山西省全科住院医师规范化培训现状调查

Survey on standardized general practice residency training program in Shanxi province

对2014-2017年参加山西省全科住院医师规范化培训的1114名学员进行调查。学员基本情况由管理平台提供,其他内容通过调查问卷。共发放问卷1114份,回收有效问卷1089份,有效回收率97.8%。1114名学员中,女性633人(56.8%);2014年参培人员以26~35岁为主,占比达70.2%(157/220);2015-2017年参培人员以20~30岁为主,占比均超过80%;本科学历者所占比例逐年增长,总占比88.2%(982/1114);学员对综合医院全科基地教学满意度高于社区实践基地;学员在增加归属感、提高师资带教水平、构建统一的教材体系、增加全科科研等培训内容方面提出建议。由于"个人喜欢"选择全科专业的学员总占比仅14.4%(157/1089);对于全科医生工作内容"较为了解"或"一般了解"的总占比为77.7%(846/1089);81.4%(887/1089)愿意到社区或乡镇卫生所、村卫生院工作。认为全科专业"前景较好"或"前景一般"的总占比为77.7%(846/1089)。学员在全科医生的经济待遇、职称晋升、社会认同感等方面有热切期待。结果提示规范全科教学,构建全科师资队伍,尽快制定并落实全科医生的各项激励政策,避免人员的流失,是塑造"培养好、用得上、留得住"的全科医生的迫切需要。

A Survey on the current general practice residency training was carried out in January 2018 among 1 114 general practitioners (GPs) who attended the standardized residency training program during 2014-2017. Basic information was obtained from the management department, other information was obtained from questionnaire. Total 1089 valid questionnaires were received with a retrieval rate of 97.8%. The survey showed that the ratios of male trainees, trainees aged 20-30 years and with bachelor degree were increasing during 2014-2017. The participants were more satisfied with the teaching quality in general hospital bases than that in community practice bases. Participants suggested to improve teaching quality, add teaching contents of humanity courses and TCM knowledge. Only14.4%(157/1 089) participants choose GPs as their career because liked this specialty. And 77.7%(846/1 089) GPs understood the main work of GP. There were 81.4%(887/1 089) participants wanted to work in;77.7%(846/1 089) participants thought that the prospect of general practice would be excellent or good. Increasing income, professional promotion and a sense of social recognition were their wishes. Standardized residency training is crucial for general practitioners to upgrade their quality and competence, to improve training quality and to develop incentive policies are necessary.