目的 了解临床医师对临床教学行为、胜任力和自我发展的评价。方法 编写调查问卷,对在上海市第六人民医院和上海市第一人民医院参加住院医师和专科医师规范化培训的122名临床医师进行调查。结果 对于教学行为,63.9%(78/122)的培训医师认为获得的教学时间少,且84.4%(103/122)的培训医师认为临床教学不充分的主要原因是“临床工作太忙而没有时间”,认为住院医师能提供临床知识的数量和质量较低。对于胜任力,参加培训的住院医师和专科医师评价结果不完全一致,但对带教者(包括态度、能力、技巧)和学习者(包括态度、能力、自我提升)需具备的胜任力均表示认同。对于发展性评价,住院医师教学意愿强烈者占比8.0%(7/87),专科医师占比37.1%(13/35),尽管受训医师希望“住院医师主要承担教学工作”的比例仅占3.4%(3/87),且91.8%(112/122)的受训医师认为阻碍其成为临床教学者的主要原因是“临床工作太忙而没有时间”,但他们认为高年资住院医师或低年资主治医师能成为很好的教学者。结论 住院医师参与临床教学程度低,高年资住院医师或低年资主治医师具备一定的胜任力,能够成为很好的临床带教者,但需更多措施增加他们的带教信心。
Objective To know the evaluation of teaching behavior, capacity and self-development from standardized training of residents and specialists.Methods Based on prepared questionnaire, 122 residents and specialists trained in Shanghai Sixth People’s Hospital and Shanghai First People’s Hospital were investigated.Results In teaching behavior assessment, 63.9%(78/122) of training doctors considered that they got little teaching time, and 84.4%(103/122) of them considered the heavy clinical work as the most reason. They thought that residents provided few and low-quality clinical knowledge. In capacity assessment, although evaluation results of residents were not consistent with that of specialists, they all agreed with the attitude, ability, technique and self-promotion embodied in teachers’ and learners’ capacity. As the results of their average score were over 3.74. In self-development assessment, 8.0%(7/87) of residents and 37.1%(13/35) of specialists had the strong desire to become clinical teachers. Although only 3.4%(3/87) of training doctors wanted residents to become the main clinical teachers, and 91.8%(112/122) of them considered the heavy clinical work as the biggest obstacle, they still optimistically believed that senior residents and junior attending could be good clinical teachers.Conclusions Clinical teaching is not sufficient. Few residents participate in clinical teaching, but senior residents and junior attending have the capacity to become good clinical teachers. However, more steps are needed to encourage them.
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