为了解云南省临床医学专业专科学生从业意愿和相关影响因素,采取分层整群抽样方法抽取就读于云南省6所高职高专院校临床医学专业的1800名专科学生为调查对象,通过调查问卷和访谈提纲进行现场调查,内容包括就职意愿、职业规划、影响因素等。分析结果显示:17.7%的专科医学生毕业后不愿意到农村基层医疗卫生机构工作;14.8%的专科医学生毕业后不愿意从事全科医生职业。临床医学专业专科学生职业发展规划呈现多样化,其从业意愿受到多种因素的影响。据此提出针对性建议:改善基层发展环境,更新就业观念;关注经济困难群体,加大支持力度;及时开展职业规划,健全教育规划体系;转变消极因素,提高从业意愿。
To understand the practitioners will and influencing factors of junior college clinical medical students in Yunnan Province,extracting 1800 junior college clinical medical students who studied at six higher junior colleges in Yunnan Province by using stratified cluster sampling method as the investigation object. The field survey was conducted through questionnaire and interview outline,including the inauguration will,career planning,influencing factors and so on. The results showed that 17.7% of the students are not willing to work in rural primary medical institutions after graduation,14.8% of the students are not willing to be a general practitioner after graduation,They have diversified career development plans. Many factors affect the students’ practitioners will. Make specific recommendations accordingly: Improving the basic development environment and renewing the concept of employment; Increasing support for economically disadvantaged groups; Planning various forms of career; Improving the negative factors and enhance the practitioners will.
[1] 国务院办公厅.关于推进分级诊疗制度建设的指导意见(国办发[2015] 70号) [Z].2015-09-08.
[2] 张传宝,刘明哲.专科医学生更新就业观念浅析[J].中国商界(上半月),2009 (3): 122-123.
[3] 吴文君, 胡云波.医学专科就业困难学生若干问题的探讨[J].中国大学生就业,2007 (15): 58-59.
[4] 曾坪,何坪,邓宇,等.全科医学知识理论对专科医学生临床实践和就业导向的作用调查[J].中国全科医学,2011,14(22): 2483-2484. DOI: 10.3969/j.issn.1007-9572.2011.22.003.
Zeng P,He P,Deng Y,et al.Role of general medical knowledge and theory to junior medical college students in clinical practice and employment orientation[J].Chinese General Practice,2011,14(22): 2483-2484. DOI: 10.3969/j.issn.1007-9572.2011.22.003.
[5] 张光慧.医学专科学生职业生涯规划教育模式研究[J].中国成人教育,2011 (5): 73-75.
[6] 教育部,国家发展改革委,国家卫生计生委,等.关于进一步做好农村订单定向医学生免费培养工作的意见(教高 [2015] 6号) [Z].2015-05-19.
[7] 教育部.关于鼓励和引导民间资金进入教育领域促进民办教育健康发展的实施意见(教发[2012] 10号) [Z].2012-06-18.
[8] 周蔓仪.6部门联合推动助理全科医生培训[J].中医药管理杂志,2016, 24(12): 168-168.
[9] 国家卫生计生委,国家发展改革委,教育部,等.关于印发助理全科医生培训实施意见(试行)的通知(国卫科教发[2016] 14号) [Z].2016-04-05.