| 潘波,王未寒.以岗位胜任力为导向的中医规培医师中医药适宜技术教学实践研究[J].浙江中医药大学学报,2024,48(10):1311-1314. |
| 以岗位胜任力为导向的中医规培医师中医药适宜技术教学实践研究 |
| Research on Teaching Practice of Appropriate Technologies of Traditional Chinese Medicine for Standardized Training Doctors of Traditional Chinese Medicine Oriented by Post Competency |
| DOI：10.16466/j.issn1005-5509.2024.10.019 |
| 中文关键词: 岗位胜任力 中医药 适宜技术 中医规培 教学 人才培养 基层医疗 医改 |
| 英文关键词: post competency traditional Chinese medicine appropriate technology traditional Chinese medicine training teach personnel training primary medical care medical reform |
| 基金项目:金华市重大(重点)科学技术研究计划项目(2021-3-144)；2021 年浙江中医药大学附属医院科研专项(2021FSYYZQ02) |
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| 中文摘要: |
| [目的] 开展中医药适宜技术教学实践，提升中医医师规范化培训(以下简称规培)学员岗位胜任力。[方法] 在本基地选取近三年150余名中医规培住院医师进行随机分组，实验组采用360度迷你临床演练评估(mini-clinical evaluation exercise，Mini-CEX)和理论考核方式进行评价，培养结束后委托第三方专家进行客观结构化临床考试(objective structured clinical examination，OSCE)考核，对照组采取普通规培模式，并对两组学员培训结果进行比较。根据现行中医医师规培培养模式存在的不足，对本次中医药适宜技术教学实践进行综合评价。[结果] 教学实践研究结果表明，融入中医药适宜技术培训的中医医师规培学员在中医药服务能力和中医药适宜技术岗位胜任力方面确实优于普通规培模式。在阶段性考核与Mini-CEX评价中，实验组考核平均分为(94.51±1.54)分，对照组考核平均分为(80.22±1.17)分；在中医药适宜技术实操模块考核中，实验组平均分为(96.78±1.56)分，对照组平均分为(76.11±1.72)分，差异均有统计学意义(P<0.05)。[结论] 将中医药适宜技术培养融入中医医师规培，不仅能够打造一支中医药实践能力突出、中医药服务能力出色的中医医师队伍，丰富中医医师规范化内涵建设，也能为中医药适宜技术人才培养和技术推广提供新的思路。 |
| 英文摘要: |
| [Objective] To carry out the teaching practice of Chinese medicine appropriate technology in order to improve the job competence of the trainees in the standardised training of Chinese medicine doctors. [Methods] More than 150 Chinese medicine physicians training residents were randomly grouped in our base in the past 3 years. The experimental group was evaluated by 360-degree mini-clinical evaluation exercise(Mini-CEX) and theoretical assessment， and third-party experts were commissioned to conduct objective structured clinical examination(OSCE) assessment at the end of the training; the control group was evaluated by ordinary training mode，and OSCE assessment was commissioned by third-party experts； the control group adopted the ordinary training mode， and the training results of the two groups of trainees were compared. According to the deficiencies of the current training mode of standardised training of Chinese medicine doctors， a comprehensive evaluation of the teaching practice of Chinese medicine appropriate technology was carried out. [Results] The results of this teaching practice showed that the TCM residents integrated into the training of Chinese medicine suitable technology were indeed superior to the ordinary training mode in terms of Chinese medicine service ability and Chinese medicine suitable technology post competence. The average score of experimental group of TCM residents who received appropriate technical training in TCM was (94.51±1.54) points， which was higher than the average score of control group(80.22±1.17) points. The assessment results of the practical operation module for suitable techniques in TCM showed that the average score of experimental group receiving training in suitable techniques in TCM residents was (96.78±1.56) points， which was higher than the average score of control group (76.11±1.72)points， and the difference was statistically significant(P<0.05). [Conclusion] Integrating the training of TCM appropriate technology into the standardized training of TCM residents can not only build a team of TCM residents with outstanding TCM practice ability and excellent TCM service ability， enrich the connotation construction of TCM residents’ standardization， but also provide new ideas for the training and promotion of TCM appropriate technology talents. |
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