义乌全科医生能力提升培训效果分析

Evaluation of the training effect of capacity building for general practitioners in Yiwu

目的对"精英小班化"义乌全科医生能力提升培训效果进行评价.方法浙江大学医学院附属第四医院与义乌市卫生健康局合作,于2018年12月6日至2019年4月5日举办了第一期全科医生培训班,培训内容包括理论学习与临床轮转2个部分.培训采用"精英小班化"教学方式.对学员培训前、后的理论考核成绩进行分析,并通过座谈了解需进一步改进之处.对定量资料进行描述性分析,对定性资料采取主题分析方法.结果经过4个月的理论学习和临床轮转,学员的理论成绩明显提高,平均分由66.94分提升至72.59分.学员认为医学统计与科研方法、医学伦理及沟通技巧、社区非常见疾病处理等培训有待加强.结论"精英小班化"培训方式适合基层全科医生培训.其中,政府支持、学员选拔十分重要.

Objective To evaluate the effect of " elite small class" training mode in capacity building for general practitioners in Yiwu city. Methods The Fourth Affiliated Hospital of Zhejiang University School of Medicine worked with Yiwu Health Bureau, and held the first training class for general practitioners from December 6th in 2018 to April 5th in 2019.The mode of " elite small-class" was adopted.Theoretical assessment was carried out for trainees before and after the training and discussion was conducted after the training.Descriptive analysis of quantitative data and thematic analysis of qualitative data were carried out. Results The trainees′ theoretical performance had been significantly improved after 4 months of theoretical learning and clinical rotation.The average score of the theoretical performance was increased from 66.94 to 72.59. Conclusions It was preliminarily found that the " elite small-class" training mode was suitable for the training of general practitioners in rural areas.Government support and trainee selection are key to training outcomes.