目的 了解我国住院医师规范化培训基地临床技能培训中心(以下简称技能中心)2024年建设情况,为制定技能中心标准、规范模拟培训提供依据。方法 2024年10月,在中国医师协会组织下,对开设专业较多的综合医院住院医师规范化培训基地开展了关于技能中心建设情况现状的问卷调查,采用描述性统计进行数据分析。结果 共有符合条件的318个住培基地参与了调查。其中,600 m2以上的技能中心占比为99.7%(317/318);中心负责人在中心工作时间<24小时/周的技能中心占比为42.8%(136/318);专职管理人员为0~1人的技能中心占比为23.9%(76/318);模拟教师为50人以上的技能中心比例为60.7%(193/318);年培训量在2万人学时以上的技能中心比例为46.5%(148/318)。以必修课程方式开展基础技能培训课程、专科技能培训课程和综合技能培训课程的技能中心占比分别为86.5%(275/318)、43.7%(139/318)、18.6%(59/318)。结论 临床技能培训中心在硬件建设方面,得到了大力的投入;教师数量以及各类课程的深入程度较前有所提升;但在专职人员配备、师资建设、中心负责人工作时间投入方面仍需不断改进。
Objective To understand the current situation of medical simulation center(referred as simulation center) in residency training institutions in China in 2024, so as to provide basis for formulating the standard medical simulation center and simulation training procedures. Methods In October 2024, organized by the Chinese Medical Association, a questionnaire survey was implemented at medical simulation centers at residency institutions located in general hospitals in China. The results were analyzed by descriptive statistics. Results A total of 318 qualified residency institutions participated in the survey. There were 99.7%(317/318) of the simulation centers have the function area more than 600 m2. Among these centers, 42.8%(136/318) had their leaders working less than 24 hours per week for their centers. The proportion of the centers with 0-1 full-time management personnel was 23.9%(76/318). The proportion of centers with more than 50 faculty members was 60.7%(193/318). The proportion of centers with an annual training capacity of over 20 000 man-hours was 46.5%(148/318). The proportion of simulation centers that offer basic skills training courses, specialized skills training courses, and comprehensive skills training courses as compulsory courses was 86.5%(275/318), 43.7%(139/318), and 18.6%(59/318), respectively. Conclusions The medical simulation centers have received significant investment in hardware construction. The number of teaching staff and the depth of various courses have increased compared to before. However, continuous improvement is still needed in terms of staffing, faculty development, and investment in center leaders.
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