目的 了解社区卫生服务中心对全科医学研究生能力培养的期望需求,探讨全科医学研究生能力培养的优化对策。方法 基于社区健康需求,对上海市10家社区卫生服务中心的51名管理人员进行问卷调查,内容包括全科医学研究生培养总体满意度、能力期望等方面的内容。能力期望主要包括4个核心维度:临床诊疗能力、科研管理能力、带教授课能力、国际交流能力。结果 本研究共发放调查问卷51份,回收有效问卷51份。调查对象中管理干部37人,全科医学干事14人;本科及以上学历50人,占比98.0%;高级技术职称11人,占比21.6%。51名调查对象认为,全科医学研究生的临床诊疗和科研管理能力基本满足了社区健康需求,但仍然需要完善部分薄弱之处;而带教授课和国际交流能力尚未达到期望需求,应当重点加强。结论 尽管51名行政管理人员对全科医学研究生培养质量大体上持肯定态度,但仍然希望进一步加强全科医学研究生能力。应当充分重视社区卫生服务中心管理者对全科医学研究生能力培养的实际需求,发挥高校优势,开辟国际教育创新模式,优化全科医学研究生能力培养课程体系,为培养高层次全科医学人才提供依据。
Objective To understand the current expectation of general medical graduate training demand on community healthcare center (CHC), and to explore strategies for general medical graduate training improvement.Methods 51 general administrators were surveyed with a questionnaire collecting data on areas such as general medical graduate training satisfaction, competence expectation. The competence expectation includes 4 core dimensions: clinical diagnosis, scientific research, teaching and training, international communication.Results 51 valid questionnaires were received, with an 100.0% response rate. As a result, 37 respondents are administrative leaders, and others are general managers. It also shows that 98.0% (50/51) respondents have a bachelor degree or above; while 21.6% (11/51) are in high level. The quality of general medical graduate training is well considered by the majority of respondents. The clinical and scientific ability of general medical graduate are satisfied, while the teaching and international communicating ability are failing to live up to expectations.Conclusions Although most respondents are positive about the current quality of general medical graduate training, actions need to be made to improve general medical graduate competences. It is essential to pay attention to CHC's demand and give play to the advantages of universities. International education and optimization of courses will be the new approaches to the cultivation of general medical talents.
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