豫西南地区全科医生转岗培训现况的调查研究

Current Status of Job- transfer Training for General Practitioners in Southwest Henan Province

目的了解豫西南地区全科医生转岗培训现状、培训需求和影响培训的主要因素,为构建合理培训模式、加强培训基地内涵建设,提高培训质量提供依据。方法 2012年11月,通过自行设计调查问卷及个人访谈,对2012年参加南阳医学高等专科学校全科医生转岗培训的学员进行调查。结果 97.3%(146/150)的调查对象表示开展全科医生转岗培训有意义并愿意参加培训;调查对象期望通过培训得到提升的技能主要为"疾病的诊疗知识",全科医生必备的能力以"常见病诊断及治疗技术"为首;全科医生转岗培训所需的学科知识主要为临床医学和全科医学;全科医生必备的素质主要为职业道德和沟通能力;培训的最佳地点为医学院校和市级以上医院相结合,最好的方式为进修形式;对此次培训所用教材50.7%(76/150)的学员表示基本满意。结论参加本次转岗培训的学员学历水平、职称及能力整体偏低且参差不齐,学员认为"疾病诊疗知识"及"常见病诊断及治疗技术"最为重要。应通过加强培训基地的内涵建设,构建以能力为导向的全科医生培训模式,选择多元化教学方式和教学手段,加强师资队伍和教材建设及制订科学的评价体系等方式,提高培训质量。

Objective To assess the current status and influencing factors of job - transfer training for general practi- tioners in southwest Henan Province, in a hope of providing the basis for developing a better training program, optimizing the in- frastructure of training bases, and thus improving the training outcome in this area. Methods A total of 150 student trainees who participated in general practitioner＇s job - transfer training program in Nanyang Medical College in 2012 were subjected to a self - designed questionnaire survey and personal interviewsm in November, 2012. Results Out of the 150 respondents, 97.3% con- sidered the training helpful. What the trainees expected to improve most through the training were the knowledge and skills pertain- ing to diagnosis and treatment of common non - communicable diseases, professionalism, and communication skills. Half （50. 7% ） of the trainees expressed their satisfaction with the teaching materials used in this training. Medical colleges with affilia- ted teaching hospitals were considered as the most appropriate place for the training to be hold and intensive non - degree training was considered as the best training approach. Conclusion Students＇ educational level, professional title and capacity is low and uneven. Students think ＂ disease diagnosis and treatment knowledge＂ and ＂ common disease diagnosis and treatment technolo- gy＂ is the most important. Further efforts are needed in the future to improve the outcome of job - transfer training for general practitioners in Southwest Henan Province through optimizing the infrastructure of the training bases, developing an ability im- provement - oriented training framework, adopting diversified teaching methods, utilizing qualified teaching staff and most appro- priate teaching materials, and establishing a scientific evaluation system.