广州市全科医师培训效果的追踪评价

Effect of General Practitioner Post Training in Guangzhou

目的了解广州市2009—2010年全科医师培训的效果,为改进培训策略和方法提供科学依据。方法采用分层随机抽样的方法,对参加广州市全科医师岗位培训的199名培训学员及其主管领导、同事进行自填式问卷调查。结果 62.81%(125/199)的培训学员对培训项目总体评价为"较好"或"很好",培训学员对培训师资的满意度得分为(4.13±0.66)分,课程安排丰富程度得分为(3.59±0.78)分,师资和学员的互动满意度得分为(3.58±0.80)分。培训学员认为知识技能得到较大改善、很大改善率较高的项目包括重点人群保健(76.88%,153/199)、健康教育(75.88%,151/199)、社区现场应急救护(74.37%,148/199)。主管领导和同事对学员培训后的工作表现均给予了较高评价,认为所有项目总改善率均达到90%以上。结论全科医师岗位培训取得了较好的效果,今后培训过程中,应重视培训内容的安排和设计,促进师资与学员的互动交流,加强临床诊疗技能、医疗管理能力及科研能力的训练,以期进一步提高全科医师培训的效果。

Objective To evaluate the effect of general practitioner （GP） post training between 2009 and 2010 in Guangzhou. Methods A total of 199 GPs were selected from those who had participated in the GP post training between 2009 and 2010 using stratified random sampling. The selected GPs, their superiors and colleagues were asked to fill out the survey questionnaire. Results About 62.81% （125/199） of the trainees rated the overall training scheme as ＇; good＂ or ＂very good＂. The trainees＇ ratings for the trainer quality, curriculum arrangement, and trainer -trainee interaction were （4. 13 ~0. 66）, （3.59 ~ 0.78）, and （3.58 ＋0. 80）, respectively （5 as full score）. The trainees thought they had ＂improvement＂ or ＂great improve- ment＂ of knowledge and skills in ＂ health care for key population＂,＂ health education＂, and ＂ community first aid＂. The trai- nees＇ superiors and colleagues thought highly of the performance of the trainees after the training with improvement in over 90% of all services. Conclusion The GP training scheme has achieved certain effect. However, the curriculum arrangement and trainer - trainee interaction could be improved. Clinical diagnosis and treatment skills, medical management capacity and research abil- ity should be focused and enhanced in future training schemes.