通讯作者: 徐芳, xf20240331@163.com

DOI：10.12201/bmr.202509.00030

Value of Implementing Clinical Competency-Oriented Hierarchical Progressive Training in Echocardiography for Trainee PhysiciansMingxia Li, Beibei Ge, Xianxiao Wang, Fen Chen, Jing Yao, Fang Xu*

• 摘要：【摘要】 目的 探讨分层递进式教学法对提升进修医师超声心动图岗位胜任力的效果。方法 选取2022年1月至2024年12月期间36名超声心动图专业进修医师作为试验组,采用分层递进式教学法。教学内容依据难度划分为三期:基础期、提高期和强化期。入组医师依据入科测评成绩匹配相应教学层级；学习过程中,根据阶段性测评成绩动态调整教学分期与内容。以2019年1月至2021年12月接受传统教学法的34名医师作为对照组。比较两组医师出科考核成绩,并对试验组开展教学满意度问卷调查。结果 试验组理论成绩显著高于对照组(93.4 ± 1.5 vs 90.8 ± 3.2；P < 0.001),技能考核成绩明显提升(89.8 ± 2.9 vs 81.2 ± 2.7；P < 0.001)。实验组超声诊断符合率(95%)显著高于对照组(89%)(P < 0.001),漏误诊率(5%)低于对照组(9%)(P < 0.001)。教学满意度调查显示,36名试验组进修医师,94.4%(34/36)的学员均认为分层递进式教学法“非常必要”,97.2%(35/36)学员认为这种教学方法可以显著提高常见病的超声心动图诊断能力,94.4%(34/36)的学员认为本科室带教老师具有非常专业的指导能力；83.3%(30/36)的学员认为回原单位后可以胜任临床工作。结论 分层递进式教学模式在心脏超声专业对进修医师具有较好的教学效果和较高的教学满意度,可在短期内快速培养具有临床胜任力的进修医师。

  关键词： 分层递进式教学；超声心动图；进修医师；岗位胜任力; ; 

   

  Abstract: 【Abstract】Objective To explore the effect of a hierarchical and progressive teaching method on improving the clinical competency of physicians training in echocardiography. Methods A total of 36 physicians specializing in echocardiography who underwent training between January 2022 and December 2024 were selected as the experimental group and received the hierarchical and progressive teaching method. The teaching content was divided into three phases based on difficulty: basic, advanced, and intensive. Participants were assigned to corresponding teaching levels according to their initial assessment scores. During the training process, teaching phases and content were dynamically adjusted based on periodic evaluation results. A control group of 34 physicians who received traditional teaching methods between January 2019 and December 2021 was used for comparison. The final assessment scores of both groups were compared, and a satisfaction questionnaire on the teaching method was administered to the experimental group. Results The theoretical scores of the experimental group were significantly higher than those of the control group (93.4 ± 1.5 vs. 90.8 ± 3.2; P < 0.001), and their practical skill scores were also significantly improved (89.8 ± 2.9 vs. 81.2 ± 2.7; P < 0.001). The concordance rate of ultrasound diagnoses in the experimental group (95%) was significantly higher than that of the control group (89%) (P < 0.001), while the rate of missed and misdiagnoses (5%) was lower than that of the control group (9%) (P < 0.001). The teaching satisfaction survey showed that 94.4% (34/36) of the trainees in the experimental group considered the hierarchical and progressive teaching method highly necessary, 97.2% (35/36) believed that this teaching method significantly improved their ability to diagnose common diseases using echocardiography, 94.4% (34/36) thought that the instructors in the department had highly professional teaching skills, and 83.3% (30/36) believed they could competently perform clinical work upon returning to their original units. Conclusion The hierarchical and progressive teaching model demonstrates favorable educational outcomes and high satisfaction among physicians training in echocardiography. It can rapidly develop clinically competent trainees within a short period.

  Key words: Hierarchical progressive teaching; Echocardiography; Trainee physicians；Clinical competence

  提交时间：2025-09-12

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• 序号	提交日期	编号	操作
  1	2025-08-21	bmr.202509.00030V1	下载

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