中华医学教育杂志 ›› 2024, Vol. 44 ›› Issue (8): 592-596.DOI: 10.3760/cma.j.cn115259-20230808-00101

• 师资队伍建设 • 上一篇    下一篇

某高校附属儿童专科医院住院医师职业发展支持体系的构建

吴昊1, 马久圆1, 宋义蒙1, 谭慧1, 王雅婷1, 樊茹1, 柴毅明1, 周文浩2, 吴静燕1   

  1. 1复旦大学附属儿科医院教育培训部 党委学生工作部,上海 201102;
    2复旦大学附属儿科医院新生儿科,上海 201102
  • 收稿日期:2023-08-08 出版日期:2024-08-01 发布日期:2024-07-31
  • 通讯作者: 吴静燕, Email: wujingyan@fudan.edu.cn
  • 基金资助:
    上海市医院协会医院管理研究基金2021年青年项目(Q2021030)

Construction of a career development and support system for residents in a university-affiliated children's hospital

Wu Hao1, Ma Jiuyuan1, Song Yimeng1, Tan Hui1, Wang Yating1, Fan Ru1, Chai Yiming1, Zhou Wenhao2, Wu Jingyan1   

  1. 1Department of Education and Training, Children's Hospital of Fudan University, Shanghai 201102, China;
    2Department of Neonatology, Children's Hospital of Fudan University, Shanghai 201102, China
  • Received:2023-08-08 Online:2024-08-01 Published:2024-07-31
  • Contact: Wu Jingyan, Email: wujingyan@fudan.edu.cn
  • Supported by:
    Hospital Management Research Fund of Shanghai Hospital Association (Q2021030)

摘要: 目的 探索构建儿科住院医师职业发展支持体系,提升儿科住院医师职业信念,坚定其职业发展道路。方法 根据预调研、文献研究和前期工作基础拟定职业发展支持体系初稿,2023年6至7月邀请某高校附属儿童专科医院17名专家参加专家函询,经过2轮函询最终形成儿科住院医师职业发展支持体系。结果 2轮专家函询问卷均全部回收,专家权威程度系数分别为0.894和0.868,2轮专家函询的协调系数分别为0.212和0.269 (χ2值分别为82.86和123.28,均P<0.001)。最终形成的支持体系包含思政教育、社会支持、教学环境、自我效能4项一级项目和22项二级项目。结论 成功构建了儿科住院医师职业发展体系,为儿科住院医师培养提供了科学依据,为坚定儿科住院医师的职业发展道路提供了参考路径。

关键词: 儿科, 住院医师, 职业发展, 思政教育, 社会支持, 教学环境, 自我效能

Abstract: Objective To explore the effect of constructing a career development and support system for pediatric residents to enhance their professional beliefs and to strengthen their career path. Methods Based on earlier research, literature review, and preliminary work, a provisional career development and support system was drafted. Seventeen experts from a university-affiliated children's hospital were invited to participate in Delphi study from June to July 2023. After two rounds of consultation, a career development and support system for pediatric resident physicians was finally formed. Results Two rounds of expert consultation resulted in a 100.0% questionnaire response rate, with expert authority coefficients of 0.894 and 0.868, respectively. The coordination coefficients of the two rounds of expert consultation were 0.212 and 0.269, respectively (χ2 values were 82.86 and 123.28, both P<0.001). The final support system includes 4 primary items, namely professionalism and beliefs, social support, teaching environment, and self-efficacy, as well as 22 secondary items. Conclusions The construction of the career development and support system for pediatric resident physicians may inform for the training of pediatric resident physicians, and provide a path for strengthening the career path of pediatric resident physicians.

Key words: Standardized training resident physicians, Paediatrics, Career development, Professionalism and beliefs, Social support, Teaching environment, Self-efficacy

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