外科住院医师规培满意度调查研究

Research on satisfaction degree of surgical resident in standardized training

目的调查外科住院医师规培满意度,探讨存在的问题和影响因素,为进一步完善外科住院医师规培制度和提高培养质量提供参考。方法采用自制满意度量表对2015年9月-2018年6月在首都医科大学附属北京友谊医院参加外科住院医师规范化培训的137名住院医师进行规培满意度调查。男性108名(78.8%),女性29名(21.2%);平均年龄(26.78±1.83)岁。正态分布的计量资料采用均数±标准差(Mean±SD)表示,计数资料采用n(%)表示。组间差异采用t检验和单因素方差分析。结果外科住院医师对规培的总体满意度评分为(3.71±0.83)分,其中对工作环境评分最高,为(4.12±0.67)分,而培训效果评分最低,仅(3.53±0.85)分。规培第3年的住院医师在总体满意度低于规培第1、2年评分,差异存在统计学意义(F=3.27,P=0.04);规培第1年住院医师在规范管理维度评分高于规培第2、3年住院医师评分,差异存在统计学意义(F=3.30,P=0.04)。并轨专业学位研究生在总体满意度、规范管理和科研训练维度评分高于招录住院医师评分,差异均存在统计学意义(P<0.05);招录住院医师在薪资待遇维度上高于专业学位研究生评分,差异存在统计学意义[(3.78±0.85)分比(3.44±0.63)分,P=0.02]。结论外科住院医师对规培的总体情况表示满意,但在科研训练、规范管理、培训条件、培训效果层面还需加强,专业学位研究生薪资待遇也需进一步提高。

Objective To investigate the satisfaction degree of surgical resident in standardized training and to explore the existing problems and influencing factors.It provides references for improving the system and quality of standardized training.Methods The Self-designed Satisfaction scale was used to investigate the satisfaction degree of 137 residents who attended the standardized training of surgical residents in Beijing Friendship Hospital,Capital Medical University from September 2015 to June 2018.There were 108 males(78.8%)and 29 females(21.2%).The mean age was(26.78±1.83)years.The measurement data of normal distribution were expressed as mean±standard deviation.Counting data was expressed by frequency and constituent ratio.The differences between groups were analyzed by t test and one-way anova.Results The overall satisfaction score of the surgical residents to the standardized training was 3.71±0.83,among which the residents scored the highest on the working condition(4.12±0.67),while the training effect(3.53±0.85)was the last in all dimensions.The overall satisfaction of third-year residents was lower than that of first-year and second-year residents,and the differences were statistically significant(F=3.27,P=0.04).The scores of first-year residents in standardized management was higher than that of second-year and third-year residents,and the difference was statistically significant(F=3.30,P=0.04).The scores of professional degree postgraduate in overall satisfaction,standardized management and research training were higher than those of enrolled resident,and the differences were statistically significant(P<0.05).The score in enrolled resident(3.78±0.85)was higher than that of professional degree postgraduate(3.44±0.63)in the dimension of salary,and the difference was statistically significant(P=0.02).Conclusion Surgical residents expressed satisfaction with the general condition of standardized training,training condition,research training,training effect and postgraduate salary were still need be strengthen.