住院医师对全球医学教育最基本要求的实用性评价

A Survey of Resident Doctors:Evaluation of the Practical Value towards the Global Minimum Essential Requirements in Medical Education

目的通过调查住院医师对全球医学教育最基本要求(GMER)的实用性评价,为GMER在我国的大规模应用提供有益信息。方法对四川大学华西医院205名住院医师进行问卷调查。结果住院医师对GMER标准实用性评价普遍较高,但对“群体健康和卫生系统”领域的实用性评价最低。结论应增加社会环境对医生运用GMER各领域能力或素质的要求,特别是运用“群体健康和卫生系统”领域知识的要求；建议调整医生绩效评价指标,加大实用性得分较低领域的考核权重；同时从在校教育阶段注重培养医学生宏观微观并重的思维能力,才能培养出掌握GMER核心能力的专业人员。

Objective To learn about the evaluation of the practical value of resident doctors towards the Global Minimum Essential Requirements in Medical Education （GMER）, so as to provide effective information for the usage of GMER in China. Methods Two hundred and five resident doctors of West China Hospital of Sichuan University were investigated by the use of questionnaires. Results The evaluation of the practical value towards the 7 domains of GMER was high, but the ＂population health and health systems＂ domain gains the lowest scores. Conclusion The society might ask doctors to use the abilities required by GMER, especially the requirements in the ＂population health and health systems＂ domain. It is suggested that the doctors＇ performance evaluation system be adjusted by adding the weight to the lower score domains, and the medical students be trained to be equipped with both macro and micro thinking abilities in medical school, so as to cultivate doctors with the ＂core competence＂ of GMER.