上海社区全科医师继续教育培训的需求调查分析

Survey on continuing medical education needs for general practitioners in community

为了解上海市社区医师继续教育培训的现状及需求,随机抽取浦东新区、宝山区、闵行区、静安区、卢湾区的5个社区卫生服务中心的117名全科医师为调查对象,采用自行设计的调查问卷,就继续教育的现状、参加学习的动因、对培训内容和培训方式的需求等进行调查.结果显示,目前的继续教育培训率为73.5％,低于卫生部的要求.在参加继续教育的动因上,不同工龄全科医师选择中“有学分”和“晋升要求”的比例差异有统计学意义（P＜0.05）;在对继续教育内容的需求方面,不同工龄全科医师选择“医患交流”和“基础理论”的比例差异有统计学意义（P＜0.05）;对培训方式的需求上,不同工龄全科医师选择“网络教育”、“短期进修”的比例差异有统计学意义（P＜0.05）;授课方式上,不同工龄全科医师选择“授课”和“以问题为核心的PBL教学”的比例差异有统计学意义（P＜0.05）.提示,应加强继续教育的监管力度,拓宽多渠道的培训方式以满足不同层次全科医生的需求.

One hundred and seventeen general practitioners from five community health service centers in Shanghai Pudong, Baoshan, Minhang, Jing＇an and Luwan Districts were randomly selected for survey. The current situations, the intention and the related factors in GP continuing education were surveyed by using self-designed questionnaire. The survey showed that the rate of continuing education was 73.5% , which was lower than the requirements of the Ministry of Health. There were significant differences in motivation （ for ＂credit＂ and ＂promotion＂ ）, training needs （ ＂doctor and patient communication＂ or ＂basic theory＂） , training mode （＂ on-line education＂ or ＂ short term study＂） , and teaching methods （ ＂classroom lecturing＂ or ＂PBL＂ ） among GPs with different length of service （ all P 〈 0.05 ）. The results indicate that to improve the quality of continuing medical education for GPs in community it is necessary to strengthen supervision, broaden the training channels to meet the different needs of general practitioners.