协和医学杂志

2021, v.12(01) 136-140

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新型冠状病毒肺炎疫情防控期间住院医师核心胜任力调查研究
Investigation on the Core Competency of Residents during Coronavirus Disease 2019 Outbreak

石羽茜;李玥;朱惠娟;张硕;魏怡真;常星;罗林枝;贾雪妍;朱丹彤;张抒扬;
SHI Yu-xi;LI Yue;ZHU Hui-juan;ZHANG Shuo;WEI Yi-zhen;CHANG Xing;LUO Lin-zhi;JIA Xue-yan;ZHU Dan-tong;ZHANG Shu-yang;Department of Education,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Gastroenterology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Endocrinology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Me

摘要(Abstract):

目的探讨新型冠状病毒肺炎(简称"新冠肺炎")疫情作为突发干预因素对于不同阶段住院医师培养的影响,以及基于胜任力为核心的毕业后医学培养方案对住院医师能力培养的提升作用,为优化研究生阶段医学教育提供参考。方法在新冠肺炎疫情防控工作取得阶段性胜利后,采用问卷调查的方式对169名临床医学博士后及515名临床医学专业型研究生进行匿名网络问卷调查。分析临床医学博士后和专业型研究生对于核心胜任力的认知及自评差异。结果临床医学博士后回收有效问卷141份(83.43%,141/169),专业型研究生回收有效问卷264份(51.26%,264/515),两群体中,均超过85%的学员"认同"或"非常认同"疫情期间对于医生职业有了更深刻的理解。胜任力自评结果显示,除"自我提高"条目无差别外,其他条目临床医学博士后自评得分均显著高于专业型研究生(P均<0.05)。结论新冠肺炎疫情作为突发干预因素,对住院医师胜任力认知具有提升作用;采用住院医师核心胜任力为核心的毕业后医学教育模式能够全面提升学员的综合能力,是有效的住院医师培养方案;建议院校教育阶段应注重住院医师职业规划教育,进一步探索与毕业后教育紧密结合的院校教育新模式。
Objective To investigate the impact of the outbreak of coronavirus disease 2019(COVID-19) as an intervention factor on residency training at different stages, and look into the enhancement effect of post-graduation medical training program based on competency of residency training, so as to provide reference for the optimization of medical education at the postgraduate stage. Methods After the initial success of COVID-19 prevention and control, 169 clinical postdoctoral trainess(clinical postdocs) and 515 graduatestudents specializing in clinical medicine(professional postdocs) were surveyed by an anonymous online questionnaire. To analyze the differences of cognition and self-evaluation of core competence between the two groups. Results There were 141 valid questionnaires collected from clinical postdocs(83.43%, 141/169) and 264 valid questionnaires collected from professional postdocs(51.26%, 264/515). In both groups, more than 85% of the students agreed or strongly agreed that they had a deeper understanding of the profession of doctors during the epidemic. The results of competency self-evaluation showed that, except for the items of "self-improvement", the self-evaluation scores of clinical postdoctoral students on other items were significantly higher than those of professional postdoctoral students(all P<0.05). Conclusions COVID-19, as a factor of emergency intervention, can improve the competency cognition of residents. The core-competency based post-graduation medical education model can comprehensively improve the students' comprehensive ability, which is an effective training program for residents. It is suggested that the vocational planning education for residents should be paid attention to in the stage of college education, and a new mode of college education that is closely combined with the post-graduation education should be further explored.

关键词(KeyWords): 新型冠状病毒肺炎;临床医学博士后;住院医师;核心胜任力
coronavirus disease 2019;clinical postdoctoral trainee;resident;core competency

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基金项目(Foundation): 北京协和医学院研究生教育教学改革项目(10023201700103)

作者(Author): 石羽茜;李玥;朱惠娟;张硕;魏怡真;常星;罗林枝;贾雪妍;朱丹彤;张抒扬;
SHI Yu-xi;LI Yue;ZHU Hui-juan;ZHANG Shuo;WEI Yi-zhen;CHANG Xing;LUO Lin-zhi;JIA Xue-yan;ZHU Dan-tong;ZHANG Shu-yang;Department of Education,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Gastroenterology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Endocrinology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Me

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