我国省市县现场流行病学培训项目现况调查

Survey of different types of field epidemiology training programs in China

目的 了解我国省、市、县开展的现场流行病学培训项目（field epidemiology trainingprograms,FETP）现状、类型、培训效果及存在问题.方法 在中国现场流行病学培训网络中每省挑选1名指定联系人,负责搜索并调查其省内在2001年10月1日至2010年10月1日,针对公共卫生应急和传染病控制人员举办的、培训时间1年内累计超过6个月并开展了现场实践培训的专业技术培训项目/班情况.设计包括基本情况、组织管理、培训设计、师资力量、学员情况和培训期间产出等项目的调查问卷,由联系人统一填写;汇总并描述各项调查信息.结果 有9个省共计35家单位开展了符合定义的项目,项目经费均来自地方财政.35个项目理论课程时间占总时间的10％～20％,现场实践时间占80％～90％.35个项目合计有指导教师355名,其中22人（6％）是国家FETP毕业学员、57人（16％）是地方FETP毕业学员.在应急调查、监测分析、监测评价、专题调查、调查报告、发表论文方面,多数项目（50％～94％）人均少于1次.结论 FETP经过多年发展,在我国内地初具一定规模,一些省级项目开展较为成功,但各地区培训项目的效果和质量参差不齐.建议优化整合国内现场流行病学培训项目的资源,进一步扩大中国现场流行病学培训项目网络建设.

Objective To understand the current status,type,and effect of training programs conducted by Health Bureau and CDC in China.Methods One person of each province was selected from China field epidemiology training network and designated as contact person who was responsible for collecting information of field practical training lasting for at least 6 months for staff of public health emergency and infectious disease control in each province from October 2001 to October 2010.Questionnaire including basic condition,organization and management,training design,faculty condition,trainee condition and training outputs was designed and filled in by contact person.Results There were 35 training programs covering over 9 provinces in China.The first province and city FETP started in 2004,including Guangdong FETP,Zhejiang FETP,Hangzhou FETP,Ningbo FETP and Guizhou FETP.Thirty-five training programs had 355 mentors,22（6%）were CFETP graduates and 57 （16%）were local FETP graduates.All program funds were paid by local governments.The training programs included two parts,theoretical lectures and field practice,which occupying 10%-20% and 80%-90% of the whole training time,respectively.Among 6 evaluative items including emergency investigation,surveillance analysis,surveillance evaluation,planned investigation,investigation report and paper publication,most programs（50%-94%） had less than average one person per time.Conclusions Field epidemiology training program after several years of development in china achieves the certain scale.Some provincial programs are successful,but the effect and quality of training programs in different areas are uneven.We suggest optimizing of field epidemiology training resources and further expanding China field epidemiology training network.