立足负压病房构建以岗位胜任力为导向的感染科住院医师规范化培训“微病房”教学

doi:10.19871/j.cnki.xfcrbzz.2025.03.017

新发传染病电子杂志 ›› 2025, Vol. 10 ›› Issue (3): 99-104.doi: 10.19871/j.cnki.xfcrbzz.2025.03.017

• 教育园地 • 上一篇

立足负压病房构建以岗位胜任力为导向的感染科住院医师规范化培训“微病房”教学

董旭, 徐爱静, 朱彤, 葛玲玲, 李成忠, 许明晓

上海长海医院感染科,上海 200433

收稿日期:2025-02-09 出版日期:2025-06-30 发布日期:2025-07-24
通讯作者: 许明晓,Email：18301997552@163.com
基金资助:
1.海军军医大学第一附属医院教学研究与改革项目（CHJG2020011）;2.军队生物安全专项分中心课题（2020-K-1-0430）

Construction of "micro-ward" teaching guided by post competence in the standardized training for resident physicians in department of infectious diseases based on negative pressure ward

Dong Xu, Xu Aijing, Zhu Tong, Ge Lingling, Li Chengzhong, Xu Mingxiao

Department of Infectious Diseases, Changhai Hospital, Shanghai 200433, China

Received:2025-02-09 Online:2025-06-30 Published:2025-07-24

摘要/Abstract

摘要： 目的探讨在负压病房中构建以岗位胜任力为导向的“微病房”教学并将其应用于感染科住院医师规范化培训（standardized training for resident physicians,STFRP）中的效果。方法采用试验对照方法,将2024年8月至2025年2月于上海长海医院感染科参加STFRP的115名学员随机入组为研究组（n=56）和对照组（n=59）,研究组采用以岗位胜任力为导向的“微病房”教学模式,对照组采用传统教学模式,通过理论考核、技能考核、病例分析、岗位胜任力评价和问卷调查评估学习效果。结果研究组学员总成绩、理论考核、技能考核、病例分析和岗位胜任力评价分数均高于对照组（P<0.05）,其中理论考核中的多项选择题,技能考核的流畅度,病例分析中临床判断能力、治疗决策能力、人文关怀素养、整体胜任能力等具体项目的成绩差异有统计学意义（P<0.05）。问卷调查显示,研究组的“促进协同合作、提高学科兴趣、增加理论收获”3个条目的综合态度系数F值最高。两组进行比较,研究组9个条目的F值均高于对照组,其中“加强自主学习、鼓舞临床热情、激发科研兴趣”的F值差异最大。结论在传染科负压病房中将以岗位胜任力为导向的“微病房”教学应用于STFRP中可有效提升学员培训结束的考核成绩,提高学员对传染病的关注度,有效促进协同合作。

关键词: 负压病房, 岗位胜任力, 传染科, 住院医师规范化培训, “微病房”

Abstract: Objective To explore the construction of "micro-ward" teaching guided by post competence in negative pressure wards and the effect of it in the standardized training for resident doctors(residential training) in department of infectious diseases. Method A total of 115 trainees who participated in residential training in the department of infectious diseases of Changhai Hospital from August 2024 to February 2025 were randomly assigned to the study group (n=56) and the control group (n=59). The study group adopted the "micro-ward" teaching mode guided by post competency, while the control group adopted the traditional teaching mode. The learning effect was evaluated through theoretical examination, skill examination, case analysis, post competency evaluation and questionnaire survey. Result The total score, theoretical assessment, skill assessment, case analysis and post competency assessment scores of the study group were higher than those of the control group (P<0.05). Among them, the scores of multiple-choice questions in theory assessment, fluency in skill assessment, clinical judgment ability, treatment decision-making ability, humanistic care literacy, overall competence and other specific items in case analysis had statistical significance (P<0.05). The questionnaire survey showed that F value of the comprehensive attitude coefficient of the study group in three items of "promoting collaborative cooperation, improving subject interest and increasing theoretical gain" was highest. Compared between the two groups, F values of 9 items in the study group were higher than those in the control group, among which F values of "strengthening independent learning, encouraging clinical enthusiasm and stimulating scientific research interest" had the greatest difference. Conclusion In the negative pressure ward of department of infectious diseases, the application of "micro-ward" teaching guided by post competence in residential training can effectively improve the assessment results of students at the end of training, improve students' attention to infectious diseases, and effectively promote cooperation.

Key words: Negative pressure ward, Post competence, Department of Infectious Diseases, Standardized training for resident physicians, Micro-ward

中图分类号:

R192.3
R51

董旭, 徐爱静, 朱彤, 葛玲玲, 李成忠, 许明晓. 立足负压病房构建以岗位胜任力为导向的感染科住院医师规范化培训“微病房”教学[J]. 新发传染病电子杂志, 2025, 10(3): 99-104.

Dong Xu, Xu Aijing, Zhu Tong, Ge Lingling, Li Chengzhong, Xu Mingxiao. Construction of "micro-ward" teaching guided by post competence in the standardized training for resident physicians in department of infectious diseases based on negative pressure ward[J]. Electronic Journal of Emerging Infectious Diseases, 2025, 10(3): 99-104.

参考文献

[1] 董旭, 朱彤, 陈怡, 等. 基于遗忘曲线的传染科住培医师对乙肝规范化诊疗的认知调查[J]. 中国当代医药, 2024, 31(9): 116-119, 125.
[2] 程雁鹏, 张振, 舒跃龙, 等. 基于"同一健康"理念的重点传染病综合监测体系建设专家共识[J/CD]. 新发传染病电子杂志, 2023, 8(4): 69-79.
[3] MCCLELLAND DC.Testing for competence rather than for "intelligence"[J]. Am Psychol, 1973, 28(1): 1-14.
[4] FRENK J, CHEN L, BHUTTA ZA, et al.Health professionals for a new century: transforming education to strengthen health systems in an interdependent world[J]. Lancet, 2010, 376(9756): 1923-1958.
[5] AUXIER N, WOODRUFF LL.Job satisfaction and intent to leave among dedicated education unit and traditional clinical teachers[J]. J Contin Educ Nurs, 2018, 49(12): 575-580.
[6] PEDREGOSA S, FABRELLAS N, RISCO E, et al.Implementing dedicated education units in 6 European undergraduate nursing and midwifery students clinical placements[J]. BMC Nurs, 2021, 20(1): 61.
[7] 郭松, 任志伟, 胡永生, 等. 基于DEU理念的“微病房”教学在神经外科住院医师规范化培训中的应用研究[J]. 中华医学教育探索杂志, 2023, 22(10): 1561-1564.
[8] 罗凌云, 林林, 夏彦, 等. 主动应对“X疾病”、筑牢国门生物安全屏障的思考[J/CD]. 新发传染病电子杂志, 2024, 9(4): 44-47.
[9] 中国医师协会. 中国医师协会关于印发住培内容与标准、基地标准(2022年版)的通知(医协函〔2022〕557号)[EB/OL].(2022-08-05)[2023-09-09]. https://www.ccgme-cmda.cn/news/15117/article.
[10] ZAKI HA, YIGIT Y, SHABAN E, et al.The utility of the mini-clinical evaluation exercise (mini-CEX) in the emergency department: a systematic review and meta-analysis evaluating the readability, feasibility, and acceptability of mini-CEX utilization[J]. Cureus, 2023, 15(8): e44443.
[11] FU Y, ZHAO G, SHAN J, et al.Study on a job competence evaluation system for resident physicians (including integrated postgraduates) receiving standardized training[J]. BMC Med Educ, 2023, 23(1): 834.
[12] 董旭, 徐爱静, 刘亚允, 等. 情景模拟联合SP教学在军校住培学员传染病学中的应用[J]. 中国继续医学教育, 2024, 16(2): 54-59.
[13] 潘懋元. 高等教育研究方法[M]. 北京:高等教育出版社2008:199-203.
[14] 王军霞, 王权, 严春泽, 等. 新型冠状病毒肺炎疫情下以全科医师岗位胜任力为目标的住院医师规范化培训的思考[J]. 中华全科医师杂志, 2021, 20(6): 713-717.
[15] 陈丽敏, 刘振国. 浅谈感染科门诊住培医生临床思维培养[J]. 中国继续医学教育, 2022, 14(6): 170-173.

立足负压病房构建以岗位胜任力为导向的感染科住院医师规范化培训“微病房”教学

Construction of "micro-ward" teaching guided by post competence in the standardized training for resident physicians in department of infectious diseases based on negative pressure ward

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