中医院住院医师规范化培训轮转制度的调查与分析

From teachers and residents evaluation about the standardized training of traditional Chinese medicine explore and improve traditional Chinese medicine clinical training mode

本文拟从教师和学生2个角度，探讨中医医院住院医师规范化培训（以下简称“规培”）过程中存在的问题，并尝试提出解决方案。本研究选择2016年1月－2017年1月于北京中医药大学东方医院进行住院医师规培的学生98人，带教老师111人，分为学生组与教师组。人工发放问卷结合微信“问卷星”APP进行问卷调查，共调查6个问题，每个问题分为3个选项。在轮转时间方面，教师组81人（73.0%）和学生组57人（58.2%）认为本科生轮转时间宜为3年；在中医规培医院的选择上，2组均选择中西医并重同时中医突出的规培医院；教师组59人（53.2%）和学生组67人（68.4%）认为以本专业轮转为主；在增强轮转学生在科室存在感方面，教师组68人（61.3%）建议的方法是让学生独立管理患者，学生组36人（36.7%）认为给予适当的生活补贴可以增强存在感。研究认为，现阶段中医住院医师规培制度存在一些问题，应从规培生的实际需要出发，不断进行完善。

The views from teachers and residents were analyzed to discusses the problems existing in the standardized training of TCM residents, and try to find the solution. A total of 98 standardized training residents and 111 teachers from Dongfang Hospital affiliated to Beijing University of Chinese Medicine （BUCM） were enrolled. The questionnaire sceened by star APP on the phone was used to investigate them with six practical questions, each of which had three options. Both groups agreed that undergraduates’ rotate period for 3 years, masters’ period for 2 years, and doctors’ period for 1 year. As to the item of TCM hospital selection, both groups chose traditional Chinese medicine hospital for resident standardization training. As to the item of majors, 59 teachers （53.2%） and 67 （68.4%） residents chose to learn their majors. The teachers suggested that student independent management can improve sense of presence in the department. But 36.7% of residents considered increasing income can improve sense of presence. There are some problems in TCM residents training system, and we suggest that it should be proceeding from reality in residents and constantly improved in the future.