上海市全科医师继续医学教育现状及意向分析

Situation and intention analysis of continuing medical education in general practitioners of Shanghai

目的了解上海市全科医师继续医学教育的现状、影响因素及意向,为完善全科医学的继续教育措施提供依据。方法以上海市卢湾区、静安区、闸北区、虹口区、青浦区、金山区共15所社区卫生服务中心的252名全科医师作为调查对象。采用自行设计的调查问卷,就全科医师参与继续教育的现状、影响因素及意向进行分析。结果 16.3%的调查对象从未参与继续医学教育项目培训,主要原因为自身主观因素(46.3%)和相关部门没有要求(41.5%)。继续医学教育的参与率与全科医师的职称、从业年限以及全科医学培训经历等因素有关(P<0.05)。47.2%的调查对象选择"临床医学"作为继续医学教育的项目,而选择"行为和社会科学""医学伦理学"项目的分别占13.1%和7.1%。结论继续医学教育是全科医师提高医疗质量的先决条件,在职全科医师必须加强继续医学教育的意识,相关部门应建立有效的监督和管理机制,采取灵活教育形式,提供有针对性的全科医学的教育项目,推进全科医学继续教育措施的实施。

Objective To investigate the situation,influencing factors and intention of continuing medical education in general practitioners of Shanghai. Methods A total of 252 general practitioners from 15 community health service centers in Luwan District,Jing'an District,Zhabei District,Hongkou District,Qingpu District and Jinshan District of Shanghai were selected.Self-designed questionnaires were adopted to investigate the situation,influencing factors and intention of continuing medical education in general practitioners. Results Among all the general practitioners,16.3% had never taken part in continuing medical education,and the main causes derived from subjective factors(46.3%) and lack of requirement from post(41.5%).The professional title,working years and general practice training experience of general practitioners were significantly related to the participation rate of continuing medical education(P<0.05).The percent of choosing 'Clinical Medicine' as continuing medical education training curriculum was 47.2%,and those choosing 'Behavior and Sociology' and 'Medical Ethics' accounted for 13.1% and 7.1%,respectively. Conclusion Continuing medical education may help general practitioners to improve medical skills,and the intention of continuing medical education should be enhanced in general practitioners.The supervision and management mechanism of continuing medical education should be established,and flexible training form and targeted educational programs should be provided.