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目的:研究基于健康照护矩阵的住院医师临床能力形成性评估的实施效果。方法:选择2013年9月~2015年8月在浙江省安吉县人民医院及总院在培的临床专业住院医师75人为研究对象,按随机数表法分为研究组和对照组,其中研究组38人,对照组37人。研究组应用健康照护矩阵模式进行临床能力的形成性评估。对照组按浙江省新模式住院医师规范化培训要求进行管理。实施1年后进行OSCE考核,比较两组培训成效。结果:研究组考试合格35名,合格率92.1%;对照组合格率83.8%(P<0.05);且研究组OSCE考核总分为(86.83±11.41)分,明显高于对照组的(79.71±10.03)分(P<0.05)。结论:采用健康照护矩阵评估工具对住院医师的临床工作进行周期性定期监测,将住院医师的日常工作与能力评估相联系,可以提高住院医师规范化培训效果。
OBJECTIVE: To study the effectiveness of the formative assessment of the resident’s clinical ability based on the health care matrix. Methods: From September 2013 to August 2015, 75 people were enrolled in the clinical specialty residency of Anji County People’s Hospital and General Hospital of Zhejiang Province from September 2013 to August 2015. The study groups were divided into study group and control group according to random number table method. 38, control group of 37 people. The research team used the health care matrix model to evaluate the formativeness of clinical ability. Control group according to the new model of Zhejiang Province resident standardized training requirements management. One year after the implementation of OSCE assessment, comparison of the effectiveness of the two training. Results: The study group passed the examination with a pass rate of 92.1%. The passing rate of the control group was 83.8% (P <0.05). The OSCE score of the study group was (86.83 ± 11.41) points, which was significantly higher than that of the control group (79.71 ± 10.03) points (P <0.05). CONCLUSION: The health care matrix assessment tools are used to periodically monitor the clinical work of resident physicians. The daily work of residencies and capacity assessment are linked to improve the effect of standardized training of resident physicians.