电子化日常评估在麻醉学住院医师规范化培训中的应用
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摘要
目的研究电子化日常评估在麻醉科住院医师规范化培训的应用效果。方法分析比较既往纸质评估表和近3年的电子化日常评估表的回收率,并通过电子系统提取总结不同年级(1~3年级)和不同来源住院医师(北京协和医院、北京市基地、研究生)的日常评估结果。结果纸质评估表格和电子评估表格的回收率分别为59.5%和96.7%。随着年级的增加,总分和各项评分均逐渐增高。各年级住院的最低分均为麻醉决策/紧急处理的评分;2年级住院医整体表现低于预期的比例最高;3年级整体表现高于预期的比例最高。除麻醉理论知识外,北京市基地住院医师其他各项评分和总分均高于北京协和医院住院医师和规培研究生。相比较基地住院医师和规培研究生,北京协和医院住院医师整体表现低于预期比例最高。教学小组根据不同住院医师日常评估成绩,针对该住院医师的弱项,在排班方面和授课内容方面加以重点培训,从而达到个体化优质高效教学的目的。结论电子化日常评估的考核模式有助于及时全面的了解住院医师的日常工作情况,调整教学方法,逐渐实现过程考核和形成性评价,对提高教学效果有积极的促进作用。
Objective To study the effect of electronic daily assessment on the application of standardized training for residents of anesthesiology department. Methods Compared the feedback rate of the previous paper evaluation form and the electronic daily evaluation submission,and summarized the results of the daily evaluation of residents of different grades and different sources through the electronic system. Results The feedback rate of the paper form and the electronic for was 59. 5% and 96. 7% separately. Comparing the scores of different grads,the total score and sub option scores gradually increased from grade one to grade three. The lowest score of sub options in all grades were anesthetic plan/crisis management scores. The worst overall rating( performance worse than expected)happened in the second-year residents. The best overall rating( performance better than expected) happened in the third-year resident. The residents form other hospitals had higher scores than PUMCH( Peking Union Medical College Hospital) 's residents and graduate students except for the score of theoretical knowledge. The PUMCH's residents got lower score in overall rating. The teaching staff rescheduled and modified the training program according to the educational defect,so as to individualize resident training. Conclusions The daily electronic assessment helps to monitor daily performance of residents in a timely and comprehensive manner,so to adjust teaching methods,and contributes to conduct formative evaluation,which has a positive impact on improving teaching effectiveness.
Objective To study the effect of electronic daily assessment on the application of standardized training for residents of anesthesiology department. Methods Compared the feedback rate of the previous paper evaluation form and the electronic daily evaluation submission,and summarized the results of the daily evaluation of residents of different grades and different sources through the electronic system. Results The feedback rate of the paper form and the electronic for was 59. 5% and 96. 7% separately. Comparing the scores of different grads,the total score and sub option scores gradually increased from grade one to grade three. The lowest score of sub options in all grades were anesthetic plan/crisis management scores. The worst overall rating( performance worse than expected)happened in the second-year residents. The best overall rating( performance better than expected) happened in the third-year resident. The residents form other hospitals had higher scores than PUMCH( Peking Union Medical College Hospital) 's residents and graduate students except for the score of theoretical knowledge. The PUMCH's residents got lower score in overall rating. The teaching staff rescheduled and modified the training program according to the educational defect,so as to individualize resident training. Conclusions The daily electronic assessment helps to monitor daily performance of residents in a timely and comprehensive manner,so to adjust teaching methods,and contributes to conduct formative evaluation,which has a positive impact on improving teaching effectiveness.
引文
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[3]张路,李航,曾学军,等.住院医师电子化培训管理考核体系初探[J].基础医学与临床,2015,35:1296-1298.
[4]李琦,赵峻,罗林枝,等.住院医师培训信息化管理现状和实践[J].基础医学与临床,2016,36:1313-1318.
[5]Riveros R,Kimatian S,Castro P,et al,Multisource feedback in professionalism for anesthesia residents[J].J Clin Anesth,2016,34:32-40.
[2]程波,闵苏,熊秋菊,等.形成性评价应用于临床麻醉实习教学中的探索[J].中华医学教育探索杂,2016,15:51-54.
[3]张路,李航,曾学军,等.住院医师电子化培训管理考核体系初探[J].基础医学与临床,2015,35:1296-1298.
[4]李琦,赵峻,罗林枝,等.住院医师培训信息化管理现状和实践[J].基础医学与临床,2016,36:1313-1318.
[5]Riveros R,Kimatian S,Castro P,et al,Multisource feedback in professionalism for anesthesia residents[J].J Clin Anesth,2016,34:32-40.