临床医学专业学位硕士研究生对“并轨”培养模式满意度调查研究

Investigation on the satisfaction degree of the combination training mode for the professional master＇s degree of clinical medicine

目的探讨对“并轨”培养模式的看法与意义，为研究生规范化培训工作的顺利开展提供参考。方法自行设计问卷，内容包括：轮转／规培情况、临床技能；科研学术；支撑条件；并轨政策的合理性及展望。选取昆明医科大学附属第一医院2014和2015级临床医学专业学位硕士研究生。以无记名的方式，按总人数50％的比例，采用分层抽样及随机抽样的方法发放问卷并回收。采用Excel数据库进行数据处理和分析。结果共发放问卷200份，回收167份，有效回收率83．5％。参与调查的研究生中认为较为满意的项目依次是：并轨的培养模式更为合理（85．0％，142人）、提高临床综合能力（83．2％。139人）、加快高层次临床人才的成才（67．7％，113人）、有利于统一临床实践标准（55．1％，92人）、有利于就业（48．5％，81人）、节约医疗资源（44．3％，78人）。而调查发现研究生不满意的项目依次是：科研时间（88．0％，147人）、轮转计划安排（65．8％，110人）、月收入（89．8％，150人）。结论“并轨”的培养模式有利于加快临床医学人才成才，节约医疗资源，进一步完善了医学生教育体系，更好地提高了医学生临床综合能力，但在具体培养计划、提高科研学术能力的培养及薪资待遇等方面仍需进一步完善。

Objective To discuss the views and significance of the ＂parallel＂ training mode, and provide a reference for the smooth development of the graduate students＇ standardized training work. Methods The self-designed questionnaire included rotation/training, clinical skills, scientific research, supporting conditions, and the rationality and prospect of the integrated training mode. We chose the graduate students of professional type classes of Grade 2014 and 2015 in a university affiliated hospital of Kunming, in a secret-based manne.r, and questionnaires were distributed and collected by stratified sampling and random sampling according to the proportion of 50% of the total number of them. Excel database was used for data processing and analysis. Results A total of 200 questionnaires were distributed and 167 were recovered with an effective recovery rate of 83.5%. The research items involved in the investigation of the students that were more satisfied with the project were as follows： methods of integrated training mode being more reasonable （85.0%, n=142）, improving clinical comprehensive ability （83.2%, n=139）, accelerating the development of high-level clinical talents （67.7%, n=113）, conducive to unify the clinical practice standards （55.1%, n=92）, conducive to employment （48.5%, n=81）, saving medical resources （44.3%, n=78）. Meanwhile, the survey found that graduate students were not satisfied with the following items： research time （88.0%, n=147）, arrangements for plans of rotate conversion （65.8%, n=110）, monthly income （89.8%, n=150）. Conclusion The integrated training mode can accelerate the development of high-level clinical talents, save medical resources, further improve the medical education system and better improve the clinical comprehensive ability of medical students. However, it still needs to be further improved in terms of the arrangements for plans of rotate conversion of clinical departments, cultivation of scientific research ability, and salary, etc.