北京协和医院内科青年医师教学工作现况的调查及分析

Investigation and analysis of the current teaching situation of young physicians in internal medicine department at Peking Union Medical College Hospital(PUMCH)

目的调查北京协和医院内科青年医师参与教学活动的现状、动机、困难与需求。方法对北京协和医院内科学系2018年11月至2019年10月期间管病房主治医师及在病房轮转的内科住院医师进行问卷调查。结果主治医师及住院医师对教学的兴趣度分别为(8.0±1.8)分、(7.5±1.8)分(0~10分),教学工作占全部工作时间比例分别为25.3%±14.1%、24.8%±15.2%。主治医师及住院医师参与教学最主要的原因均为教学相长。主治医师面临的最大困难为临床和科研压力大(72.4%,42/58),最希望得到的帮助为提高教学对晋升的影响(48.3%,28/58)。住院医师面临的最大困难除临床和科研压力大(50.6%,41/81)外,还有缺乏教学技能(25.9%,21/81)等,最希望得到的帮助为教学技能相关培训(42%,34/81)。结论青年医师对教学工作有较高热情,教学相长是最主要的内在驱动力,未来应帮助青年医师更好地平衡临床、科研与教学工作,适当调整奖励机制,进行教学方法培训等,进一步改善教学情况。

Objective To investigate the current situation,motivation,difficulties and needs of young physicians participating in teaching activities in internal medicine department at PUMCH.Methods We surveyed young attendings and residents who worked at internal medicine wards of Peking Union Medical College Hospital from November 2018 to October 2019 about their current tasks,motivation,difficulties and needs in terms of teaching.Results Based on visual Analog Scale,the mean score of attendings interest in teaching is 8.0±1.8,and teaching work accounted for 25.3%±14.1%of all working hours.The most important motivation for teaching is self-improvement via teaching.The biggest difficulty faced by attendings is high pressure on clinical and research work(72.4%,42/58).The most voted need is to increase the impact of teaching on promotion(48.3%,28/58).The mean score of residents interest in teaching is 7.5±1.8,and teaching work accounted for 24.8%±15.2%of all working hours.The most important motivation for teaching is self-improvement via teaching.The biggest difficulties faced by residents include high pressure on clinical and research work(50.6%,41/81)and lack of teaching skills(25.9%,21/81),etc.The most voted need is teaching skill trainings(42%,34/81).Conclusions Young physicians are highly motivated to teaching with self-improvement as the main driving force.Measures should be taken to support young physicians to better balance clinical,research and teaching,and to improve their teaching results.