中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (1): 75-79.DOI: 10.3760/cma.j.cn115259-20210222-00227

• 住院医师规范化培训 • 上一篇    下一篇

我国住院医师规范化培训协同培训现状调查

刘婧1, 李鸣莉2, 曾庆奇1, 高杰1, 王建六3   

  1. 1北京大学人民医院继续教育处,北京 100044;
    2中国医师协会医师培训学院住培二部,北京 100027;
    3北京大学人民医院,北京 100044
  • 收稿日期:2021-02-22 发布日期:2021-12-31
  • 通讯作者: 王建六, Email: wangjianliu1203@163.com
  • 基金资助:
    国家卫生健康委员会科教司委托项目(20191018)

Investigation on the status quo of collaboration performance of standardized residency training programs in China

Liu Jing1, Li Mingli2, Zeng Qingqi1, Gao Jie1, Wang Jianliu3   

  1. 1Continuing Education Department, Peking University People's Hospital, Beijing 100044, China;
    2The Second Department of Residency Training, Chinese Medical Association, Beijing 100027, China;
    3Peking University People's Hospital, Beijing 100044, China
  • Received:2021-02-22 Published:2021-12-31
  • Contact: Wang Jianliu, Email: wangjianliu1203@163.com
  • Supported by:
    Project Entrusted by Science and Education Department of National Health Commission (20191018)

摘要: 目的 了解我国住院医师规范化培训基地的现状,为制定基地相关培训政策、规范协同培训提供依据。 方法 2020年7月,在中国医师协会协助下,以问卷调查方式对全国近700家住院医师规范化培训基地的8万余名住院医师展开调查,了解其协同培训计划、协同培训轮转时间、协同培训效果、协同培训存在的主要问题等。采用描述性统计进行调查结果分析。 结果 共有83 053名住院医师参与了问卷调查。有29.61%(24 595/ 83 053)的住院医师需要进行协同培训;不同专业的住院医师协同培训率存在较大差异,精神科、医学遗传科、中医全科、全科基地住院医师的协同培训率达40%以上;72.93%(60 570/ 83 053)的住院医师轮转协同单位是因为“培训基地缺少相应科室”和“需要补足病种病例或操作”;32.24%(7 929/24 595)的住院医师其协同培训轮转时间达1年以上; 80.81%(19 875/24 595)的住院医师认可协同培训效果;住院医师认为协同培训中的主要问题是各种保障待遇难以做到一致[33.44%(8 224/24 595)],协同单位培训质量难以管控[32.72%(8 048/24 595)]。 结论 协同培训已经在现阶段住院医师规范化培训中广泛开展,对住院医师规范化培训有一定的补充促进作用,效果基本得到认可。同时,协同培训也存在目的不纯、职责不清、缺乏监管等问题,需要不断加以规范,以保证住院医师规范化培训的质量。

关键词: 问卷调查, 住院医师规范化培训, 协同培训, 现状

Abstract: Objective To understand the current situation of collaboration in standardized residency training program in China, so as to provide basis for the development of collaborative strategy to strengthen the mechanisms for standardized residency training. Methods In July 2020, with the assistance of Chinese Medical Association, a questionnaire survey was conducted on the current situation of collaborative training for residents of standardized residency training programs in China. The contents of the questionnaire survey were residents' collaborative training plan, collaborative training rotation time, collaborative training effect and main problems in collaborative training. Descriptive statistics were used to analyze the survey results. Results A total of 83 053 residents are covered by the questionnaire survey. There are 29.61%(24 595/ 83 053)of the residents need to carry out collaborative training. The collaborative training rates of different specialties are quite different. Psychiatry, medical genetics, general practice of traditional Chinese medicine and general practice have the rate of collaborative training performance more than 40%. About 72.93% (60 570/ 83 053)of the residents transfer to the collaborative hospitals with collaborative training program because of the reasons like “lack of some departments or diseases”. About 32.24% (7 929/24 595)of the residents hope to get the training in hospitals with collaborative program for more than one year. About 80.81% (19 875/24 595)of the residents rank that the effect of collaborative training was “very good” or “good”. Residents believe that the main problems in collaborative training are as follows: different payment to trainees in different training hospitals [33.44%(8 224/24 595)], the training quality of collaborative hospital is not well controlled [32.72%(8 048/24 595)]. Conclusions Collaborative training has been widely initiated for the standardized residency training programs in China to meet the needs because it significantly improved the outcomes of training. However, there are still some problems like impure purpose, unclear quality assurance mechanism and lack of supervision. Collaborative training needs to be standardized constantly to ensure the quality of standardized residency training program.

Key words: Surveys and questionnaires, Standardized residency training programs, Collaboration training, Status quo

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