中华医学教育杂志

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (5): 382-386.DOI: 10.3760/cma.j.cn115259-20190813-00658

• 住院医师规范化培训 • 上一篇    下一篇

上海市全科专业住院医师规范化培训学员对培训效果的评价

杨森1, 赵华新2, 石建伟3, 葛许华1, 陈晨4, 牛晓敏5, 张含之1, 于德华1   

  1. 1同济大学附属杨浦医院全科医学科 同济大学医学院全科医学系,上海 200090;
    2上海市皮肤病医院肿瘤科 200443;
    3上海交通大学医学院社会医学与卫生管理系 200025;
    4上海市静安区江宁路街道社区卫生服务中心 200041;
    5上海交通大学附属胸科医院肿瘤科 上海市肺部肿瘤临床医学中心 200030
  • 收稿日期:2019-08-13 出版日期:2020-05-01 发布日期:2020-12-09
  • 通讯作者: 于德华, Email: ydh1404@sina.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(2018B-N01010);2019年上海市卫生健康委先进适宜技术推广项目(2019SY048);2018年同济大学附属杨浦医院课题(Se1201840)

Effect evaluation of standardized training for general residents in Shanghai

Yang Sen1, Zhao Huaxin2, Shi Jianwei3, Ge Xuhua1, Chen Chen4, Niu Xiaomin5, Zhang Hanzhi1, Yu Dehua1   

  1. 1Department of General Medicine, Yangpu Hospital & General Medicine of Tongji University School of Medicine, Shanghai 200090,China;
    2Department of Oncology, Shanghai Dermatology Hospital,Shanghai 200443, China;
    3Department of Social Medicine and Health Management, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;
    4Jiangning Street Community Health Service Center, Jing'an District, Shanghai 200041, China;
    5Department of Oncology, Shanghai Chest Hospital, Shanghai Jiao Tong University & Shanghai Lung Cancer Center, 200030
  • Received:2019-08-13 Online:2020-05-01 Published:2020-12-09
  • Contact: Yu Dehua, Email: ydh1404@sina.com, Tel: 0086-21-65690520
  • Supported by:
    Chinese Medical Association Medical Education Branch and China Association of Higher Education Medical Education Specialized Committee 2018 Medical Education Research Project (2018B-N01010); Advanced Appropriate Technology Promotion Project of Shanghai Municipal Public Health Bureau in 2019(2019SY048); Project of Yangpu hospital affiliated to Tongji university in 2018 (Se1201840)

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摘要： 目的 了解上海市全科专业住院医师规范化培训学员对培训效果的评价,以提高培训质量。方法 本研究采用问卷调查方法。2019年3月至2019年6月,随机抽取2016年至2018年参加并完成上海市全科专业住院医师规范化培训(以下简称住培)的320名学员为研究对象。采用自行设计的问卷就学员住培期间的培训情况以及培训中的问题和建议进行调查。调查采取网络问卷和深度访谈的方式进行。结果 学员对住培中采用的临床思维方法与典型病例分析的满意度为77.8%(249/320);对综合医院和社区基层医院轮转安排的满意度分别为85.9%(275/320)和79.1%(253/320),对住培期间的薪酬待遇满意度为25.9%(83/320),本科和研究生学员对全科医学科研能力培训的满意度分别为25.4%(66/260)和45.0%(27/60);78.1%(250/320)的学员认为教师缺乏带教的针对性。结论 上海市全科专业住培学员对培训效果总体较为满意;但应当提高对薪酬待遇、加强全科医学科研能力培训和带教的针对性。

关键词: 上海, 全科, 住院医师规范化培训, 培训效果

Abstract: Objective To investigate the effect of the standardized training for general practitioners in Shanghai, so as to further improve the training. Methods In this study, the questionnaire method was used. From March 2019 to June 2019, 320 students who participated in and completed the standardized training of general practitioners in Shanghai (hereinafter referred to as ‘residential training’) from 2016 to 2018 were randomly selected as research objects. A self-designed questionnaire was used to investigate the situation of the trainees during the training period, as well as the questions and recommendations in the training. The survey was conducted by network questionnaire and in-depth interview. Results The satisfaction of participants with the clinical thinking method and typical case analysis used in the residential training was 77.8% (249/320), the satisfaction with rotation arrangements in general hospitals and community primary hospitals was 85.9% (275/320) and 79.1% (253/320), respectively, and the satisfaction of remuneration during the period was 25.9% (83/320), and the satisfaction of scientific research of undergraduate students and graduate students was 25.4%(66/260),45.0%(27/60). 78.1% (250 / 320) of the students thought that teachers lacked the pertinence of teaching. Conclusions At present, Shanghai general residents are satisfiedwith the training. The remuneration, general medical research ability training and the pertinence of teaching need to be further improved.

Key words: Shanghai, General practice, Standardized training of residents, Training effect

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