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优化门诊培训为住院医师的通用医学在培训考试得分:一个横截面研究

Taiju Miyagami¹, Yuji Nishizaki^2,3, Taro Shimizu⁴

¹Department of General Medicine, Faculty of Medicine, Juntendo University, Tokyo, Japan.

BMC medical education

|January 11, 2025

概括

每天最低数量的新门诊访问和一个月的门诊培训与住院医生的更好的临床能力有关. 这一发现对于优化日本的医学教育和患者护理至关重要.

科学领域:

医学教育医学教育
一般医学培训医学培训
住院医生的能力能力.

背景情况:

住院医生的门诊培训在医学教育中越来越重要.
关于门诊培训经验及其对临床能力的影响的研究有限,特别是在日本.
这项研究解决了在日本居民医生中评估门诊护理的需要.

研究的目的:

评估门诊患者接触量与住院医生的临床能力之间的相关性.
评估门诊培训时间与住院医生的临床能力之间的关系.
确定门诊培训的最佳参数,以提高临床技能.

主要方法:

利用了来自日本2,554名PGY 2居民的通用医学培训考试 (GM-ITE) 的数据.
收集了关于教育培训环境的自我报告问卷数据.
采用多层次分析来调查GM-ITE得分与门诊体积/培训时间之间的相关性.

主要成果:

每天遇到1-5名新患者与更高的GM-ITE得分显著相关 (aEC1.99,P=0.01).
一个月的门诊培训与最高的GM-ITE分数相关 (平均分数为46.9).
与一个月相比,更长的培训时间 (两个或三个月) 显示GM-ITE得分下降.

结论:

每天最低限度的新门诊 (1-5) 与基本的临床能力有积极的关联.
一个月的专业门诊培训似乎是增强住院医生的临床技能的最佳选择.
结果表明,特定的指导方针结构门诊轮换,以最大限度地提高居民的学习和能力.

关键词:

临床能力临床能力横截面研究横截面研究门诊培训门诊培训门诊培训住院医生是什么意思

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