【摘要】 目的了解综合医院心内科以外科室对心血管疾病知识的需求,并为今后开展继续医学教育改革提供思路与依据。方法对北京大学第三医院心内科在2013年5月1日至8月31日期间会诊的1 109例患者进行调查,统计心内科会诊在各科室中的分布以及申请会诊的原因,通过χ2检验比较手术科室和非手术科室申请会诊原因的不同。结果手术科室申请会诊902例(81.3%),非手术科室申请会诊207例(18.7%);会诊原因在手术科室与非手术科室间比较差异有统计学意义(P<0.001),手术科室中排名前四位的疾病是高血压、冠心病、心律失常和心电图改变,非手术科室为心律失常、冠心病、高血压和心力衰竭。结论在继续医学教育中,应该根据不同科室的临床工作需求和对其他专业知识的实际掌握情况,进行有针对性的培训。更多还原

【Abstract】 Objective To understand thedemand forthe knowledge in cardiology of doctors from other departments, and to provide ideas and basis for the future reform of continuing medical education. Methods We surveyed 1 109 consultations with cardiologists in Peking University Third Hospital from May 1st to August 31 th, 2013. The department distributions and the reasons for the consultations with cardiologists were collected, and the differences between surgical and nonsurgical departments were analysed by using χ2 tests, in order to identify the demands of knowledge among doctors from different departments. Results The numbers of consultations from surgical and nonsurgical departments were 902(81.3%) and 207(18.7%) separately. The reasons for the consultations were significantly different between surgical and nonsurgical departments(P<0.001). The most common four reasons for consultations in surgical departments were hypertension, coronary heart disease, arrhythmia and ECG changes, while the reasons in nonsurgical departments were arrhythmia, coronary heart disease, hypertension and heart failure. Conclusion Doctors may need targeted training according to their demands in continuing medical education.更多还原