360度评估系统在住院医师规范化培训中的意义

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MedicalEducationResearchandPracticeFeb.2020VoL28No.1

360

B,

A,

A

A.

B.

C.

710038)

360

2019

1

2019

7

360

(P<0.

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(PV0.05)

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PV0.05)

PV0.05)

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DOI10.13555/j.

cnki.c.m.e.2020.01.045

G642

A

:2096-3181(2020)01-0177-05

Significanceof360-DegreeAssessmentSysteminStandarlizedResidentTraining

HUANGCi1,CHENYu-kun2,LIYu-qian2,LEIJie3,CHENHui-yun1,ZHANGQian1

(1.MedicalAffairsDepartmen;

2.Department

ofNeurosurgery;

3.Department

o£ThoracicSurgery,

theSecondAffiliatedHospital,

AirforceMilitaryMedicalUniversity,

Xi'an710038,China)

Abstract:ObjectiveToevaluatetheabilitiesofresidenttraineesandinstructors

through360-degreee-

valuationsystem.

MethodsAretrospectivestudywasconductedon360residenttraineesandinstruc­

torsfromJanuary2019toJuly2019.Datawerecollectedforstatistical

analysis.

ResultsComparing

theclassificationofresidentstudents,wecanseethatclinicalpostgraduates

scoredhigherthanunder­

graduatesinmedicalhistorycollectionandauxiliaryexamination,

diagnosisanddifferentialdiagnosis,

choiceoftreatment

plan,clinicaloperation,

serviceconsciousness,resourceutilization,

professional

knowledge,autonomous

learningability,evidence-basedthinkingandteachingability.Therewassta­

tisticalsignificance(PV0.

05).

Basepeoplehadhigherabilityofchoosingtreatment

plan,clinicalop­

erationandself-learningthanunitpeople(P<0.

05).

Theresident's

professionalknowledgescorein

thesecondyearwashigherthanthatinthethirdyear(P<0.

05).Ontheotherhand,

basedonthe

2019-10-04

1987-),

E-mail522383418@

(1986-),

E-mail369266359@

177

t

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MedicalEducationResearchandPracticeFeb.2020VoL28No.1

comparison

ofdifferenttitlesofinstructors,

wecanknowthatintermsofteachingnorms,timely

feedbackandtrainingactivities,

thechiefphysicianissuperiortothedeputychiefphysician,andissu­

periortothechiefphysician(PV0

05).360-degreeevaluationcanbetterevaluatetheabilitiesofresi­

denttraineesandinstructors

inallaspects

Itisnecessarytostrengthen

andremedythedeficienciesof

differentcategoriesofresidenttrainees,

increasetheproportion

ofteachingactivitiesofchiefphysi­

ciansandstrengthen

thecultivation

ofteachingabilitiesofchiefphysicians.

Conclusion360-Degree

Assessment

Systemcanhelpusevaluatetheabilitiesofresidentsandinstructors

invariousaspects.

It

isapowerfultoolintheconstruction

ofstandardizedtrainingforresidentsandisworthyofextensive

trainingbasestopopularizeandapply.

KeyWords:360-degreeevaluationsystem;

residentstandardized

training;

assessment

360

20

90

360

u-

2007

360

360

1

2019

1

2019

7

3

21

33

2019

7

7

2

360

APP

14

10

Likert5

“1”

“5”

1

3

APP

SPSS19.0

P<0.

05

4

4.1

21

315

245

77.8%

178

72.7%）,

47

19.2%）,

20

8.1%）

46

18.8%）,

199

（81.2%）

1

95

（38.8%）,

2

72

29.4%）,

3

78

（31.8%）

1）,

P<0.

05）

（PV0.05,

2）

2

3

（PV0.05,

3）

4.2

33

337

232

68.8%

8

•178•

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MedicalEducationResearchandPracticeFeb.2020VoL28No.1

1

1.

4.51+0.717

4.8±0,453

0.008

2.

4.42±0.767

4.830.437

0.001

3.

4.42±0.786

4.760524

0.005

4

4.5±0,710

4.8±0,453

0.006

5

4.66±0,614

4.85±0.420

0.039

6

4.53±0,695

4.83+0.437

0.005

7.

4.410.772

4.78±0.467

0.002

4.58±0.645

4.89±0,315

0.002

9.

4.57±0.647

4.830.437

0.009

10.

4.660.589

4.80.542

0.070

11

4.65±0,609

4.8±0,5

0.071

12.

4.43±0.761

4.76±0.524

0.004

13.

4.74±0,522

4.85±0.515

0.104

14.

4.72±0,552

4.89±0.315

0.056

2

1

4.51±0.723

4.70.453

4.70.571

0.221

2

4.43±0,780

4.7±0.437

4.65±0,5870.086

3.

4.40±0.799

4.67±0524

4.7±0.657

0.046

4.

4.49±0,715

4.76±0.4534.7±0.571

0.029

5.

4.66±0,591

4.740.420

4.85±0.3660.209

6

4.53±0,698

4.70±0,4374.750.5500.191

7.

4.420771

4.63±0.467

4.65±0.6710.118

4.58±0.635

4.83±0.315

4.750.5500.014

9.

4.57±0,636

4.74±0.4374.7±0.571

0.141

10.

4.65±0.576

4.74±0.542

4.7±0,308

0.063

11

4.65±0,584

4.72±0.5

4,8±0.410

0.281

12.

4.44±0,759

4.63±0.524

4.550.6860.286

13.

4.74±0.543

4.83±0,5154.8±0,410

0.486

14

4.71±0,556

4.89±0.315

4.8±0,410

0.073

(3.5%)

66

2&4%)

158

(6&1%)

4),

(P<0.05)

5

360

360

［7-

360

2

•179•

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MedicalEducationResearchandPracticeFeb.2020VoL28No.1

3

1.

4.52±0,7134.71±0,592

4.49+0.716

0.065

2

4.46±0,755

4.58±0.6664.46+0.7680.548

3

4,43±0,781

4.58±0.6664.45±0.8000.437

4.

4.54+0.6814.690.597

4.46+0.7330.084

5

4.690.547

4.71±0.542

4.68+0.674

0.861

4.59±0.6604.64±0.657

4.53+0.679

0.437

7.

4.47±0.756

4.64±0.612

4.33+0.8000.046

4.65±0.561

4.74±0.556

4.54+0.6970.129

9.

4.61±0.570

4.68±0.577

4.56+0.713

0.575

10.

4.72±0.519

4.72±0.537

4.62+0.6880.708

11

4.68+0.531

4.71±0.542

4.64+0.702

0.907

12.

4.46+0.7414.54+0.711

4.47±0.751

0.716

13.

4.74+0.569

4.82±0.454

4.74+0.521

0.544

14

4.76+0.499

4.76±0.517

4.73+0.551

0.935

4

1.

4.67±0.6234.77±0.4935.00±0.000

0.174

2.

4.68±0,641

4.82±0.4295.00±0,0000.142

3

4.78±0,509

4.89±0.359

5.00±0.0000.131

4.

4.83±0.468

4.91+0,3415.00+0.0000.283

5.

4.84±0.430

4.91±0.3415.00±0.0000.290

6.

4.66±0.6264.85±0.4045.000.0000.026

7.

4.6±0740

4.82+0.391

5.00+0.0000.070

4.67±0,6434.88±0.3315.00±0.0000.031

9.

4.67±0,6624.89±0.359

5.00±0.0000.011

10.

4.83+0.440

4.95±0.211

5.00±0.0000.059

[9-10]o

2

•180•

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360

360

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[J].

,2019,7(34):611—613.

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[J].

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