CAJ | 학술논문

目的了解在北京协和医院内科完成第1年临床培训的住院医师的培训效果.方法通过对北京协和医院2012-2013年完成第1年住院医师培训的内科住院医师进行问卷调查,了解其培训效果以及需求与建议.结果完成第1年培训的内科住院医师共49人,收回问卷49份.培训前住院医师自我报告仅有部分人曾有独立管理病人及值班经验(分别为18人及10人).经过1年培训,所有住院医师(100％)均认为能力有不同程度的提高(尤其是临床实践能力),并顺利通过了相关考核.部分参加调查者认为在带教能力和医患沟通方面仍有明显欠缺[分别有26人(53.1％)和4人(8.2％)],希望通过更多形式的教学活动得到进一步提高,包括值班经验总结/分享会和基础技能培训.第1年培训期间95.9％的住院医师积极参加了内科组织的各项教学活动.结论北京协和医院内科的住院医师培养传统和目前的模式对于第1年住院医师的成长影响重大,重视基本技能培训、开展分层教学对于提高住院医师的综合素质十分必要.
목적 료해재북경협화의원내과완성제1년림상배훈적주원의사적배훈효과.방법 통과대북경협화의원2012-2013년완성제1년주원의사배훈적내과주원의사진행문권조사,료해기배훈효과이급수구여건의.결과 완성제1년배훈적내과주원의사공49인,수회문권49빈.배훈전주원의사자아보고부유부분인증유독립관리병인급치반경험(분별위18인급10인).경과1년배훈,소유주원의사(100％)균인위능력유불동정도적제고(우기시림상실천능력),병순리통과료상관고핵.부분삼가조사자인위재대교능력화의환구통방면잉유명현흠결[분별유26인(53.1％)화4인(8.2％)],희망통과경다형식적교학활동득도진일보제고,포괄치반경험총결/분향회화기출기능배훈.제1년배훈기간95.9％적주원의사적겁삼가료내과조직적각항교학활동.결론 북경협화의원내과적주원의사배양전통화목전적모식대우제1년주원의사적성장영향중대,중시기본기능배훈、개전분층교학대우제고주원의사적종합소질십분필요.
Objective To evaluate the effects of medical residency training program in postgraduate-year-one (PGY-1) residents at Peking Union Medical College (PUMC) Hospital.Methods PGY-I medical residents at PUMC Hospital were surveyed by a self-administered questionnaire after they completed their first year residency.Results Forty-nine residents who completed their first year residency training participated in the survey with a 100％ response rate.Before training,only a few had bedside (n =18) and on-call experiences (n =10).At the end of the one-year-training,all the residents (100％) considered themselves being improved to certain degrees,especially in clinical practice capability,and passed all the examinations.However,53.1％ and 8.2％ of all the residents agreed that they need to improve their abilities in teaching (n =26) and doctor-patient communication (n =4),respectively.All residents hoped to get further improved by taking part in various forms of teaching activities,including experience summary/sharing and basic skills training.During the first year,95.9％ of them participated in all teaching activities in medicine actively.Conclusions The tradition and current models of medical residency training program at PUMC Hospital had a significant impact on professional development of the 1st year resident physicians.It is critical to focus on basic skill training and multi-level teaching to improve residents' clinical competency.