CAJ | 학술논문

目的提高外科实习医师临床技能,提高外科学教学水平.方法选择上海交通大学2009级临床医学专业135名实习医师为研究对象,随机分为实验组和对照组.对照组采取传统教学方法,实验组采用包括标准化个体教学、递进式操作培训及充分参与临床实践等内容的规范化临床强化培训.外科实习结束后,对比分析实验组学生强化培训前后的徒手打结、器械缝合打结成绩,以及实验组与对照组学生的客观结构化临床考试成绩,从而评估强化培训的教学效果.结果实验组学生经过强化培训后,徒手打结平均增加15个/分钟,器械缝合打结平均提高0.8个/分钟,培训前后学生成绩的差异具有统计学意义.实验组学生的客观结构化临床考试成绩明显高于对照组学生,成绩的差异具有统计学意义.结论规范化临床强化培训能够显著提高外科实习医师临床技能.
목적 제고외과실습의사림상기능,제고외과학교학수평.방법 선택상해교통대학2009급림상의학전업135명실습의사위연구대상,수궤분위실험조화대조조.대조조채취전통교학방법,실험조채용포괄표준화개체교학、체진식조작배훈급충분삼여림상실천등내용적규범화림상강화배훈.외과실습결속후,대비분석실험조학생강화배훈전후적도수타결、기계봉합타결성적,이급실험조여대조조학생적객관결구화림상고시성적,종이평고강화배훈적교학효과.결과 실험조학생경과강화배훈후,도수타결평균증가15개/분종,기계봉합타결평균제고0.8개/분종,배훈전후학생성적적차이구유통계학의의.실험조학생적객관결구화림상고시성적명현고우대조조학생,성적적차이구유통계학의의.결론 규범화림상강화배훈능구현저제고외과실습의사림상기능.
Objective We explored to enhance the level of surgical education and to improve the clinical skills of the surgical interns.Methods 135 interns from Shanghai JiaoTong University specializing in clinical medicine in grade 2009 were randomized into control group and experimental group.The interns from the control group received the traditional training,and those from the experimental group received the standardized clinical intense training,which includes standardized individual teaching,progressive operation training and full participation in clinical practice.To assess the effectiveness of the intense training,the average scores of the experimental group in knot typing and suturing before and after training were compared,and the after-training objective structured clinical examination (OSCE) score of the experimental group was also compared with the control group.Results After training,the average score of the experimental group was increased by 15 pre minutes in knot typing and 0.8 per minute in suturing.And in the after-training OSCE,the experimental group performed better than the control group.The differences in scoring above were all statistically significant.Conclusions The standardized clinical intense training can significantly improve the clinical skills of the interns,and has promotional value.