临床医学专业学生对住院医师规范化培训的认知与需求调查分析

Survey and analysis of cognition and demand of the residency standardized training among clinical medical students

目的了解临床医学专业学生对住院医师规范化培训的认知与需求情况，为该项工作的推广实施提供科学依据。方法2015年5月24至25日，采用整群抽样的方法，应用自制调查问卷，选择来自郑州大学、新乡医学院、河南大学参加实习的五年制临床医学专业大四、大五学生（645人）为对象，调查其对住院医师规范化培训的认知及需求情况。使用SPSS22．0，对计数资料行χ2检验，对非正态分布计量资料行秩和检验。结果回收有效问卷616份。259（42．00％）人对住院医师规范化培训政策不太了解、225（36．50％）人完全不了解，大五学生对住院医师规范化培训的认知度高于大四学生（χ2=87．596，P=0．000）；对政策的了解程度（χ2=10．939，P=0．012）和提升学历便于就业钎=29．349，P=0．000），是影响医学生毕业后选择的主要因素。结论临床医学专业学生对住院医师规范化培训政策的认知度不高，提高其认识并与专业学位培养有效衔接，有助于住院医师规范化培训的推广实施。

Objective To analyze the cognition and demand of the residency training program among clinical medical students to provide scientific basis for the promotion of this policy. Methods From May 24 to 25, 2015, a self-designed questionnaire survey was conducted on 645 undergraduate clinical medical students, who came from Zhengzhou University, Xinxiang Medicine College, Henan University. Da- ta of cognition and demand of the residency standardized training were statistically analyzed using SPSS 22.0 software. Enumeration data were analyzed by chi-square test and abnormal distribution data based on Wilcoxon rank sum test. Results 616 valid questionnaires were recovered. 259 undergraduate clinical medical students （42.00%） did not quite understand the resident standardized training policy and 225 （36.50%） did not known the policy at all.. Before and after clinical practice, the cognition of the residency standardized training had statistically significant difference （χ2=87.596 ,P=0.000）, the knowledge of the policy （χ2= 10.939, P=0.012） and the degree ascending alleviate employment pressure （ χ2=29.349, P=0.000） were the main influencing factors of the clinical medical students＇ choices after graduation. Conclusion Improving medical students＇ understanding of the significance of medical education after graduation, and the integration of professional degree training and residency standardization tra^ning effectively helps to promote implementation of the policy.