目的 调查全科医学专业住院医师规范化培训(住培)结业学员公共卫生服务能力现状与培训需求。方法 2022年5至12月,选取上海市6个社区卫生服务中心417名全科医学专业住培结业学员(以下简称学员)进行线上问卷调查,了解其基本情况、公共卫生服务能力自我评估、基层工作对公共卫生服务的需求、公共卫生服务能力培训现状和需求。结果 417名学员中,138名(33.1%)学员认同全科医师要作为基层公共卫生服务管理主要承担者,155名(37.2%)学员认同全科医师需要具备公共卫生服务问题处理能力。公共卫生服务能力自我评估中,352名(84.4%)学员掌握健康档案管理,仅有97名(23.3%)学员掌握严重精神障碍患者管理。215名(51.6%)学员认为住培期间接受的公共卫生服务能力培训在实际工作中覆盖率不足50.0%;367名(88.0%)学员认为有必要加强公共卫生服务能力培训。结论 学员公共卫生服务意识薄弱,公共卫生服务能力不足,相关培训欠缺。因此,建议在住培阶段,更多地融入公共卫生服务能力的教学与培训。

Objective To investigate the current status and training needs of public health service capabilities among graduates of standardized training for general practice resident physicians. Methods From May to December 2022, 417 graduates of standardized training for general practice resident physicians from 6 community health centers in Shanghai were selected to participate in an online questionnaire survey to understand the basic situation, public health service needs in grassroots work, self-assessment of public health service capabilities, current status and needs of public health service capabilities training. Results Among the 417 trainees, 138(33.1%) trainees agreed that general practitioners should be the main bearers of grassroots public health service management, and 155(37.2%) trainees agreed that general practitioners need to have the ability to handle public health service issues. In the self-assessment of public health service capabilities, 352(84.4%) trainees mastered health record management and only 97(23.3%) trainees mastered severe mental disorder patient management. 215(51.6%) trainees believed that the coverage rate of public health service training received during standardized training was less than 50% in actual work. In addition, 367(88.0%) trainees believed it should be necessary to strengthen relevant skill training. Conclusions Graduates of standardized training for general practice resident physicians have inadequate awareness of public health service capabilities, insufficient public health service capabilities, and a lack of relevant training. It is recommended to integrate more into the cultivation and teaching of public health service capabilities during the stage of standardized training for resident physicians.