ObjectiveTo explor the value of the multi-evaluation system based on real clinical practice in the training of rational application of antibacterials.

MethodsSixty graduate students who participated in the standardized training for resident physicians were randomly divided into the observation group and control group(30 cases each group), and the training and teaching of rational application of antibiotics of 2 months in two gorups were completed.For the observation group, the diversified evaluation system based on real diagnosis and treatment practice were applied in teaching rounds and practice, and the repeated real-time assessment was conducted around each case.The control group were taught according to the previous classroom teaching style of ward rounds, the classroom teaching of theory and practice for each disease was performed by the teaching doctor, and, the students' mastery of relevant knowledge was not checked after the ward rounds.After the training, the rational application of antibiotics was tested and evaluated, and the test scores between two groups were compared.

ResultsThe test scores of the level of medical history collection, physical examination ability, doctor-patient communication ability and standard degree of operation skills in observation group were significantly higher than those of in control group(P<0.01).The scores of theoretical knowledge and diagnostic ability of infectious diseases in observation group were significantly higher than those in control group(P<0.01), and the scores of rational use of antibiotics in observation group were also significantly higher than those in control group(P<0.01).

ConclusionsThe multi-evaluation system based on real clinical practice is effective in the training of rational application of antibacterials, it is worthy of further promotion.