目的 调查中医学住院医师规范化培训(以下简称住培)的成效及其存在的问题,为不断提高住培质量提供参考。方法 2019年9月至10月,采用多阶段抽样方法,选取上海中医药大学中医学住培基地完成培训的278名学员作为研究对象,采用自编问卷对其进行调查。结果 在从事医学相关工作的266名学员中,胜任力自评满意和基本满意的学员占比97.4％(259/266);对住培各条目的评价中,学员满意人数超过70％的为17条,占比73.9％(17/23);关于职业发展瓶颈,学员选择排在第一位的是“发表论文和申报课题的能力不足”[54.9％(146/266)];关于培训内容,认为偏重中医的学员仅占比4.3％(12/278)。结论 中医学住培学员的胜任力自评满意度较高,对住培工作评价较满意。中医学住培学员的科研能力有待提高、培训内容的中医特色不足,这需要院校和住培基地共同关注和调整。

Objective To investigate the effect and existing problems of the standardized training for resident doctors of Traditional Chinese medicine (hereinafter referred to as residential-training), and to provide reference for improving the quality of residential-training. Methods From September to October, 2019, a total of 278 trainees who had completed the training in the residential and training bases of Shanghai University of Traditional Chinese Medicine were selected as the research objects by using multi-stage sampling method and a self-compiled questionnaire was used. Results Of the 266 trainees involved in medical-related work, it is found that 97.4% (259/266) of the trainees were satisfied with self-evaluation of competence. Among the items evaluated, There were 17 items in which trainees were satisfied with more than 70%, accounting for 73.9% (17/23). As for the bottleneck of career development, the trainees ranked“insufficient ability to publish papers and apply for topics” as the first one [54.9%(146/266)]. As for the training content, only 4.3%(12/278) of the students thought that Chinese medicine was more important. Conclusions The students of residential training of traditional Chinese medicine have high degree of self-evaluation satisfaction of competence, and high degree of recognition of residential training. The research capacity building of trainees in residential training of traditional Chinese medicine needs to be improved, and the characteristics of traditional Chinese medicine in the training content need to be strengthened by both universities and residential training bases institutions.