Abstract:

Objective To analyze the influencing factors for comprehensive clinical skills examination of Beijing neurology residents standardized training, to explore the improvement of the training plan of cerebrovascular disease residents. Methods 2017-2020 Beijing neurology residents’ comprehensive clinical skill examination data were collected, and the possible influencing factors for the exam results were analyzed. Results Logistic regression analysis showed that gender, educational background, professional base scale were the main influencing factors for the performance and passing rate. The multivariate stepwise regression analysis showed that gender, professional base scale, trainee type, and educational background were the influencing factors for auxiliary examination result; and professional base scale was the influencing factor for case analysis assessment result; trainee type was the influencing factor for skill operation performance. Conclusions Female, trainees from large training base and trainees with doctoral degree had a higher pass rate. When formulating a training plan for cerebrovascular disease residents, we should fully consider the specific condition of the trainees, and strengthen the training of the trainees’ shortness, to improve the homogeneity of neurology resident standardized training.

Key words: Resident standardized training; Cerebrovascular disease; Neurology; Clinical skill examination

摘要：

目的 对北京市神经内科住院医师规范化培训结业技能考核成绩的影响因素进行分析，探讨脑血 管病住院医师培训方案的改进。 方法 收集2017-2020年北京市神经内科住院医师规范化培训临床结业技能考核成绩，对技能考 核是否通过，以及辅助检查、病例考核、技能操作及人文沟通等分项成绩的可能影响因素进行多因 素分析。 结果 二元logistic回归分析结果显示，性别、学历、专业基地规模是技能考核通过与否的影响因素。 多元逐步回归分析结果显示，性别、专业基地规模、学员类型、学历是辅助检查成绩的影响因素；专业 基地规模是影响病例考核成绩的影响因素；学员类型是技能操作成绩的影响因素。 结论 女性、大的培训基地学员及博士学历学员通过住院医师规范化培训结业技能考核率更高。 在制订脑血管病学员培养方案时，应充分考虑人员特点，针对其短板进行重点培训，并努力提高专业 基地的质量和同质性。

关键词: 住院医师规范化培训; 脑血管病; 神经内科; 结业技能考核