基于住院医师视角的湖北省住院医师规范化培训现状调查
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摘要
目的:了解湖北省住院医师规范化培训现状,发现存在的问题并提供建议。方法:自行设计住院医师规范化培训现状调查问卷,对湖北省3市7家住培基地249位住院医师进行调查。结果:83.5%的住院医师认为培训对其有帮助,培训后的能力提升主要体现在临床思维(81.9%)、临床实践(80.3%)、操作技能(69.1%)、人际沟通(66.3%)等方面; 48.6%的住院医师认为病例讨论频率较低或一般,78.2%的住院医师认为带教老师水平较高,50.6%的住院医师表示上级医师平均每周带教次数为2次或以下。回归分析结果显示,年龄、学历、病例讨论频率、带教水平、带教次数是培训认可度的影响因素(P<0.05)。结论:住院医师规范化培训认可度有待提高,且不同特征学员之间存在差异;培训后的效果以临床能力提升为主,职业素养、科研能力、团队合作能力等提升效果不明显;带教情况需要优化。
Objective: Analyze the situation of training form and ability improvement of the standardized training program for resident physicians in Hubei Province to find the problems and give some suggestions. Methods: A total of 249 residents in 7 hospitals in the 3 cities of Hubei province were selected for a questionnaire survey. Results: 83.5% of the residents considered that the training was helpful. The capacities which were improved most were clinical thinking(81.9%),clinical practice(80.3%),clinical skills(69.1%) and communication(66.3%). 48.6% considered that the frequency of the case discussion was not enough. 78.2%considered that the teachers' ability was of high level. 50.6% considered that the number of the teaching was less than twice per week. Age,education background,the frequency of the case discussion,the teachers' ability and the number of the teaching were the factors of the cognition(P<0.05). Conclusion: The cognition of the standardized training program should be improved. The resident physicians of different characteristics had different cognition of the training. The clinical ability was improved,but there was little improvement in professional ethics,research capacity and team spirit. The teaching needed to be optimized.
Objective: Analyze the situation of training form and ability improvement of the standardized training program for resident physicians in Hubei Province to find the problems and give some suggestions. Methods: A total of 249 residents in 7 hospitals in the 3 cities of Hubei province were selected for a questionnaire survey. Results: 83.5% of the residents considered that the training was helpful. The capacities which were improved most were clinical thinking(81.9%),clinical practice(80.3%),clinical skills(69.1%) and communication(66.3%). 48.6% considered that the frequency of the case discussion was not enough. 78.2%considered that the teachers' ability was of high level. 50.6% considered that the number of the teaching was less than twice per week. Age,education background,the frequency of the case discussion,the teachers' ability and the number of the teaching were the factors of the cognition(P<0.05). Conclusion: The cognition of the standardized training program should be improved. The resident physicians of different characteristics had different cognition of the training. The clinical ability was improved,but there was little improvement in professional ethics,research capacity and team spirit. The teaching needed to be optimized.
引文
[1]王波,孟开,陈淑玲,等.基于专家访谈的住院医师规范化培训影响因素研究[J].中国医院,2017,21(3):27-29.
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[8]张兆宇,吴成豪,张成希,等.上海市住院医师规范化培训满意度现状及影响因素调研[J].医学教育管理,2016,2(6):784-790.
[9]孙加强,黄凤茜,申玉杰.广东省住院医师规范化培训现状调查[J].医学与社会,2016,29(5):81-84.
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[11]崔永,王天佑.从美国住院医生培训看中国住院医师规范化培训的挑战和方向[J].中国肺癌杂志,2016,19(6):321-327.
[12]董美丽.美国住院医师规范化培训考核评价现状与借鉴[J].中国高等医学教育,2015(12):25-26.
[2]张晋,栾艳,李勤,等.我院住院医师规范化培训现状调查与分析[J].卫生职业教育,2015,33(23):128-130.
[3]郑慧萍,徐敏,冯海波,等.心外科住院医师/研究生规范化培训现状与问题的调查分析[J].中华医学教育探索杂志,2017,16(10):1060-1064.
[4]高亚,李戟玭,蔺小艳,等.临床医学本科生对住院医师规范化培训的认知[J].甘肃科技,2017,33(15):145-146.
[5]王君,宋玫,高鹏,等.北京市住院医师规范化培训后能力改善情况调查[J].中华医院管理杂志,2015,31(12):905-909.
[6]柴伟,张振东,陈继营,等.中美住院医师培养的对比[J].中国临床医生,2013,41(6):76-78.
[7]杨瑞婷,祝松,谢峻,等.湖北省某医院住院医师规范化培训工作现状与对策[J].医学与社会,2013,26(3):95-97.
[8]张兆宇,吴成豪,张成希,等.上海市住院医师规范化培训满意度现状及影响因素调研[J].医学教育管理,2016,2(6):784-790.
[9]孙加强,黄凤茜,申玉杰.广东省住院医师规范化培训现状调查[J].医学与社会,2016,29(5):81-84.
[10]刚君.住院医师规范化培训师资队伍建设的现状与展望[J].中国现代医生,2016,54(21):148-151.
[11]崔永,王天佑.从美国住院医生培训看中国住院医师规范化培训的挑战和方向[J].中国肺癌杂志,2016,19(6):321-327.
[12]董美丽.美国住院医师规范化培训考核评价现状与借鉴[J].中国高等医学教育,2015(12):25-26.