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Explorations of Clinical Teaching and Training Model for Refresher Anesthesiologists
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摘要:目的 建立麻醉科进修医师临床教学培训模式，并评价其实施效果。方法 选取2023年3—9月在北京协和医院麻醉科进修学习的25名医师为研究对象，在其进修期间实施“导师制-知识更新-临床实践”的临床教学培训模式。于进修学习前、后分别进行测试(包括基础知识、临床思维和沟通技巧)，比较进修医师两次测试的答题成绩，评价培训模式的有效性。同时，收集进修医师对教学培训模式的满意度评价。结果 进修学习前、后试卷的有效回收率分别为84%和100%；学员进修学习后的平均成绩显著高于进修学习前[(10.1±1.1)分比(5.6±1.8)分，P＜0.01]；92%的学员给予了积极反馈。结论 “导师制-知识更新-临床实践”的临床教学培训模式可有效提升进修医师的基础知识、临床思维和沟通技巧，学员满意度较高，具有一定应用价值。Abstract:Objective To establish and evaluate the clinical teaching and training model for refresher anesthesiologists.Methods A total of 25 refresher anesthesiologists from the Department of Anesthesiology in Peking Union Medical College Hospital during the period of March to September 2023 were enrolled. They were taught with the clinical teaching and training model, namely "tutorial system-knowledge update-clinical practice". The refresher anesthesiologists completed the same structured pre-designed questionnaire at the beginning and the end of training respectively. The scores were recorded and compared to evaluate the effectiveness of the clinical training model. Feedback from refresher anesthesiologists about the teaching and training model was also collected.Results Altogether 84%(21/25) and 100%(25/25) of questionnaires distributed were completed respectively, and 92% students gave positive feedback. The mean score at the end of training (10.1±1.1) was significantly higher than that at the beginning (5.6±1.8)(P < 0.01).Conclusion The "tutorial system-knowledge update-clinical practice" clinical teaching and training model was significantly useful to elevate the effectiveness of training refresher anesthesiologists and their satisfaction.
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Keywords:
- anesthesia /
- case-based learning /
- tutorial system /
- continuing medical education
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作者贡献：马满姣负责数据采集、分析和论文撰写；马璐璐负责课题设计和论文修改；王锐颖负责课题实施和数据采集；张秀华负责论文审校。利益冲突：所有作者均声明不存在利益冲突
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图 1 学员对临床教学培训模式的满意度评价
Figure 1. Satisfaction of refreshers on clinical teaching and training model
表 1 25名学员一般情况
Table 1 Demographic charateristics of 25 refreshers
项目 n(%) 性别 男 8(32.0) 女 17(68.0) 工作年限 3~5年 4(16.0) ≥6年 21(84.0) 医院级别 二级 1(4.0) 三级 24(96.0) 职称 中级 23(92.0) 高级 2(8.0) 
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表 2 学员进修学习前、后的答题正确率[n(%)]
Table 2 Accuracy comparison before and after refreshertraining[n(%)]
时间 基础知识 临床思维 沟通技巧 进修学习前 56(53.3) 44(34.9) 9(21.4) 进修学习后 103(82.4) 117(78.0) 29(58.0) χ2值 22.59 52.29 12.59 P值 ＜0.001 ＜0.001 ＜0.001
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