1492023年/第15期/5月渐进式分阶段教学在血透进修医师培训中的应用周玥1，戴丹2，陈晓霞1*（1.南京医科大学附属南京医院（南京市第一医院）肾病中心江苏南京210006；2.南京医科大学附属南京医院（南京市第一医院）血液科江苏南京210006）摘要文章将2019年7月至2022年6月进入南京市第一医院血透室学习的43名基层医院进修医师作为培训研究对象，按随机数字表法分为渐进式教学组20名和传统法带教组23名。半年期培训结束后，比较两组学员考核得分及能力测评的差异，并将考核总分（理论+操作得分）与学员性别、年龄及学历进行Pearson相关分析。结果显示：渐进式教学组与传统法带教组医师的理论和操作考核成绩差异有统计学意义（P<0.05），学员考核总分与学历成正相关（P<0.05）。渐进式教学组在学习兴趣、自学能力、病例处理能力和血透管理能力较传统带教的医师有明显的提高（P<0.05）。表明渐进式分阶段教学可以提高专业血透医师培训期间的临床综合能力及岗位胜任力。关键词渐进式教学；阶段教学；血透医师培训中图分类号：G642文献标识码：ADOI:10.16400/j.cnki.kjdk.2023.15.048ApplicationofProgressivePhasedTeachingProgramintheTrainingofHemodialysisRefresherPhysiciansZHOUYue1,DAIDan2,CHENXiaoxia1(1.DepartmentofNephrology,NanjingFirstHospital,NanjingMedicalUniversity,Nanjing,Jiangsu210006;2.DepartmentofHematology,NanjingFirstHospital,NanjingMedicalUniversity,Nanjing,Jiangsu210006)AbstractForty-threeprimarycaredoctorswhoenteredthehemodialysisunitofNanjingFirstHospitalfromJuly2019toJune2022wereusedasthetrainingstudysubjects,andweredividedinto20intheprogressiveteachinggroupand23inthetraditionalmethodteachinggroupaccordingtotherandomnumbertablemethod.Attheendofthesix-monthtrainingperiod,thedifferencesinassessmentscoresandcompetencyassessmentsbetweenthetwogroupswerecompared,andPearsoncorrelationanalysiswasperformedbetweenthetotalassessmentscores(theory+operationscores)andthegender,ageandeducationofthetrainees.Theresultsshowedthattherewasastatisticallysignificantdifferencebetweenthetheoreticalandoperationalassessmentscoresofphysiciansintheprogressiveteachinggroupandthetraditionalmethodgroup(P<0.05),andthetotalassessmentscoresofthetraineeswerepositivelyco...
