目的 了解河北省不同类别全科医生转岗培训学员对其培训效果的评价,为提高培训效果提供参考。方法 2021年11月1日至30日,采用分层随机抽样的方法抽取2020年河北省参加全科医生转岗培训的209名学员为调查对象,自编问卷进行调查,采用t检验和方差分析进行数据处理。结果 209名学员对全科医生转岗培训效果的总体评分为(4.27±0.83)分,阶段性出科考核均全部通过。对全科医学相关政策了解程度、对全科医生职业前景态度和培训对自身帮助不同的学员培训效果评分不同,政策非常了解者(4.81±0.48)分,较为了解者(4.33±0.80)分,一般了解者(4.12±0.85)分,不太了解者(3.71±1.11)分,其差异具有统计学意义(P＜0.05)。对于职业前景非常乐观者(4.56±0.70)分,比较乐观者(3.72±0.62)分,一般乐观者(3.36±1.01)分,尚未考虑者(3.25±0.96)分,其差异具有统计学意义(P＜0.05)。培训对自身有很大帮助者(4.81±0.43)分,有较大帮助者(3.96±0.49)分,有一定帮助者(3.08±0.53)分,有少量帮助者(2.00)分,其差异具有统计学意义(P＜0.05)。结论 学员对其转岗培训的效果评价较高,对全科医学相关政策非常了解、职业前景非常乐观、培训对自身有很大帮助的学员培训效果评价最好。建议加大政策宣传力度,提升学员职业认同感,并针对不同的学员设计相应的培训方案,以更大程度提升培训效果。

Objective To evaluate the effectiveness of general practice (GP) job-transfer training by different types of trainees in Hebei Province and to inform the improvement of future job-transfer training. Methods A total of 209 general practitioners who participated in the job-transfer training from Hebei province in 2020 were randomly selected, then they were asked to finish the questionnaire online from November 1 to November 30, 2021. The t-test and analysis of variance were used to analyze the data. Results The overall score of the 209 trainees on the assessment of GP job-transfer training was (4.27±0.83) and all participants passed the final exam. The assessing scores for GP job-transfer training of participants remained statistically discrepant: the cohort with diverse familiarity with GP policies [high (4.81±0.48) points, relatively high (4.33±0.80) points, general (4.12±0.85) points, low (3.71±1.11) points] (P<0.05), the cohort with different attitude to occupational prospect [very optimistic (4.56±0.70) points, relatively optimistic (3.72±0.62) points, generally optimistic (3.36±1.01) points, have not considered (3.25±0.96) points] (P<0.05), and the population with diverse perception of acquiring assistance from training [great help (4.81±0.43) points, relatively great help (3.96±0.49) points, certain help (3.08±0.53) points, little help (2.00) points] (P<0.05). Conclusions The general performance of the trainees in GP job-transfer training from Hebei Province was satisfactory and excellent. And the best training effect could be showed in participants with the most familiarity with GP policies, the most optimistic attitude for occupational prospect, and the most receptive for help from training. Thus, it is of significance that we should increase the publicity of the GP policy, enhance the cultivation of professional identity, and develop individualized training for different practitioners to improve the training effect in the future.