新疆住院医师规范化培训效果评价

Outcomes appraisal of residents＇ standardized training in Xinjiang

目的了解新疆维吾尔自治区（以下简称“新疆”）住院医师规范化培训学员的培训效果及主要影响因素。方法依据方便抽样原则，对新疆10家培训基地正在接受培训的220名学员进行问卷调查。对测量指标采用频率和相对数进行描述，各测量指标间的培训效果比较采用∥检验。结果被调查对象的培训效果存在很大差异，在对6个一级指标共25个二级指标的比较中，调查对象对“教学与科研”的培训效果评价一般。经logistic回归分析，显示文化程度（χ2=7．575，P=0．006）和所在医院（单位）或学校（χ2=10．770，P=0．001）是培训效果高低的影响因素。结论新疆住院医师规范化培训工作有待进一步加强。应强化组织领导并建立高效的保障机制，制定科学的培训计划、考核制度和激励机制，营造浓厚的学术科研氛围等。

Objective To learn the training effect and main influencing factors for residents＇ standardized training in Xinjiang. Methods In the convenience sampling principle, 220 trainees subject to training at 10 training centers in Xinjiang were surveyed with questionnaire. Measurement indicators were described with frequencies and relative number, and χ2 test was used to compare overall training outcomes among individual measurement indicators. Results Significant gaps were found among the respondents in terms of training outcomes. A comparison of six level-1 indicators and 25 level-2 indicators found that the respondents gave average comment to ＂ teaching and research＂ training. Logistic regression analysis identified education （χ2 = 7. 575 ,P = 0. 006 ） and hospital （employer） or school （χ2 = 10. 770 ,P = 0. 001 ） as the main influencing factors for training outcomes. Conclusions The standardized training of residents in Xinjiang calls for greater improvement, namely enhanced leadership and powerful assurance mechanism, scientific planning, appraisal regulations and motivation mechanism, as well as encouraging academic environment.