medicine is a new approach to China's exploration of medical elite training. Since 2016, the Department of Surgery of Peking Union Medical College Hospital has explored and gradually established an advanced training system in order to cultivate clinical post-doctoral skills. The purpose of this research is to review and analyze the construction process and training effects of the advanced skill-raining system, and discuss the advantages of the training system and the direction of further improvement. Methods Postdoctoral students of surgical clinical medicine from 2016 to 2019 were evaluated and analyzed on surgical skills, results of the establishment of the system, and the output of scientific research. Results With the currently established preliminary system of progressively training surgical skills, three generations of 26 clinical postdoctoral trainees of surgery have been successfully trained. The surgical postdoctoral students trained by this system have significantly higher annual assessment results of surgical skills than training residents of the same year. In addition, during the establishment of this system, 19 teaching-related reform projects have been established, and 14 papers related to this system have been published. Conclusions The advanced training system of surgical skills has shown obvious advantages in the training process of surgical postdoctoral doctors. The construction and perfection of the system still needs to be further improved in combination with the actual needs of postdoctoral surgeons in surgery and the goal of standardized training for residents. 作者贡献：郭超负责研究设计统筹与文章撰写; 刘磊负责数据收集; 蔺晨、王炜、翟吉良、潘博作为外科临床医学博士后工作小组成员负责项目实施; 梁乃新负责评估工具选择与应用; 田锋、易杰负责协调项目资源及实施方案的讨论及修订; 廖泉、朱惠娟负责项目实施质量监督及指导; 翁习生负责项目整体策划及文章修订。利益冲突：所有作者均声明不存在利益冲突 -
表 1 临床医学博士后学员(研究组)与规培住院医师(对照组)近3次年度考核成绩比较
组别 2019年3月 2019年10月 2020年11月 二年级 三年级 整体 二年级 三年级 整体 二年级 三年级 整体 研究组 88.47±3.12 86.06±3.08 87.21±3.26 87.73±3.28 90.62±3.02 88.42±4.07 89.13±2.55 93.31±4.36 90.77±3.90 对照组 81.37±5.89 82.95±4.98 82.24±5.28 78.51±5.33 81.43±3.94 80.12±4.85 82.60±7.59 87.12±4.88 84.30±7.01 P值 ＜0.001 0.022 ＜0.001 ＜0.001 ＜0.001 ＜0.001 ＜0.001 ＜0.001 ＜0.001 注：年度考核仅针对第二、三年临床医学博士后学员和规培住院医师开展 
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