目的 了解全科医学专业住院医师规范化培训学员(以下简称全科住培学员)批判性思维能力的现状及其影响因素。方法 采用问卷调查方法。选择2017年至2019年同济大学附属医院141名全科住培学员为研究对象,采用批判性思维量表和批判性思维能力影响因素调查表对学员进行电子问卷调查。采用t检验和方差分析比较不同特征全科住培学员的批判性思维能力评分,采用多个自变量的方差分析方法探讨其影响因素。结果 全科住培学员的批判性思维总分为(252.96±36.54)分,仅有19.9%(28/141)的学员为正性批判性思维。其影响因素有性别、学习英语频率、处理临床问题方式和教师带教方式(均P<0.05)。结论 全科住培学员批判性思维能力较弱,可以通过教学查房、双语教学和带教方式改变等促进其批判性思维能力的提高。

Objective To investigate the current situation and influencing factors of critical thinking capacity of general practice residents. Methods Questionnaire survey was used. Totally 141 general practice residents in affiliated Hospital of Tongji University from 2017 to 2019 were selected as the research objects. Use the critical thinking scale and questionnaire on the influencing factors of critical thinking ability to conduct an electronic questionnaire survey on the general practice residents. T-test and ANOVA were used to compare the scores of critical thinking ability under different factors of general practice residents; multiple independent variable analyses of variance were used to explore the influencing factors of critical thinking capacity. Results The average score of critical thinking scale was (252.96±36.54), and only 19.9% (28/141) of them showed a positive critical thinking capacity. The influencing factors are: gender,frequency of learning English,ways of dealing with clinical problems and teaching pathway in the hospital (all P<0.05). Conclusions The capacity of critical thinking by the general practice residents is weak. It is necessary to intervene the influencing factors through the change of teaching methods and the adjustment of contents, such as teaching rounds, bilingual teaching and training models in the hospital.