职业与健康 ›› 2026, Vol. 42 ›› Issue (18): 2563-2567.

• 卫生管理与研究 • 上一篇    下一篇

天津市某医院住院医师规范化培训学员入院教育实践路径与效果反馈

张晓玲1, 梁媛2, 方涛1, 盛明薇2, 刘洪亮3()   

  1. 1 天津医科大学附属第四中心医院天津 300142
    2 天津市第一中心医院天津 300222
    3 天津医科大学公共卫生学院天津 300070
  • 收稿日期:2026-03-12 修回日期:2026-06-30 出版日期:2026-09-15 发布日期:2026-08-28
  • 通信作者: 刘洪亮
  • 作者简介:刘洪亮,E-mail:hongliang_liu@sina.com
    张晓玲,女,助理研究员,主要从事卫生管理、毕业后医学教育、流行病与卫生统计学工作。
  • 基金资助:
    2026年天津市卫生健康科技项目(天津市卫生健康委员会)(TJWJ2026MS025)

Practice pathway and effect feedback on orientation education for standardized residency training in a hospital in Tianjin

ZHANG Xiaoling1, LIANG Yuan2, FANG Tao1, SHENG Mingwei2, LIU Hongliang3()   

  1. 1 The Fourth Central Hospital Affiliated to Tianjin Medical UniversityTianjin 300142, China
    2 Tianjin First Central HospitalTianjin 300190, China
    3 School of Public HealthTianjin Medical UniversityTianjin 300070, China
  • Received:2026-03-12 Revised:2026-06-30 Online:2026-09-15 Published:2026-08-28
  • Contact: LIU Hongliang

摘要:

目的 了解优化住院医师规范化培训(住培)入院教育实施路径,评估天津市住院医师对入院教育课程内容的回馈效果,提升入院教育培训内涵质量。方法 选取2025年天津市某医院入培的154名住院医师开展入院教育,结束后进行考核并收集住院医师对入院教育培训反馈评价。住院医师对入院教育培训效果、帮助程度进行打分,收集不同培训形式收获及改进建议。结果 154名住院医师培训考核合格率100.00%。满意度评价达到了77.92%。住院医师认为收获最大的培训形式是专家理论授课。59.74%的住院医师建议教育培训内容应该更贴合实际需求(如增加临床技能实践操作指导),49.35%的住院医师建议培训形式更灵活(如分专业讲解)以及提供书面、电子版资料。从不同专业和不同人员类型角度对培训满意度及入院教育帮助程度反馈情况作秩和检验,结果显示不同身份类型对入院教育培训效果满意度的差异有统计学意义(P<0.05),不同专业中仅对应急培训能力的反馈差异无统计学意义(P>0.05),其余内容差异均有统计学意义(P<0.05)。结论 通过构建“心理适应-能力培育-职业认同”入院教育三维支撑体系推动住院医师身份转型与能力提升,并依托需求导向的分层分类培训、全链条师资考核管理及闭环改进机制,实现培训体系的持续优化与双重作用的协同发挥。

关键词: 入院教育, 住院医师, 规范化培训, 实践路径, 效果, 反馈

Abstract:

Objective To understand and optimize the implementation pathway of orientation education for standardized residency training(SRT),evaluate the feedback effect of residents in Tianjin on the curriculum,and improve the quality and connotation of admission education. Methods A total of 154 enrolled residents who participated in SRT at a hospital in Tianjin in 2025 were selected to receive orientation education,after which they took post-training assessments and completed a program feedback survey. Results The training assessment pass rate for 154 residents was 100.00%,and the satisfaction rate reached 77.92%.The training format that resident physicians found most beneficial was expert theoretical lectures.59.74% of resident physicians suggested that the educational content should be more aligned with practical needs(such as hands-on clinical skill guidance),and 49.35% recommended making the training format more flexible(such as discipline-specific teaching),as well as supplying written and electronic materials. Rank-sum tests were used to compare feedback on satisfaction with orientation education and its helpfulness stratified by specialty and personnel category,the Results revealed statistically significant intergroup differences in satisfaction with orientation education across different personnel types(P<0.05).Among residents of different specialties,only the dimension of emergency competency training showed no statistically significant difference(P>0.05),while all other evaluation indicators showed statistically significant differences(all P<0.05). Conclusion Through the construction of a three-dimensional support system of "psychological adaptation-competency cultivation-professional identity" in induction education,the role transformation and competency enhancement of resident physicians can be promoted. Meanwhile,relying on demand-oriented tiered and categorized training,a whole-chain faculty assessment and management system,and a closed-loop improvement mechanism,the continuous optimization of the training system and the synergistic realization of its dual functions can be achieved.

Key words: Orientation education, Resident physician, Standardized training, Practical path, Effect, Feedback

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