中华医学教育杂志

中华医学教育杂志 ›› 2021, Vol. 41 ›› Issue (3): 247-250.DOI: 10.3760/cma.j.cn115259-20200611-00906

• 住院医师规范化培训 • 上一篇    下一篇

全科医学专业住院医师规范化培训学员批判性思维能力现状及其影响因素

赵亚军1, 张房艳2, 田久鹏1, 龚继章1, 葛许华1   

  1. 1同济大学附属杨浦医院全科医学科,上海 200090;
    2上海市普陀区人民医院全科医学科 200060
  • 收稿日期:2020-06-11 出版日期:2021-03-01 发布日期:2021-03-04
  • 通讯作者: 葛许华,Email:gexuhuaxzyy@aliyun.com,电话:021-65690520
  • 基金资助:
    中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2018年医学教育研究立项课题(2018BN01010);2018年上海杨浦区中心医院课题(Se1201824)

Critical thinking capacity and its influencing factors in the training of general practice residents

Zhao Yajun1, Zhang Fangyan2, Tian Jiupeng1, Gong Jizhang1, Ge Xuhua1   

  1. 1Department of General Practice, Yangpu Hospital, Tongji University, Shanghai 200090, China;
    2Department of General Medicine, Putuo District People’s Hospital, Shanghai 200060, China
  • Received:2020-06-11 Online:2021-03-01 Published:2021-03-04
  • Contact: Ge Xuhua, Email: gexuhuaxzyy@aliyun.com, Tel: 0086-21-65690520
  • Supported by:
    The Medical Education Branch of the Chinese Medical Association and the Medical Education Professional Committee of the Chinese Higher Education Association 2018 Medical Education Research Project (2018BN01010); Project of Yangpu District Central Hospital in 2018,Shanghai(Se1201824)

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摘要： 目的 了解全科医学专业住院医师规范化培训学员(以下简称全科住培学员)批判性思维能力的现状及其影响因素。方法 采用问卷调查方法。选择2017年至2019年同济大学附属医院141名全科住培学员为研究对象,采用批判性思维量表和批判性思维能力影响因素调查表对学员进行电子问卷调查。采用t检验和方差分析比较不同特征全科住培学员的批判性思维能力评分,采用多个自变量的方差分析方法探讨其影响因素。结果 全科住培学员的批判性思维总分为(252.96±36.54)分,仅有19.9%(28/141)的学员为正性批判性思维。其影响因素有性别、学习英语频率、处理临床问题方式和教师带教方式(均P<0.05)。结论 全科住培学员批判性思维能力较弱,可以通过教学查房、双语教学和带教方式改变等促进其批判性思维能力的提高。

关键词: 全科医学, 住院医师规范化培训, 批判性思维能力, 影响因素

Abstract: Objective To investigate the current situation and influencing factors of critical thinking capacity of general practice residents. Methods Questionnaire survey was used. Totally 141 general practice residents in affiliated Hospital of Tongji University from 2017 to 2019 were selected as the research objects. Use the critical thinking scale and questionnaire on the influencing factors of critical thinking ability to conduct an electronic questionnaire survey on the general practice residents. T-test and ANOVA were used to compare the scores of critical thinking ability under different factors of general practice residents; multiple independent variable analyses of variance were used to explore the influencing factors of critical thinking capacity. Results The average score of critical thinking scale was (252.96±36.54), and only 19.9% (28/141) of them showed a positive critical thinking capacity. The influencing factors are: gender,frequency of learning English,ways of dealing with clinical problems and teaching pathway in the hospital (all P<0.05). Conclusions The capacity of critical thinking by the general practice residents is weak. It is necessary to intervene the influencing factors through the change of teaching methods and the adjustment of contents, such as teaching rounds, bilingual teaching and training models in the hospital.

Key words: General practice, Standardized training for residents, Critical thinking ability, Influencing factor

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