陈迪;于伟泓;张潇;张扬;张美芬;
CHEN Di;YU Weihong;ZHANG Xiao;ZHANG Yang;ZHANG Meifen;Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences &Peking Union Medical College;

• 1:中国医学科学院北京协和医院眼科

摘要(Abstract)：

目的探索差异化培养方案在北京协和医院眼科临床医学博士后学员培养中的实施效果。方法选取2018—2020级北京协和医院眼科临床医学博士后学员为评估对象。根据学员的教育背景和能力水平,制订差异化培养方案和进阶式手术培训体系,横向比较分析临床医学博士后学员与同年级其他学员的理论考核成绩,纵向比较分析临床医学博士后学员连续3年理论与技能综合评估成绩及发展趋势,并通过核心胜任力模型分析学员3年间在职业素养、沟通合作、病人照护、知识技能、教学能力和终生学习6个维度的纵向发展趋势。结果第1年、第3年临床医学博士后学员的理论考核成绩较同年级其他学员高,临床医学博士后学员的理论与技能综合水平逐年提高,第3年临床医学博士后学员6个维度的核心胜任力均得到有效发展。结论差异化培养方案可有效提升临床医学博士后学员的综合水平,为培养高层次复合型医学精英人才作出了积极有益的探索。
Objective To establish a differentiated training program for ophthalmic postdoctoral students and explore its teaching effects in the Department of Ophthalmology, Peking Union Medical College Hospital. Methods All of the in-training clinical postdocs were evaluated. The differentiated training program and the stepwise surgical training system were established based upon different education backgrounds. The results of the theoretical examination of clinical postdocs and other students were analyzed by horizontal comparison, and the development of theory and skill levels was analyzed by longitudinal comparison. The progress of postdocs in the past three years was also evaluated through the competence model in six dimensions of professionalism, skills of communication and cooperation, patient care, knowledge and skills, teaching ability, and lifelong learning. Results The median scores of theoretical examination of the first-andthird-year postdocs were higher than those of other students, and the levels of theory and skill of the postdocs improved year by year. The postdocs effectively developed in all six dimensions of the competence model in the third year. Conclusion The differentiated training program can effectively improve the integrated skills of postdocs and creates favorable conditions for the cultivation of high-level medical talents.

关键词(KeyWords)： 眼科;临床医学博士后;差异化培养方案;临床技能
ophthalmology;clinical postdoctoral trainee;differentiated training program;clinical skills

Abstract:

Keywords:

基金项目(Foundation): 北京协和医学院小规模特色办学教学改革项目（10023201501003）;北京协和医学院研究生教育教学改革项目（10023201900110）~~

作者(Authors): 陈迪;于伟泓;张潇;张扬;张美芬;
CHEN Di;YU Weihong;ZHANG Xiao;ZHANG Yang;ZHANG Meifen;Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences &Peking Union Medical College;

参考文献(References)：

• [1] 巴德年.协东西之德，和天地之道—巴德年院士在北京协和医院2017级临床医学博士后入站典礼上的讲话[J].协和医学杂志，2017,8:202- 203.
• [2] 魏怡真，潘慧，方卫纲，等.临床医学博士后项目首批考生临床与科研评估分析[J].基础医学与临床，2019,39:153- 156.
• [3] 陈迪，张顺华，卞爱玲，等.适应医院临床工作的白内障手术Wet lab培训模式的建立与实践[J].中国医药导报，2021,18:92- 94,101.
• [4] 陈丹丹，许之民.技术赋能教育革新：以学习者为中心的教学法—英国开放大学《创新教学报告》(2020版)解读[J].成人教育，2021,41:20- 24.
• [5] 韦敬锡，罗小琼，黄炳生，等.布鲁姆认知目标分类学的信息化教学应用与发展趋势[J].教育教学论坛，2020(8):315- 316.
• [6] 曾繁仁.加德纳的“多元智能”理论与美育[J].山东大学学报(哲学社会科学版),2001(4):11- 20.
• [7] 王春华.巴班斯基教学过程最优化理论评析[J].山东社会科学，2012(10):188- 192.
• [8] 张抒扬，潘慧，方卫纲，等.北京协和医院师资培训的实践与发展[J].中华医学杂志，2017,97:1545- 1546.