摘要
目的重症医学在基层医院的实施仍存在不规范的现象。本文主要探讨和总结基层医院的重症临床诊治思路的教学模式。方法由重症基层协作组针对基层医院,撰写7个重症临床诊治思路规范流程,并于2017年在全国基层医院范围内应用,从"理论讲解-案例分析-模拟实战"的教学模式开展教学培训,于培训前后,通过考试评价培训效果。结果总共有15个省共573名重症医学科的临床医生参加培训,培训前考试答题正确率49%,培训后考试答题正确率61%。结论基层医院的重症医生重症诊疗思路能力薄弱,相关教育培训需要继续加强。以"理论讲解-案例分析-模拟实战"的培训模式有助于提高ICU医生重症临床诊疗思路的能力。
Objective The clinical diagnosis and treatment remain unstandardized,and the teaching mode of critical clinical diagnosis and treatment in remote area was investigated and summarized. Methods The Critical Care County Working Group had summarized seven protocols of critical clinical diagnosis and treatment,which have been taught in the hospital located in the remote areas. The teaching mode included the theory,case discussions,and simulated practice. The examination was used to assess the effect of the teaching mode. Results A total of 573 ICU doctors from 15 provinces participated in the teaching courses. The accuracy rate of the examination was 49% at the baseline,then raised to 61% after the teaching course. Conclusions The critical diagnostic thinkings was poor in the remote area hospital,and the education should be further strengthened. The teaching mode of ＂medical theory-case discussion-simulated practice＂may improve the training of critical clinical diagnosis and treatment in the ICU doctors.
出处
《基础医学与临床》
CSCD
2018年第1期141-144,共4页
Basic and Clinical Medicine
基金
北京协和医学院2016年"青年教育学者计划"(2016zlgc0713)
关键词
重症教学
规范化培训
教学模式
重症临床思维
critical care medicine teaching
standardized training
teaching mode
critical clinical thinking
