目的 探讨层级管理模式在中医住院医师规范化培训中的应用效果.方法 选取2022年9月威海市中医院的44名中医住院医师规范化培训学员为研究对象,按照随机数字表法分为直管组(22例)与层级管理组(22例),直管组采用常规管理方法,层级管理组采用层级管理方法,两组学员均培训6个月.比较两组的核心胜任力、病历档案库质量评分、考试成绩,核心胜任力涵盖职业素养、知识技能、患者照护、沟通合作.结果 培训6个月后,层级管理组的知识技能得分[(18.55±1.10)分]、患者照护得分[(18.73±0.63)分]、病历档案库质量评分[(99.09± 0.23)分]均高于直管组[(17.18±1.05)、(17.55±1.41)、(97.35±0.35)分],差异有统计学意义(P<0.01);两组的职业素养、沟通合作、考试成绩比较,差异无统计学意义(P>0.05).结论 在中医住院医师规范化培训中应用层级管理模式,有利于中医住培学员的核心胜任力培养,可有效提高管理效率.
Objective To explore the application effect of hierarchical management model in the standardized training of resident doctors of traditional Chinese medicine.Methods A total of 44 traditional Chinese medicine residents in Weihai Hospital of Traditional Chinese Medicine in September 2022 were selected as the research objects.According to the random number table method,they were divided into direct management group(22 cases)and hierarchical management group(22 cas-es).The direct management group adopted conventional management method,and the hierarchical management group adopted hierarchical management method,and the trainees in both groups were trained for 6 months.The core competency,quality score of medical record archive and exam score two were compared between the groups.Core competency included professional quality,knowledge and skills,patient care and communication and cooperation.Results Six months after train-ing,the scores of knowledge and skill([18.55±1.10]points),patient care([18.73±0.63]points)and medical record archive quality([99.09±0.23]points)in the hierarchical management group were higher than those in the direct management group([17.18±1.05],[17.55±1.41]and[97.35±0.35]points),the differences were statistically significant(P<0.01).There were no significant differences in professional quality,communication and cooperation,and examination scores between the two groups(P>0.05).Conclusion The application of hierarchical management mode in the standardized training of resident doctors of traditional Chinese medicine is conducive to the cultivation of core competence of traditional Chinese medicine residents and can effectively improve management efficiency.