中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (6): 461-465.DOI: 10.3760/cma.j.cn115259-20240325-00308

• 继续医学教育 • 上一篇    下一篇

2017至2022年北京市儿科医师转岗培训学员返岗工作现状调查

李霞1, 焦莉平1, 谷奕1, 王雨嘉1, 吕凌云2, 冯雷3, 王爱华1   

  1. 1国家儿童医学中心 首都医科大学附属北京儿童医院教育处,北京 100045;
    2首都医科大学附属首都儿童医学中心教育处,北京 100020;
    3北京市卫生健康委员会科教处,北京 101160
  • 收稿日期:2024-03-25 出版日期:2025-06-01 发布日期:2025-06-03
  • 通讯作者: 王爱华, Email: wangaihua@bch.com.cn

Survey on the status of the doctors returning to work of the job-transfer-to-pediatrics′ training in Beijing from 2017 to 2022

Li Xia1, Jiao Liping1, Gu Yi1, Wang Yujia1, Lyu Lingyun2, Feng Lei3, Wang Aihua1   

  1. 1Department of Education, Beijing Children′s Hospital, Capital Medical University, National Center for Children′s Health, Beijing 100045, China;
    2Department of Education, Capital Center for Children′s Health Affiliated to Capital Medical University, Beijing 100020, China;
    3Department of Science and Education, Beijing Municipal Health Commission, Beijing 101160, China
  • Received:2024-03-25 Online:2025-06-01 Published:2025-06-03
  • Contact: Wang Aihua, Email: wangaihua@bch.com.cn

摘要: 目的 调查北京市儿科医师转岗培训学员返岗工作现状,探讨转岗培训的长期有效模式,为政府和相关医疗机构提供政策和管理依据。方法 本研究采用自行设计的电子问卷,于2023年11至12月对北京市2017至2022年儿科医师转岗培训108名学员进行调查,以计数资料频数和构成比分析学员返岗后执业情况、工作状况、培训效果评价和持续性需求。结果 收回有效问卷108份。培训工作整体满意度为90.7%(98/108),86名(79.6%)学员认为有必要继续接受儿科相关培训,50名(46.3%)学员期望与培训单位建立紧密医联体,87名(80.6%)学员支持建设转诊绿色通道。72名(66.7%)学员在原执业范围基础上加注儿科,23名(21.3%)学员执业范围转为儿科,非儿科学专业转岗成功率为88.8%(95/107)。转岗后,80名(74.1%)学员从事儿童医疗服务工作。结论 儿科医师转岗培训工作取得初步成效,仍然需要加强转岗培训政策和制度保障、重视和稳定基层儿科医师队伍、建立长期有效机制巩固培训效果,以促进基层医院儿童医疗服务可持续发展。

关键词: 儿科, 医师, 转岗培训, 返岗现状

Abstract: Objective To investigate the status of doctors returning to work of the job-transfer-to-pediatrics′ training in Beijing, and to explore the long-term effective mode of the transfer training, provide policy and management basis for the government and relevant medical institutions. Methods The study used a self-designed electronic questionnaire to investigate 108 trainees participating in the 2017-2022 job-transfer-to-pediatrics′ training program in Beijing between November and December 2023. Numerical data was analyzed by frequency and constitute ratio to investigate practice situation, work conditions, training effectiveness evaluation and ongoing demands. Results 108 valid questionnaires were collected. The overall satisfaction rate of the training work was 90.7% (98/108). Specifically, 86 trainees (79.6%) believed it was necessary to continue receiving training on pediatric knowledge, 50 trainees (46.3%) expected to establish a close medical alliance with the training unit, 87 trainees (80.6%) supported the construction of the green referral channel. In addition, 72 trainees (66.7%) added pediatrics on the basis of the original scope of practice, 23 trainees (21.3%) switched to pediatrics, the success rate of transfer of non-pediatric students was 88.8% (95/107). Moreover, 80 trainees (74.1%) were engaged in children′s medical services after returning to work. Conclusions The job-transfer-to-pediatrics′ training has achieved initial results. But there is still a need to strengthen transfer training policies and institutional guarantees, value and stabilize the team of primary pediatricians, establish long-term effective mechanisms to consolidate training effects, and promote the sustainable development of children′s medical services in primary hospitals.

Key words: Pediatric, Physicians, The job-transfer-to-pediatrics′ training, Status of returning to work

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