教育背景对标准化住院医师培训项目质量的影响：以中国为例的队列研究
Impact of Educational Background on the Quality of Standardized Residency Training Program: The Case of China, a Cohort Study.
作者信息
Tu Xiaoyu, Ding Xiaoquan, Huang Wanru, Xu Xiangrong, Moreira Paulo, Zhang Runju
机构信息
Department of Gynecology and Obstetrics, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Department of Orthopedics, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
出版信息
Health Serv Insights. 2024 Dec 13;17:11786329241306392. doi: 10.1177/11786329241306392. eCollection 2024.
OBJECTIVES
Residency training is important worldwide and recent studies have put more emphasis on its quality evaluation. This study aims to first explore the impact of educational backgrounds on the quality of gynecology and obstetrics (OB-GYN) standardized resident training (SRT) program in China, which may provide crucial evidence for policy considerations to improve SRT quality.
METHODS
A total of 397 OB-GYN resident graduates were enrolled in this retrospective cohort study. They were divided into three groups according to their educational background, that is Bachelor of Medicine (BM), Master of Medicine (MM), and Doctor of Medicine (DM) groups. The characteristics and the results of SRT graduation examination and annual assessment of these residents were collected and compared using one-way analysis of variance or Pearson's chi-square test. A multivariable logistic regression analysis was performed to identify the association between sociodemographic variables and pass rates of SRT graduation examination. Besides, a subgroup analysis on training time for the DM group was performed. Strobe protocol was followed.
RESULTS
The residents were older in DM group than that in BM and MM groups ( < 0.001). There was significant difference of the training length and the proportion taking part in SRT graduation examination among three groups ( < 0.001). Although the written test scores of SRT graduation examination were the lowest in BM group ( = 0.015), there was no significant difference in other results among three groups. No significant variable was found associated with the pass rates of SRT examination. No significant difference was found in the subgroup analysis of DM group.
CONCLUSION
Overall, the SRT quality of OB-GYN residents with different educational backgrounds was good and comparable. However, residents with BM degrees had lowest written scores and need to be strengthened during training. The training time of residents with DM degrees can be shortened according to their own conditions.
目的
住院医师培训在全球范围内都很重要，近期研究更加强调其质量评估。本研究旨在首先探讨教育背景对中国妇产科标准化住院医师培训（SRT）项目质量的影响，这可能为提高SRT质量的政策考量提供关键证据。
方法
本回顾性队列研究共纳入397名妇产科住院医师毕业生。根据教育背景将他们分为三组，即医学学士（BM）组、医学硕士（MM）组和医学博士（DM）组。收集这些住院医师的SRT毕业考试和年度考核的特征及结果，并采用单因素方差分析或Pearson卡方检验进行比较。进行多变量逻辑回归分析以确定社会人口统计学变量与SRT毕业考试通过率之间的关联。此外，对DM组的培训时间进行了亚组分析。遵循STROBE报告规范。
结果
DM组住院医师的年龄大于BM组和MM组（<0.001）。三组之间的培训时长和参加SRT毕业考试的比例存在显著差异（<0.001）。虽然BM组SRT毕业考试的笔试成绩最低（=0.015），但三组在其他结果方面无显著差异。未发现与SRT考试通过率相关的显著变量。DM组的亚组分析未发现显著差异。
结论
总体而言，不同教育背景的妇产科住院医师的SRT质量良好且具有可比性。然而，医学学士学历的住院医师笔试成绩最低，培训期间需要加强。医学博士学历的住院医师可根据自身情况缩短培训时间。
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