目的 依据对武陵山片区4省18县乡镇卫生院卫生技术人员和乡村医生继续医学教育需求的现场调查结果,探讨为满足这种需求应当采取的课程设置策略,以求稳步推进武陵山片区农村医药卫生人员的继续医学教育。方法 认真查阅被调查区域乡镇卫生院、乡镇卫生院卫技人员和乡村医生的继续医学教育需求调查表,收集整理武陵山片区基层卫生机构和农村医药卫生人员对继续医学教育课程设置的意见与建议。结果 被调查区域37所乡镇卫生院,182个村卫生室,233名乡镇卫生院卫技人员,202名乡村医生(合计435人)表示,他们最需要的知识和技能是基本医疗、基本卫生服务、卫生法规、基层卫生管理、人际沟通;最适宜的继续医学教育方式是培训教育和学历教育;最应当设置和建设的课程是能够满足其知识、技能需求的课程。结论 应当根据武陵山片区农村医药卫生人员知识和技能的需求,设置适宜课程,加强课程体系建设,适时推行继续医学学历教育和培训教育,精心培养能够长期为武陵山片区城乡社区居民提供实用、有效医药卫生保健服务的农村医药卫生人员。
Li Xiaoyang
,
Xiong Zhengnan
,
Duan Yufeng
,
Xu Yanshan
,
Zhang Lixia
,
Hu Changjun
,
Pu Quanzhou
,
Zhu Xinhong
,
Zhang Guanghui
,
Lian Xiaoling
,
Peng Aili
,
He Xiaojin
. 武陵山片区农村医药卫生人员继续医学教育课程设置探析[J]. 中华医学教育杂志, 2017
, 37(1)
: 52
-56
.
DOI: 10.3760/cma.j.issn.1673-677X.2017.01.011
Objective Based on the field investigation results about the continuing medical education needs of rural doctors and health workers in village and township hospitals in 18 counties of 4 provinces in Wuling mountain area, this paper discusses the strategies to construct curriculum and curriculum system to meet this need with the aim of steadily bolstering a suitable continuing medical education for rural medical and health workers in Wuling mountain area.Methods Questionnaires about demand for continuing medical education filled out by rural doctors and health workers in village and township hospitals are investigated, and related information about the construction of curriculum and curriculum system provided by rural medical and health workers and basic health institutions in Wuling mountain area is collected.Results 37 village and township hospitals and 182 village clinics including 233 health workers and 202 rural doctors (435 in total) are investigated, who think the knowledge and skills about basic medical care, basic health service, health regulations, basic health management and interpersonal communication are what they need most, and training education and academic education are the best continuing medical education for them. The courses that should be set up most are those meeting their urgent needs for knowledge and skill timely.Conclusions Continuing medical education curriculum should be set up appropriately according to rural health workers' needs of knowledge, skill in Wuling mountain areas and the construction of curriculum system should be promoted steadily to meet the demand for training education and academic education in time, in order to cultivate rural medical and health workers who can provide effective medicine and health care service for urban and rural residents in Wuling mountain area.
[1] 崔明辰,刘国良,王福青,等.42所院校三年制临床医学专业课程设置分析[J].中医教育, 2014,33(5):67-69.DOI:10.3969/j.issn.1003-305X.2014.05.123.
Cui MC,Liu GL,Wang FQ,et al.Analysis of curriculum design for three-year program of clinical medicine in 42 institutions[J].Education of Chinese Medicine,2014, 33(5):67-69.DOI:10.3969/j.issn.1003-305X.2014.05.123.
[2] 李晓阳,熊正南,段于峰,等.武陵山片区农村医药卫生人员继续医学教育需求调查与对策探讨[J].中华医学教育杂志,2016,36(1):44-49,69.DOI:10.3760/cma.j.issn.1673-677X.2016.01.012.
Li XY, Xiong ZN,Duan YF,et al. On the investigation of demands for and strategies of continuing education in Wuling Mountain Areas[J].Chin J Med Edu,2016,36(1): 44-49,69.DOI:10.3760/cma.j.issn.1673-677X.2016.01.012.
[3] 楚丽雅,田维忠,邵红英,等.高职临床医学专业课程建设的现状调查与分析[J].价值工程,2012,32(5):260-261.
Chu LY,Tian WZ,Shao HY,et al. Investigation and analysis on the status of course construction of vocational clinical medicine specialty[J].Value Engineering, 2012,32(5):260-261.
[4] 张来平.浅论我国农村医学专业教材课程设置特色[J].中国中医药现代远程教育,2012,10(24):76-77.DOI:10.3969/j.issn.1672-2779.2012.24.060.
[5] 王春梅,王宏丽.临床医学专业课程体系改革的刍议[J].中国实用医药,2013,8(9):255-256.
[6] 郭明,陈俊峰,于越,等.辽宁省乡村医生培训需求的调查研究[J].医学与哲学(人文社会医学版),2011,32(9):68-69,72.
Guo M,Chen JF,Yu Y,et al.A Survey of the needs for rural doctor training in Liaoning Province[J].Medicine and Philosophy(Humanistic & Social Medicine Edition),2011,32(9):68-69,72.
