Abstract:

Objective To evaluate the efficacy of the competency-oriented residents training in department of Neurology. Methods The graduates and residents who had completed or were taking resident training at Department of Neurology, Peking University Third Hospital from 2016 to 2020 were included in this analysis. Questionnaires or one-to-one interviews were used for all the subjects to evaluate this training, with the evaluation contents including neurology knowledge and skills, and the humanity quality related content. Results A total of 40 subjects were included. The overall satisfaction of the training was 85%. The most beneficial teaching method was "student-centered" cases analysis teaching (90%). The contents that they wanted to learn included neuroimaging (82.5%), electrocardiogram and chest X-ray (70%), electromyography and electroencephalogram (65%). The diseases knowledge for the regular residents to improve were the diagnosis and treatment of common diseases, while for the graduates were rare diseases. The improved aspects in humanistic quality included compassion and love injury (75%), occupational pride (65%), sense of responsibility (62.5%). Conclusions Competency-oriented neurology resident training mode is helpful to improve professional knowledge and skills as well as humanistic quality.

Key words: Resident training; Post competency; Neurology; Teaching

摘要：

目的 评价胜任力为导向的神经内科住院医师培训模式的效果。 方法 选取2016-2020年在北京大学第三医院神经内科完成或正在参加住院医师培训的研究生、 规范化培训的基地学生和住院医师，采取问卷调查或一对一访谈的形式对目前神经内科的系统模式 培训效果进行评价，包括神经内科知识和技能评价以及人文相关内容评价两方面。 结果 共纳入40名医师，培训总体满意度为85%。获益最大的带教方式是“学生为主体”的病例导入 学习（90%），希望培训的内容包括神经影像学（82.5%）、心电图和胸片等内科基础知识（70%）、肌 电图和脑电图（65%）。最需要提升的疾病种类规培生更多希望掌握常见疾病的诊断和处理，八年制 及硕士研究生则把培训的需求放在罕见疾病的认识和提高。人文素质提升较大的方面包括同情心 和爱伤观念（75%）、职业自豪感（65%）、责任意识（62.5%）。 结论 胜任力为导向的神经内科住院医师培训模式有助于提高专业知识和技能以及人文素质。

关键词: 住院医师培训; 岗位胜任力; 神经内科; 教学