上海市全科专业住院医师规范化培训学员对培训效果的评价

Effect evaluation of standardized training for general residents in Shanghai

目的了解上海市全科专业住院医师规范化培训学员对培训效果的评价,以提高培训质量。方法本研究采用问卷调查方法。2019年3月至2019年6月,随机抽取2016年至2018年参加并完成上海市全科专业住院医师规范化培训(以下简称住培)的320名学员为研究对象。采用自行设计的问卷就学员住培期间的培训情况以及培训中的问题和建议进行调查。调查采取网络问卷和深度访谈的方式进行。结果学员对住培中采用的临床思维方法与典型病例分析的满意度为77.8%(249/320);对综合医院和社区基层医院轮转安排的满意度分别为85.9%(275/320)和79.1%(253/320),对住培期间的薪酬待遇满意度为25.9%(83/320),本科和研究生学员对全科医学科研能力培训的满意度分别为25.4%(66/260)和45.0%(27/60);78.1%(250/320)的学员认为教师缺乏带教的针对性。结论上海市全科专业住培学员对培训效果总体较为满意;但应当提高对薪酬待遇、加强全科医学科研能力培训和带教的针对性。

Objective To investigate the effect of the standardized training for general practitioners in Shanghai, so as to further improve the training.Methods In this study, the questionnaire method was used. From March 2019 to June 2019, 320 students who participated in and completed the standardized training of general practitioners in Shanghai (hereinafter referred to as 'residential training’) from 2016 to 2018 were randomly selected as research objects. A self-designed questionnaire was used to investigate the situation of the trainees during the training period, as well as the questions and recommendations in the training. The survey was conducted by network questionnaire and in-depth interview.Results The satisfaction of participants with the clinical thinking method and typical case analysis used in the residential training was 77.8% (249/320), the satisfaction with rotation arrangements in general hospitals and community primary hospitals was 85.9% (275/320) and 79.1% (253/320), respectively, and the satisfaction of remuneration during the period was 25.9% (83/320), and the satisfaction of scientific research of undergraduate students and graduate students was 25.4%(66/260), 45.0%(27/60). 78.1% (250 / 320) of the students thought that teachers lacked the pertinence of teaching.Conclusions At present, Shanghai general residents are satisfied with the training. The remuneration, general medical research ability training and the pertinence of teaching need to be further improved.