毕业学员对复旦大学中山医院全科医师规范化培训的评价调查

Evaluation of residency training program from general practitioners who completed the training in Zhongshan Hospital

目的调查毕业学员对复旦大学附属中山医院全科医师规范化培训工作的评价和建议，为今后培训工作的进一步改进提供参考。方法采用问卷调查方式，对2000年1月至2011年6月在中山医院全科医学科接受规范化培训的毕业学员进行调查。结果共183名毕业学员中，剔除失访及本院工作人员共15人，调查表发放总数为168份，回收有效问卷165份，回收率98％。165人中，将近2／3的学员是在单位指派的同时抱着更新知识结构、提高专业层次的目的前来参加培训的；对培训的期望程度高和很高者占85％，培训结束后个人期望全部达到和大部分达到者占56％。超过68％的学员认为中山医院的培训特色是临床实践锻炼临床能力、教师的教学水平高以及培训提高了大家的理论水平。超过半数以上的学员认为可以学到很多知识、临床轮转带教老师水平高、管理严格是培训的优点。超过84％的学员认为接受培训之后在技能、知识和理念方面收获很大或较大。对中山全科培训计划的总体评价是很好和较好的学员占74％。48％的学员认为培训缺点是社区轮转的社区师资力量比较薄弱，此外缺点还包括部分专科带教老师对学员要求较低，部分理论课内容与社区实际脱节等；认为培训计划最需要改进的是实践安排、缩短规范化培训的总时间、增加科研方面的教学内容等。结论中山医院全科医师规范化培训工作得到肯定，同时也存在一些问题有待改善，以利于今后更加合理规范地开展培训工作，提高培训效果。

Objective To evaluate the standardized general practice training program. Methods A questionnaire survey was conducted among general practitioners who completed the standardized residency training program in Zhongshan Hospital, Fudan University from January 2000 to June 2011. Results During this period 183 residents received general practice training, 15 were excluded the survey due to loss of follow-up or other reasons, 168 questionnaires were distributed and 165 valid questionnaires were returned with a recovery rate of 98%. The main findings： 2/3 of surveyed GPs were sent by their affiliated institutions ; 85% evaluated the program as ＂highly＂ or ＂very highly＂ ; 56% thought that their expectations were completely or mostly fulfilled; 68% thought that the program enhanced their clinical capability and theoretical levels; over half thought that the clinical rotation and strict teaching management were the advantages of the program ; 84% thought that they improved their skills, knowledge and ideas ; 7＇$% thought that the training program was very good or fairly good; 48% thought that the preceptors in communities were comparatively weak and some theoretical lessons were not relevant to the context of the community. The surveyed GPs required improving of practice components, shortening the total length of training and increasing the teaching contents on scientific research. Conclusion The surveyed general practitioners give credit to the GP residency training in Zhongshan Hospital and put forward some proposals for further improvement.