云南省住院医师规范化培训公共理论培训满意度现状及影响因素分析

Analysis on the current status and influential factors of job satisfaction amongst the primary subject lectures of the standardised training of residents in Yunnan

目的分析云南省住院医师规范化培训公共理论培训满意度现状及影响因素,为提升云南省医疗人才质量提供依据和改进措施。方法2018年7-10月,运用随机整群抽样方法从云南省25家住院医师规范化培训基地中,按照基地性质从省、市级三级甲等(简称“三甲”)基地中分别随机抽取3家培训基地,对2016级、2017级参培学员进行现场问卷调查,共调查学员541名。调查内容包括学员基本情况信息,学员对公共理论培训内容、培训形式、带教师资、考核方式、教学管理、基地和管理部门重视程度等内容的满意度评价等。对其有效数据进行描述性统计、秩和检验和有序多分类logistic回归分析。结果学员对公共理论培训的总体满意度为62.41%,对集中教学满意度最低,为25.75%;经秩和检验,学员对公共理论培训满意度在年级、有无执业医师证方面差异有统计学意义(均P<0.05);经有序多分类logistic回归分析,性别是影响学员对公共理论培训满意度评价的因素,男生比女生的满意度高。结论学员对云南省住院医师规范化培训公共理论培训满意度一般,公共理论培训有待进一步完善;建议培训基地提高思想认识,加强公共理论培训过程管理;政府相关部门制定一套科学合理的考核制度;正视统考通过率,实行基地动态管理和过程考核机制;切实提高培训实用性。

Objective To analyse the current status and influential factors of job satisfaction amongst the primary subject lectures of the standardised training of residents in Yunnan and provide basis and measures for improving the quality of medical personnel in Yunnan.Methods From July to October 2018,a cluster sampling method was used to randomly select six training bases from 25 standardised training bases for resident physicians in Yunnan according to the nature of the training bases,three training bases were randomly selected from the provincial and municipal level three A(referred to as the"Three A")bases and conduct on-site questionnaire surveys of the 2016 and 2017 trainees,and a total of 541 trainees were surveyed.The survey content included the basic information of the trainees and trainees'satisfaction evaluation of the content of the primary subject lectures,training forms,clinical teachers,examination mode,teaching management,training bases and management departments.Descriptive statistics,rank sum test and ordered multi-classification logistic regression analysis were performed on valid data.Results The overall satisfaction of trainees with primary subject lectures was 62.41%,and the lowest satisfaction with centralised teaching was 25.75%.After the rank sum test,differences in trainees'satisfaction with the primary subject lectures in terms of grades and whether or not there was a medical practitioner certificate were found(all P<0.05).After orderly multi-category logistic regression analysis,gender was considered as a factor affecting trainees'satisfaction with the primary subject lectures,and boys were more satisfied than girls.Conclusion Trainees'satisfaction with the primary subject lectures of the standardised training residents in Yunnan is average,and the primary subject lectures must be further improved.It is suggested that the training bases should improve the ideological awareness and strengthen the management of the primary subject lecture process,relevant government departments develop a scientific and reasonable assessment system,implement the dynamic management and process assessment mechanism of the bases to achieve the pass rate of the unified examination and improve the practicality of training effectively.