重庆市全科医师继续医学教育现状调查及对策研究

Status of Continuing Medical Education for General Practitioners in Chongqing and Its Countermeasure

目的通过对重庆市全科医师继续医学教育现状及其需求进行调查研究、分析,逐步解决全科医师继续医学教育中存在的问题。方法对重庆市2011年全科医师骨干培训班(永川医院基地、重庆医科大学附一院基地)的学员中随机抽取172名以及重庆市某社区卫生服务中心14名全科医师进行问卷调查。结果被调查学员从业年限为1～35年,中位数为7年。以往全科医师继续医学教育培训经历方面,21人(占11.29%)无培训经历,165人(占88.71%)之前有过培训经历;133名(占71.50%)全科医师是自愿报名,53名(占28.50%)非自愿报名;159名(占85.48%)全科医师所在单位支持此次培训,6名(占3.23%)所在单位不予支持,21名(占11.29%)所在单位持无所谓态度。结论为了保证重庆市全科医师继续医学教育的顺利开展,首先政府应加大投入;其次应增加全科医师继续医学教育项目的设置;再者应增强全科医师对继续医学教育的认识,使其积极主动的学习;最后应加强全科医师的职业道德的培养,重视在职人员人文素质的教育。

Objective To investigate and analyze the status of continuing medical education for general practitioners （GP） in Chongqing so as to gradually solve the existing problems in the medical education, and to provide a guide for carrying out continuing medical education project for general practitioners in the future. Methods A total of 172 GPs randomly selected from the trainees of 2011 general practitioner backbone training projects （in Yongchuan Hospital Base, and in Base of the First Affiliated Hospital of Chongqing Medical University）, and 14 from a community health service center in Chongqing. Among them a questionnaire survey was performed. Results The working duration of the participants was 1 - 35 years, with a median of 7 years. In terms of general medical continuing education training experience, 21 GPs （ 11.29% ） had no such experience, and 165 （88. 71% ） had such experience previously; 133 GPs （71.50%） voluntarily applied, and 53 （28.50%） were not; there were 159 GPs （85.48%） whose working institutions gave them support, 6 （3.23%） whose institutions did not give them support, and 21 （ 11.29% ） whose institutions took an indifferent attitude. Conclusion To ensure the continuing medical education for GPS in Chongqing smoothly, it is necessary to raise investment by the government, increase the education project settings, enhance the understanding of GPs on continuing medical education for active learning, and strengthen the GPs＇ professional ethics and pay attention to the education on humanistic quality for on -the -job personnel.