住院医师心电图诊断能力训练新模式

2015-10-16李岳春革丽莎

浙江医学教育 2015年1期

关键词：能力研究

李岳春，革丽莎

(温州医科大学附属第二医院，浙江温州 325027)

住院医师心电图诊断能力训练新模式

李岳春，革丽莎

(温州医科大学附属第二医院，浙江温州 325027)

目的：对比研究床旁心电图诊断训练新模式与传统的带教模式在住院医师心电图学习中的作用。方法18名轮转住院医师，分为床旁训练组和传统带教组，2组住院医师跟随带教老师学习时间为2个月。研究前后均行心电图诊断能力测试，比较2组心电图测试成绩的差异。结果经2个月带教学习后，2组心电图诊断成绩均较研究开始前有显著提高，但是与传统带教组相比，床旁训练组末次心电图成绩更高(P<0. 05)。结论积极主动的床旁心电图诊断能力训练新模式有助于提高住院医师心电图诊断分析能力。

心电图；教学效果；床旁训练

Abstract:[Objective]The study was designed to compare the efficacy of “bedside training” and “traditional training” teaching methods in electrocardiography interpretation skills among resident doctors. [Method]Two groups (n = 9) received “bedside training” and “traditional training” in electrocardiography interpretation skills for 2 months, respectively. Electrocardiography interpretation scores on beginning and final tests were used as main outcome measure. [Result]After training for 2 months, electrocardiography interpretation scores in two groups were higher than those in the beginning. The final electrocardiography interpretation scores in the “bedside training” group were signi cantly increased compared with the “traditional training” group(P<0.05). [Conclusion]Teaching electrocardiography interpretation with “bedside training” method may be more useful for resident doctors than with “traditional training” method.

Keywords: electrocardiography; efficacy of teaching; bedside training

已有研究显示，在临床工作中颇多临床医师甚至内科医师缺乏必要的心电图诊断能力[1]，这可能与国内住院医师培训考核模式相关。美国的一项有关住院医师培训调查发现，住院医师的阅读和诊断心电图的能力绝大多数来源于床旁的训练，而不是来源于教室里抽象的心电图理论教学课程[2]。本研究采用积极的床旁心电图诊断能力训练新模式，与被动的传统住院医师带教方法进行比较，评价床旁模式是否能进一步提高住院医师心电图诊断水平。