随着住院医师以同等学力申请临床医学硕士专业学位(以下简称住培同等学力申硕)逐步展开,其培养质量问题也日益突显。本研究于2023年7月采用定量研究方法,对陆军军医大学西南医院275名住培同等学力申硕人员开展现状调研。通过自主设计的结构化调查问卷采集数据,采用Excel 2021进行数据统计与交叉分析。目前,已经通过全国英语考试、全国学科水平综合考试、全部学位课程考试者,其占比分别为69.82%(192/275)、62.91%(173/275)、72.00%(198/275),但仅有10.18%(28/275)人员获授硕士学位;76.73%(211/275)人员认为住培同等学力最大收获是提升了科研能力,65.46%(180/275)人员认为主要问题为工学矛盾突出、学校和导师重视度不够。结合文献查阅和现状调研结果进行SWOT(strength、weakness、opportunity、threat)分析,其优势和机遇主要为同等学力制度完善、缩短医学人才培养周期、同等学力申硕成为医学人才培养重要途径等;劣势和威胁则主要是管理模式有待改进、培养质量亟需提高和培养模式仍需优化等。提出了构建多部门协同高效的教学管理机制、实施全程教育教学质量监控机制和持续改革与创新培养模式等应对策略,以期推动住培同等学力申硕质量和效益提升。

With the issuance of the opinions on deepening clinical medical talent training coordination between medical education and healthcare, the training of resident doctors with equivalent academic qualifications applying for a Master′s degree in clinical medicine (hereinafter referred to as postgraduate training with equivalent academic qualifications) has gradually begun, but there are significant problems in the quality of training. This study adopted a quantitative research method in July 2023 to conduct a current situation investigation on 275 resident physicians applying for a master′s degree by equivalent academic qualifications at Southwest Hospital of Army Medical University. Data were collected through a self-designed structured questionnaire and analyzed using Excel 2021. Currently, the proportions of those who have passed the National English Test, the National Comprehensive Subject Test, and all degree courses are 69.82% (192/275), 62.91% (173/275), and 72.00% (198/275) respectively, but only 10.18% (28/275) have been awarded a master′s degree. 76.73% (211/275) of the respondents believe that the greatest gain from the equivalent academic qualifications during residency training is the improvement of research capabilities, while 65.46% (180/275) consider the main problem to be the prominent contradiction between work and study, as well as insufficient attention from the university and supervisors. Based on literature review and the current situation investigation results, a SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis was conducted. The advantages and opportunities mainly include the improvement of the equivalent academic qualifications system, the shortening of the medical talent training cycle, and the equivalent academic qualifications for master′s degree application becoming an important way for medical talent training. The disadvantages and threats mainly include the need for improvement in the management model, the urgent need to enhance the training quality, and the difficulty in adjusting the training model. The study proposed strategies such as building a multi-department collaborative and efficient teaching management mechanism, implementing a full-process educational and teaching quality monitoring mechanism, and continuously reforming and innovating the training model, with the aim of promoting the quality and efficiency of master′s degree application by equivalent academic qualifications during residency training.