在医学教育扶贫背景下,如何帮助贫困地区基层医师提升岗位胜任能力值得探讨。本文阐述了锦州医科大学在贵州省毕节市开展的医学教育扶贫工作,以2018年8月至2020年8月参加培训的1 330名基层医师为研究对象,通过设计和实施基层医师岗位胜任能力培训,以执业医师资格考试通过率、理论知识考核成绩和问卷调查结果了解培训效果。培训后执业医师资格考试通过率提高到50.6%(673/1 330),理论知识考核成绩线下培训后为(78.55±14.05)分,高于培训前的(40.95±17.01)分,线上培训后为(79.93±20.98)分,高于培训前的(41.79±14.97)分,差异均具有统计学意义(均P<0.05),而线下和线上培训后理论知识考核成绩差异不具有统计学意义(均P>0.05)。1 330名医师中,1 055名(83.4%)医师对培训表示满意。基层医师岗位胜任能力培训有助于提高其理论知识水平,进而提升其岗位胜任能力,且线下和线上培训效果一致。

Under the background of poverty alleviation through medical education, it is worth discussing how to help grassroots doctors in poverty-stricken areas to improve their competence. This paper describes the poverty alleviation work of medical education carried out by Jinzhou Medical University in Bijie City, Guizhou Province. The competency training for grassroots doctors was designed and implemented, and 1 330 grassroots physicians participated the training from August 2018 to August 2020. The training effects were evaluated through the pass rate of the national medical practitioner qualification examination, theoretical knowledge assessment and the questionnaire survey. After training, the pass rate of the practitioner qualification examination increased to 50.6% (673/1 330). The theoretical knowledge assessment score was (78.55±14.05) after offline training, which was higher than that (40.95±17.01) before training. The theoretical knowledge assessment score was (79.93±20.98) after online training, higher than that (41.79±14.97) before training. There were all statistical differences (all P<0.05), while there was no statistical difference between offline and online post-training theoretical knowledge assessment scores (P>0.05). Among 1 330 physicians, 1 055 (83.4%) were satisfied with the training. The competency training of grassroots physicians can help improve the theoretical knowledge, which in turn improve their post competence. The effect of offline and online training is consistent.