目的 了解中西医结合专业住院医师对其规范化培训的认知,为设置专门的中西医结合专业住院医师规范化培训(以下简称住培)方案提供参考。方法 根据住培相关文件自制调查问卷,于2022年8月对上海市4所具有中西医结合专业住培资质医院的74名在培住院医师进行调查,采用描述性统计方法。结果 71名中西医结合专业住院医师参与调查,仅33.8%(24/71)的住院医师认为目前该专业的住培方案和培训标准满足了住培需求。67.6%(48/71)的住院医师希望住培改进的内容是增加更具有针对性和合理性的中西医结合培训的内容和标准,62.0%(44/71)的住院医师选择在三级中西医结合医院进行住培,88.7%(63/71)的住院医师希望通过住培提高的能力是中西医结合临床思维能力。结论 中西医结合专业的住院医师对其目前的住培方案满意度不高,希望能够建立符合该专业人才培养特点的住培方案。三级中西医结合医院可以作为中西医结合专业住培的主要机构,而中西医结合临床思维能力培养为住培的主要内容。
Objective To understand the perception of the standardized training among residents in integrated traditional Chinese medicine and Western medicine, aiming to provide references for the establishment of a specialized training program for residents in this field. Methods Custom questionnaire, based on relevant documents regarding standardized training, was administered to 74 residents undergoing training in four certified hospitals with integrated traditional Chinese medicine and Western medicine specialty in Shanghai in August 2022. Descriptive statistics were used for data analysis. Results A total of 71 residents participated in the survey. Among them, only 33.8% (24/71) believed that the current training program and standards for this specialty met their training needs; 67.6% (48/71) expressed their desire for improvements to the training program, advocating for more rational and targeted content and standards specific to this field, 62.0% (44/71) opted for training in tertiary hospitals specialized in this field; 88.7% (63/71) expressed their hope to enhance their clinical thinking skills in integrated traditional Chinese medicine and Western medicine through training. Conclusions The satisfaction level of residents in integrated traditional Chinese medicine and Western medicine with the current training program is not high. Residents investigated hope to establish a training program that meets the characteristics of talent cultivation in this specialty. Tertiary hospitals specialized in this field serve as the primary institutions for standardized training in this field, and the cultivation of clinical thinking skills ofintegrated traditional Chinese medicine and Western medicineshould be a major focus of the training program.
[1] 张梅, 叶映泉, 李平. 中西医结合专业住院医师规范化培训模式的建构[J].成都中医药大学学报(教育科学版),2022(1):38-41.
[2] 李玉娟, 王冰梅, 朱晓婷, 等. 基于提升临床实践能力的中西医结合专业研究生培养模式探索[J].中国中医药现代远程教育,2023,21(10):185-188. DOI: 10.3969/j.issn.1672-2779.2023.10.061.
[3] 管桐, 高丽莎, 隋得志, 等. 中西医结合专业研究生教育的思考与建议[J].中国中医药现代远程教育,2023,21(4):200-202. DOI: 10.3969/j.issn.1672-2779.2023.04.071.
[4] 赵允伍, 王继年, 王珩. 住院医师规范化培训协同培训调查与分析[J].中华医学教育杂志,2022,42(11):1038-1042. DOI: 10.3760/cma.j.cn115259-20220512-00617.
[5] 刘飞, 邓云. 中西医结合的临床现状研究[J].中国基层医药,2017,24(1):142-145. DOI: 10.3760/cma.j.issn.1008-6706.2017.01.038.
[6] 徐斌, 鲁明, 张伟. 病例导入式结合情景教学法对消化内科临床见习医生临床综合能力的影响[J].中国基层医药,2022,29(12):1876-1879. DOI: 10.3760/cma.j.cn341190-20220622-00517.
[7] 李湘玉, 韦细连. 中西医结合临床医学专业发展战略展望[J].湖南中医杂志,2019,35(10):112-115. DOI: 10.16808/j.cnki.issn1003-7705.2019.10.049.
[8] 简翔, 胡芝芝, 张媛媛, 等. 综合性大学中西医结合专业开展同质化西医临床技能课程的思考[J].中西医结合研究,2023,15(3):210-212. DOI: 10.3969/j.issn.1674-4616.2023.03.017.