中华医学教育杂志

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (3): 268-271.DOI: 10.3760/cma.j.cn115259-20210817-01035

• 住院医师规范化培训 • 上一篇    下一篇

我国不同地区放射科住院医师及其规范化培训项目执行频率的调查分析

颜勇卿1, 张景峰2, 郑建军3, 杨正汉4, 王振常4   

  1. 1中国科学院大学宁波华美医院骨科中心,宁波 315010;
    2中国科学院大学宁波华美医院教育科,宁波 315010;
    3中国科学院大学宁波华美医院院长办公室,宁波 315010;
    4首都医科大学附属北京友谊医院 放射科,北京 100050
  • 收稿日期:2021-08-17 出版日期:2022-03-01 发布日期:2022-02-23
  • 通讯作者: 张景峰, Email: jingfengzhang73@163.com
  • 基金资助:
    中国科学院大学宁波华美医院华美基金(2021HMJYZD02)

Investigation and analysis of current situation and project implementation frequency of standardized resident training for radiological clinicians in China

Yan Yongqing1, Zhang Jingfeng2, Zheng Jianjun3, Yang Zhenghan4, Wang Zhenchang4   

  1. 1Orthopedics Center 2 Education Department;
    3Administrator Office of HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo315010, China;
    4Department of Radiology Beijing Friendship Hospital, Capital Medical University, Beijing100050, China
  • Received:2021-08-17 Online:2022-03-01 Published:2022-02-23
  • Contact: Zhang Jingfeng, Email: jingfengzhang73@163.com
  • Supported by:
    HwaMei Research Foundation of HwaMei Hospital, University of Chinese Academy of Sciences (2021HMJYZD02)

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摘要： 目的 调查全国不同地区放射科住院医师规范化培训(简称住培)基地学员的一般情况和培训项目执行频率的差异,为进一步提升住培过程的标准化提供参考。方法 选取308家国家首批放射科住培基地的1 188名学员为研究对象,采用问卷调查方法,了解其一般情况和培训项目执行频率的差异,采用行列表χ2分析、单因素方差分析和秩和检验进一步分析差异产生的原因。结果 参与调查的学员中不同地区学员的年龄(F=6.31,P<0.001)、学历(χ2=61.76,P<0.001)、婚姻状况(χ2=28.96,P=0.004)、年收入(χ2=64.45,P<0.001)均存在差异,其差异均是有统计学意义。不同地区间培训项目执行频率差异最大的是“放射科防护指导”(华中地区最高3.84±0.13,华东地区最低3.25±0.07,χ2=24.24,P<0.001)和“论文撰写相关培训”(东北地区最高3.01±0.13,华南地区最低2.41±0.14,χ2=19.86,P=0.003)。结论 我国不同地区放射科住培学员的一般情况和培训项目执行频率均存在差异,可以从推进分层教学、完善住培基地准入和考核制度、制定有放射科专业特色的住培政策3个方面进一步提升住培过程的标准化。

关键词: 放射科, 住院医师规范化培训, 培训项目, 执行频率

Abstract: Objective To investigate the general situation of radiology residents in a nationwide standard residency training (SRT) program and the completion of the resident training tasks, so as to provide a reference for further improvement of standardization of SRT program. Methods A questionnaire survey was released to 308 SRT bases institutions to find potential differences in the completion of training tasks and the general situation. Totally 1 residents completed SRT course were selected as the study subjects. χ2 analysis, one-way ANOVA, and the rank-sum test were used to analyze the results and to identify causes concerned. Results According to different training regions, there were significant differences in age (F=6.31, P<0.001), education experience (χ2=61.76, P<0.001), marriage (χ2=28.96, P=0.004) and annual income (χ2=64.45, P<0.001) of the trainees involved in the investigation. The most variable performance frequency across regions was “radiological protection guidance” (the highest was 3.84±0.13 in central China and the lowest was 3.25±0.07 in east China 3.χ2=24.24,P<0.001) and “writing research papers concerning training” (The highest was 3.01±0.13 in northeast China, and the lowest was 2.41±0.14 in south China, χ2=19.86,P=0.003). Conclusions There are great differences in the general situation of radiology residents' training and in the completion of regular residential training tasks at different regions of China. The SRT policy need to be improved in three aspects: promoting stratified teaching, improving the training entrance standard as well evaluation system in training bases and development of training policy with professional radiology characteristics.

Key words: Radiology, Standard residency training, Training task, implementation frequency

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