主诊医师负责制用于科室教学管理的效果探讨

目的：探讨主诊医师负责制用于科室教学管理的效果。方法采用教学管理量化评分标准对实施主诊医师负责制前后的8名带教教师进行评分，主诊医师负责制前12个月的评分资料为对照组，主诊医师负责制后12个月的评分资料为研究组。组间比较采用配对t检验，检验水准α=0.05。结果研究组医师的教学讲课、教学查房、病例讨论、病历质量、出科考核、总分均高于对照组医师得分，两组比较差异有统计学意义（P〈0.05）；研究组带教评分与对照组比较差异无统计学意义（P＆gt;0.05）；研究组高、中级职称教师量化考核评分高于对照组，两组比较差异有统计学意义（P〈0.05）。结论主诊医师负责制是提高教学管理水平的有效途径。

The effect of attending physician responsibility system in the department teaching management

Objective To evaluate the effect of the department teaching management by using attending physician responsibility system. Methods Eight teachers were scored using the teaching management quantitative scoring standard before and after the implementation ofattending physician responsibility system. Score data of 12 months before the implementation ofattending physician respon-sibility system was defined as the control group, while the score data of 12 months after the implemen-tation ofattending physician responsibility system was defined as the study group. Groups were compared by using the paired t-test and P〈0.05 means the difference has statistics significance. Results Com-pared with the control group , there was significant statistical difference between the two groups in teaching lectures, teaching rounds, case discussions, medical recordsquality, departmental rotation examination and the total score （ P〈0 . 05 ） . No statistical difference was observed between the two groups on teaching score（P＆gt;0.05）. Compared with the control group, there was significant statistical difference between the two groups in the senior grade and intermediate grade （P〈0.05）. Conclusion The attending physician responsibility systemfor teaching management is an effective way to improve the teaching management level.