不同标准化培训模式对眼科全科医生培训效果的比较

Fen-fen Yu, Li-Hun Huo, Yihua Su, Yongchong Chen, S. Gan
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摘要

目的比较不同标准化培训模式对眼科全科医生的培训效果。方法选取2017年7月至2018年9月中山大学第一附属医院眼科基地培训的34名全科医生,随机分为前医技术组和前门诊组。Mini-CEX分别在他们入职时和培训结束后两周进行。使用完全随机独立样本t检验比较两组之间的得分差异。结果前医疗技术组Mini-CEX入组(19.71±1.57)与半月后(39.41±1.91)比较,差异有统计学意义(t=-32.889, P<0.01)。前门诊组Mini-CEX入组(19.65±1.69)与半月后(34.71±2.62)比较,差异也有统计学意义(t=-19.922, P<0.01)。两组患者的改善评分分别为(19.71±2.57)分和(15.06±3.77)分,差异有统计学意义(t=4.203, P<0.01)。结论对于接受眼科短期规范化培训的全科医生,术前医学技术室培训(辅助检查室和治疗室)比术前门诊培训能取得更好的培训效果。关键词:全科医学;居民;眼科;标准化的培训;小型临床评估练习(Mini-CEX)
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Comparison of the effects of different standardized training modes for general practitioners in ophthalmology
Objective To compare the effects of different standardized training modes for general practitioners in ophthalmology. Methods A total of 34 general practitioners who were trained in the ophthalmology base of the First Affiliated Hospital, Sun Yat-sen University from July 2017 to September 2018 were randomly divided into the prior-medical technology group and the prior-outpatient group. Mini-CEX was conducted respectively when they were enrolled in the department and two weeks after completion of the training. The difference in scores between the two groups was compared using a completely random independent sample t-test. Results The difference between enrollment (19.71±1.57) and half a month later (39.41±1.91) was statistically significant in Mini-CEX of the prior-medical technology group (t=-32.889, P<0.01). The difference between enrollment (19.65±1.69) and half a month later (34.71±2.62) was also statistically significant in Mini-CEX of the prior-outpatient group (t=-19.922, P<0.01). The improvement of the scores of the two groups were (19.71±2.57) and (15.06±3.77) respectively, the difference was statistically significant (t=4.203, P<0.01). Conclusions For general practitioners who receive short-term standardized training in ophthalmology, better training effect can be achieved by prior-medical technology room training (auxiliary examination room and treatment room) than prior-outpatient training. Key words: General medicine; Resident; Ophthalmology; Standardized training; Mini-clinical evaluation exercise (Mini-CEX)
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