西藏农牧区基层医疗卫生机构对全科医学生素质需求的质性研究

Qualitative Research of the Demand of Primary Medical Service Settings in the Agricultural and Pastoral Areas of Tibet on the Qualities of Medical Students of General Practice

目的探讨西藏农牧区基层医疗卫生机构对经高校培养的全科医学毕业生的素质需求,为西藏地区高校全科医生培养方案的进一步改革和优化提供依据。方法于2014年7月20日—8月6日,采用目的性抽样法在西藏自治区拉萨市、林芝市、日喀则市及山南地区抽取基层医疗卫生机构医务人员13名进行访谈。访谈内容围绕"您希望通过高校培养的全科医学毕业生到单位工作时,具备哪些素质或能力?"展开,采用主题框架法对资料进行整理和分析。结果西藏农牧区基层医疗卫生机构对经高校培养的全科医学毕业生的素质需求包括:全面的专业知识、扎实的专业基础理论和技能、到岗即可独当一面的能力、强烈的人文情怀和良好的沟通能力、执著的自主学习精神和自我发展能力等。结论西藏农牧区基层医疗卫生机构对全科医学生的素质需求较高,高校应加强全科医学的师资队伍建设、重视学生人文素质培养、适当延长小科室疾病教学时间、强化实践教学能力。

Objective To investigate the demand of primary medical service settings in the agricultural and pastoral areas of Tibet on the qualities of medical students of general practice, in order to provide references for further reform and optimization of the training program of general practitioners in colleges and universities in Tibet area. Methods From July 20 to August 6 in 2014,we enrolled 13 health workers in the primary medical services settings in Lhasa,Nyingchi,Shigatse and Lhoka Prefecture in Tibet Autonomous Region using purposive sampling method. Interviews were conducted with the subjects,and the interview was mainly focused on the question of ＂ what qualities or abilities do you think newly graduates of general practice should have when they start to work here ＂. Theme frame work method was used to process and analyze the data from interviews. Results The qualities demanded by primary medical service settings in the agricultural and pastoral areas of Tibet on medical students of general practice included comprehensive specialized knowledge, a good master of professional theory and skills,ability to take charge of practice alone,a strong sense of humanistic feeling,good communication ability,persistent self-study ability and the ability of self-development. Conclusion The demand of primary medical service settings in the agricultural and pastoral areas of Tibet on the qualities of medical students of general practice is at a high level. Therefore,universities and colleges in Tibet area should strengthen the faculty team of general practice, attach more importance on the humanistic quality of students, prolong the time of disease education in various departments in hospitals, and improve the practical teaching.