| 基金项目:北京大学医学部教育教学研究项目（2022ZD01） |
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| 中文摘要: |
| 目的 探讨基于ACGME核心能力的Milestones评价系统在风湿免疫科住院医师规范化培训中的应用效果。方法 制定改良后的风湿免疫科Milestones评价表，对2023年5月之前在岗的第1~3年级规范化培训的150名住院医师进行自我评分和导师评分，收集结果并进行统计分析，应用SPSS 27.0进行单因素方差分析和t检验。结果 全部住院医师的自评及师评评分均随着培训时长逐年增长。2年级的医学知识（t=2.95，P=0.006）、诊疗能力（t=2.57，P=0.015）、学习能力（t=2.67，P=0.015）方面，3年级的学习能力方面（t=2.87，P=0.007）师评与自评差异均有统计学意义，自评分数大于师评分数（P<0.05）。不同来源的住院医师的入规培基地基线评分和能力提升差异无统计学意义（P>0.05）。结论 Milestones评价体系可用于风湿免疫科专业方向住院医师的培训考核及反馈，并反馈住培基地的培训效果，值得推广。 |
| 英文摘要: |
| Objective To explore the application effect of the milestone evaluation system based on ACGME core competencies in the standardized training of residents in the department of rheumatology and immunology.Methods A modified Milestone Evaluation Scale was developed for the department of rheumatology and immunology. Self evaluation and mentor evaluation were conducted on 150 residents who received standardized training in grades 1-3 before May 2023. The results were collected and statistically analyzed. One-way analysis of variance and t-test were performed using SPSS 27.0.Results The self-evaluation and mentor evaluation scores of all residents increased with the training years. Self-evaluation scores were significantly higher than mentor evaluation scores (P<0.05) for the medical knowledge (t=2.95, P=0.006), diagnosis and treatment ability (t=2.57, P=0.015), and learning ability (t=2.67, P=0.015) of grade 2 residents and the learning ability (t=2.87, P=0.007) of grade 3 residents. There were no significant differences in the baseline score and ability improvement of residents from different institutions (P>0.05).Conclusions The milestone evaluation system is an effective tool for training, assessing, and providing feedback to residents in rheumatology and immunology, and provides essential feedback to resident training bases regarding the training effectiveness. The method is worth promoting. |
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