目的：探索临床病理讨论会模式在全科医生肾脏科轮岗培训中的应用效果，促进全科医学培养目标的实现。方法选择2009年8月～2012年12月在临沂市人民医院肾脏科接受规范化培训的全科医生65人，在肾脏科轮岗期间，每周进行1次临床病理讨论会，轮岗结束时考核理论、技能、病历书写等效果，问卷调查全科医生对临床-病理讨论会模式的评价。结果出科时理论、技能考核及病历书写成绩均合格，考核优秀者分别为60（92．31％）人、62（95．38％）人、58/（89．23％）人。问卷调查全科医生认为临床病理讨论会调动了学习的主动性、积极性，提高了诊治社区肾脏相关疾病的理论及实践能力。结论临床-病理讨论会模式对全科医生掌握肾脏疾病理论及实践技能教学有积极意义，有助于保证全科医学教学目标的实现。%Objective To explore the effects of clinical pathological conference in rotation training of gen-eral practitioner in nephrology department to promote the realization of general practice training goal . Methods From August ,2009 to December ,2012 ,65 general practitioners from Linyi City People’s Hospi-tal who have accepted standardized training for general practitioners were enrolled .They actively participa-ted in clinical pathological conference in nephrology department one time a week .theory ,skills and medi-cal record writing At the end of rotation training ,the training effects were assessed in knowledge ,skills and writing medical history .Questionnaires were used to survey general practitioners’ evaluation of the mode of clinical pathological conference .Results The knowledge ,skills and medical record writing were all up to standard ,and the excellence rates were is 60 (92 .31% ) ,62 (95 .38% ) and 58/(89 .23% ) respective-ly .The survey results showed that the general practitioners gave high evaluation to the mode of clinical pathological conference ,and the mode can mobilize the initiative and enthusiasm and can improve the theo-retical and practical ability in the diagnosis and treatment of kidney diseases in community .Conclusion Clin-ical pathological conference has positive effect on general practitioners’ knowledge and practice skills and can help to ensure the realization of general medical teaching goal .
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