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上海市全科医师规范化培训的意向调查分析 被引量:10

Intention Survey on the Standardized Training for Residency of General Practitioners in Shanghai
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摘要 目的了解上海市全科医师规范化培训临床基地的管理者与带教师资对培训的意向。方法在2013年上海市卫生部门认定的全科医师规范化培训的临床基地中随机抽取了11家医院,以调查当天在岗的人员共56人为调查对象,其中全科医师规范化培训临床基地的管理者20人,带教师资36人。于2013年5—8月,采用焦点小组访谈和意向问卷调查进行调查,调查内容包括加强全科医师规范化培训的必要性、全科医师规范化培训的影响因素、面临的主要问题及进一步加强全科医师规范化培训的建议等。结果管理者和带教师资普遍认为当前开展全科医师规范化培训非常必要;全科医师规范化培训效果的影响因素包括临床教学内容与社区实践存在脱节、缺乏交流的平台、缺乏配套的管理和激励机制、社会对全科医师的认同度较低等;当前上海市全科住院医师规范化培训的主要问题是教学管理模式有一定的局限性、学员对全科医学的认知度较低且基础参差不齐、一些临床带教师资缺乏对社区卫生服务和全科医学的了解、培训的内容与实际工作存在一定程度的脱节。结论管理者和带教师资认为当前开展全科医师规范化培训很重要,建议构建全科医师规范化培训的综合管理机制,完善临床带教师资的准入、培训和考核机制,加强临床基地的全科医学学科建设,完善培训方案。 Objective To investigate the intention for the standardized training for residency of general practitioners among administrators and teachers in the training bases in Shanghai. Methods We randomly selected 11 hospitals which were authorized by the health departments in Shanghai as the clinical bases of the standardized training for residency of general practitioners. We enrolled 56 people who were on duty on the day of survey,including 20 administrators and 36 teachers of these clinical bases. From May to August 2013 , focus group interview and intention questionnaire survey were conducted on the necessity of strengthening the standardized training for residency of general practitioners,the influencing factors for the training, major problems and suggestions for further improving the training. Results The subjects widely believed that it is necessary to carry out the training;influencing factors for the training included the detachment of the training content from community practice,a lack of communication platform, a lack of matched management and incentive mechanism and low degree of recognition of society toward general practitioners;the major problems were limitation in teaching management mode,the low cognition level of students towards general practice and uneven foundation,a lack of understanding of community health service and general practice among some clinical teachers and detachment of training content from actual work. Conclusion We suggest the comprehensive management mechanism of the standardized training for residency of general practitioners should be developed, the qualification, training and assessment mechanism of clinical teachers should be promoted, the development of general practice subject of the training should be strengthened,and the training programme should be improved.
出处 《中国全科医学》 CAS CSCD 北大核心 2015年第34期4233-4235,共3页 Chinese General Practice
基金 上海市第三轮"公共卫生三年行动计划"学科人才建设(全科医学重点学科建设)资助项目(12GWZX1002)
关键词 全科医师 规范化培训 意向调查 General practitioners Standardized training Intention survey
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