中华医学教育杂志

中华医学教育杂志 ›› 2021, Vol. 41 ›› Issue (3): 256-259.DOI: 10.3760/cma.j.cn115259-20200601-00858

• 住院医师规范化培训 • 上一篇    下一篇

湖北省2所地市级医院住院医师规范化培训学员岗位胜任力的调查

张青松1, 薛慧敏1, 詹东昂1, 杨晶2, 尚磊3, 徐少勇4   

  1. 1湖北文理学院附属医院 襄阳市中心医院继续教育办公室 441021;
    2湖北省荆门市第一人民医院临床学院办公室 448000;
    3空军军医大学预防医学系卫生统计学教研室,西安 710032;
    4湖北文理学院附属医院 襄阳市中心医院内分泌科 441021
  • 收稿日期:2020-06-01 出版日期:2021-03-01 发布日期:2021-03-04
  • 通讯作者: 徐少勇,Email:yoji_xu@hotmail.com,电话:0710-3512225
  • 基金资助:
    中国博士后科学基金面上项目(2018M643837)

Clinical competency of trainees attending standardized residency training at two municipal hospitals in Hubei

Zhang Qingsong1, Xue Huimin1, Zhan Dongang1, Yang Jing2, Shang Lei3, Xu Shaoyong4   

  1. 1Continuing Education Office, Xiangyang Central Hospital, Affiliation Hospital of Hubei University of Arts and Science, Xiangyang 441021, China;
    2Office of Clinical College, Jingmen No.1 People's Hospital of Hubei Province, Jingmen 448000, China;
    3Department of Health Statistics, School of Public Health, Air Force Medical University, Xi'an 710032, China;
    4Department of Endocrinology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang 441021, China
  • Received:2020-06-01 Online:2021-03-01 Published:2021-03-04
  • Contact: Xu Shaoyong, Email: yoji_xu@hotmail.com, Tel: 0086-710-3512225
  • Supported by:
    China Postdoctoral Science Foundation (2018M643837)

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摘要： 目的 调查湖北省2所地市级医院规范化培训住院医师的岗位胜任力现状,为同类型住培基地工作提供数据支持。方法 本研究采用问卷调查方法。2019年11月至2019年12月选择湖北省2所地市级医院住培基地的380名学员为研究对象,采用问卷对其进行调查,采用t检验、方差分析对数据进行分析,以多重线性回归分析岗位胜任力总体水平的影响因素。结果 学员岗位胜任力总体水平自我评价评分为(3.82 ± 0.55)分,全科基地学员评分[(3.59±0.56)分]最低。评分最低的2项能力是学术研究能力[(3.28±0.83)分]和信息与管理能力[(3.41±0.59)分]。多重线性回归分析显示,培训第一年(b=-0.30)、培训第二年的学员(b=-0.23)的岗位胜任力评分均低于已经结业学员(均P<0.05);全科基地学员的岗位胜任力评分(b=-0.36)低于其他科学员(P<0.01)。结论 本研究虽然充分肯定了现行阶段住培工作的成效,但学员在学术研究等岗位胜任力方面存在薄弱项,特别是全科基地学员,同类型地市级医院住培基地应针对这些薄弱项加强培训。

关键词: 住院医师规范化培训, 岗位胜任力, 地市级医院, 调查

Abstract: Objective To evaluate clinical competency of trainees who attend standardized residency training (SRT) in municipal hospitals, and to provide data support for the work of SRT base. Methods From November to December 2019, a questionnaire survey was conducted among 380 physicians who attend SRT from at two prefecture-level hospitals in Hubei Province. Multiple linear regression was used to analyze the factors affecting the results on clinical competency. Results The score of clinical competencies in all participating physicians was (3.82±0.55), and the score in general practitioners (GPs) (3.59±0.56) was the lowest. The items with two lowest scores were research (3.28±0.83) and information management (3.41±0.59). Multiple linear regression analyses showed that, for trainees in the first year (b=-0.30) and the second year (b=-0.23)], their post competency scores were lower than those of trainees who had completed the training (all P<0.05). The competency score of GPs (b=-0.36) is lower than that of others (P<0.01). Conclusions Although this survey confirmed the effectiveness of SRT, weaknesses of clinical competency (e.g. academic research) were found in the trainees at municipal hospitals, particular for GPs. It is necessary to strengthen training specifically to fill the gap.

Key words: Standardized residency training, Clinical competency, Municipal hospital, Investigation

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