由临床能力大赛谈住院医师临床能力培养影响因素

摘要

目的：分析北京市住院医师临床能力大赛结果，探讨住院医师临床能力培养的影响因素。方法对北京市外科住院医师临床能力大赛250名参赛者的基本情况和考核结果进行统计分析。结果住院医师辅助检查判读、接诊患者成绩及对医疗法律法规的知晓程度较低(67.59±13.87、69.21±16.28、64.45±5.36)；修改实习学生病历、书写病理申请单、危重病通知书和出院医嘱的能力较差(30.31±16.84、70.26±7.51、75.15±14.68、63.49±18.27)。结论住院医师临床能力大赛有利于检验住院医师水平，结业考核、指导老师带教意识、住院医师培训的积极性和主动性等影响住院医师临床能力培养。%Objective To analyze the results of the residents' clinical competency competition,and discuss the influ-ence factors of the cultivation of the residents' clinical ability. MethOd We made statistic analysis of the general condition and the performance of the competition of the 250 residents. Result The score of the auxiliary examination interpretation,dealing with patients and the awareness of health law and regulations were low ( 67. 59 ± 13. 87, 69. 21±16. 28,64. 45±5. 36). The ability of modifying the students' records,writing pathology application,critically ill noticing and writing discharge instructions were bad(30. 31±16. 84,70. 26±7. 51,75. 15±14. 68,63. 49± 18. 27). COnclusiOn The clinical competency competition of residents is helpful to test the residents' clinical abili-ty. System,social factors,the graduation examination,the teachers' teaching consciousness and the enthusiasm and initiative of the residents influence the cultivation of clinical ability of the residents.