Department of Neurosurgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan, ROC; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Department of Pediatrics, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan, ROC; Department of Medical Education, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan, ROC; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Biomed J. 2020 Dec;43(6):490-495. doi: 10.1016/j.bj.2019.10.002. Epub 2020 Oct 22.
The objective of postgraduate year (PGY) training programs is to inculcate in medical graduates the expected levels of skills in patient care. This study compared the core clinical competencies of trainees who received PGY training at Chang Gung Memorial Hospital by attending the pilot training program in different groups.
We used six 10-min test stations for clinical performance evaluation, which comprised four and two test stations designed for objective structured clinical examination and procedural skill, respectively, to evaluate the learning outcomes of the trainees. The trainees were divided into three groups according to the training programs that they had attended.
The aspects of clinical performance included history taking, physical examination, medical communication, logical thinking, and problem-solving abilities. The trainees who selected the surgery-based training program exhibited a higher performance at the station for aseptic surgical preparation than the other two groups (p = 0.0261). The trainees who selected the internal medical training program (p = 0.0020) exhibited a higher performance at the station for abdominal pain in children.
A well-designed postgraduate training program should develop trainees' competencies, particularly clinical operational skills. The results of this study may provide useful insight into methods for improving the design of training programs. Additional investigation is necessary for understanding the effects of different programs on the clinical performance of trainees.
住院医师培训计划的目的是向医学毕业生灌输预期的患者护理技能水平。本研究比较了在不同组别中参加试点培训计划的接受住院医师培训的受训者的核心临床能力。
我们使用六个 10 分钟的测试站进行临床绩效评估，其中包括四个和两个用于客观结构化临床考试和程序技能的测试站，以评估受训者的学习成果。根据他们参加的培训计划，受训者被分为三组。
临床表现方面包括病史采集、体格检查、医学沟通、逻辑思维和解决问题的能力。选择基于手术的培训计划的受训者在无菌手术准备站的表现优于其他两组（p=0.0261）。选择内科培训计划的受训者（p=0.0020）在儿童腹痛站的表现更好。
精心设计的研究生培训计划应培养受训者的能力，特别是临床操作技能。本研究的结果可为改进培训计划的设计方法提供有用的见解。需要进一步研究以了解不同计划对受训者临床表现的影响。
