Application of clinical examiner competition model in teacher training and general practitioners 'core ability training
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摘要: 目的 探讨临床考官竞赛模式在临床师资培训和全科医师核心能力培养中的应用效果。 方法 两年来通过在上海市嘉定区中心医院开展临床考官竞赛与对规范化培训人员年度考核相结合的方式,培训临床师资和培训考核在院规培学员。以上海市住院医师规范化培训临床出科考核标准为蓝本,结合医师核心能力,组织设计考官竞赛内容,参照小型临床评价练习(mini-CEX)考核形式,制订竞赛流程、参赛规则;设计制订竞赛评分表和考官对学员的考评表;院内、外教学督导专家作为竞赛评委;科内预赛后选拔参赛考官,参赛考官选择真实病例编写考核案例,标准化病人为科内助理全科规培学员。被考核学员为在院规培全科医师满一年以上的学员,成绩作为本年度考核的技能考核成绩。竞赛结束时,专家组反馈竞赛中的优、缺点;参赛考官分享参赛感想;督导专家、参赛考官共同探讨改进考核案例的编写;分管教学的领导总结发言,提出进一步的改进措施和带教要求,并将竞赛模式、内容和经验推广应用到临床带教和考核过程中。 结果 规培学员院内外各类考试和执业考试合格率都明显提高,2015年规范化培训学员首次参加执业医生注册考试合格率均为100%。 结论 临床考官竞赛模式能够提高全科医师培养中教与学的效果,值得在全科医师培训中借鉴和推广。Abstract: Objective To explore the impact of examiner competition mode in clinical training and developing the core competence of general practitioner. Methods During the past two years,the model combined with examiner competition and annual appraisal for standardized training of personnel were adopt in the clinical teacher training and on-site student training in our hospital.According to Shanghai Resident Standardization Training Clinical Criteria of Assessment,considering core ability of physicians,the examiner competition was designed(including competition procedure rules);in reference to mini-CEX test,the competition score table and examiner's evaluation form for students were designed.Both internal and external teaching supervision experts were invited as judge for this contest.Examiners were selected based on the internal preliminary contest.The cases for the assessment were selected by the examiners from the real case of illness.The students taking part in the general practitioner education and training were chosen as standardizationpatients.General practitioners who had already received the training over 1 year participated in this competition,and the result was recorded as the skill assessment score for the current year.After the competition,experts group gave a summary of merit and demerit.Examiners shared their participating testimonials.Teaching supervision expert discussed along with examiners to improve the assessment case.Hospital leader who takes charge in the education gave a summary report and raised the improvement measure and education requests.In this process,the competition mode,content,and experience were applied to the clinical teaching and examination. Results The qualified rate of training students in all kinds of test and practice test inside and outside hospital were significantly.In 2015,the qualified rate of trained students in the first attending medical licensing examination was 100%. Conclusion Examiners competition mode can improve the effect of general practitioner training and learning.It is worth for reference and promotion in general practitioners training.
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Key words:
- Examiner competition /
- Teacher training /
- General practitioners /
- Ability training
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