我国不同地区放射科住院医师及其规范化培训项目执行频率的调查分析

Investigation and analysis of current situation and project implementation frequency of standardized resident training for radiological clinicians in China

目的调查全国不同地区放射科住院医师规范化培训(简称住培)基地学员的一般情况和培训项目执行频率的差异,为进一步提升住培过程的标准化提供参考。方法选取308家国家首批放射科住培基地的1188名学员为研究对象,采用问卷调查方法,了解其一般情况和培训项目执行频率的差异,采用行列表χ^(2)分析、单因素方差分析和秩和检验进一步分析差异产生的原因。结果参与调查的学员中不同地区学员的年龄(F=6.31,P<0.001)、学历(χ^(2)=61.76,P<0.001)、婚姻状况(χ^(2)=28.96,P=0.004)、年收入(χ^(2)=64.45,P<0.001)均存在差异,其差异均是有统计学意义。不同地区间培训项目执行频率差异最大的是"放射科防护指导"(华中地区最高3.84±0.13,华东地区最低3.25±0.07,χ^(2)=24.24,P<0.001)和"论文撰写相关培训"(东北地区最高3.01±0.13,华南地区最低2.41±0.14,χ^(2)=19.86,P=0.003)。结论我国不同地区放射科住培学员的一般情况和培训项目执行频率均存在差异,可以从推进分层教学、完善住培基地准入和考核制度、制定有放射科专业特色的住培政策3个方面进一步提升住培过程的标准化。

Objective To investigate the general situation of radiology residents in a nationwide standard residency training(SRT)program and the completion of the resident training tasks,so as to provide a reference for further improvement of standardization of SRT program.Methods A questionnaire survey was released to 308 SRT bases institutions to find potential differences in the completion of training tasks and the general situation.Totally 1 residents completed SRT course were selected as the study subjects.χ^(2) analysis,one-way ANOVA,and the rank-sum test were used to analyze the results and to identify causes concerned.Results According to different training regions,there were significant differences in age(F=6.31,P<0.001),education experience(χ^(2)=61.76,P<0.001),marriage(χ^(2)=28.96,P=0.004)and annual income(χ^(2)=64.45,P<0.001)of the trainees involved in the investigation.The most variable performance frequency across regions was"radiological protection guidance"(the highest was 3.84±0.13 in central China and the lowest was 3.25±0.07 in east China 3.χ^(2)=24.24,P<0.001)and"writing research papers concerning training"(The highest was 3.01±0.13 in northeast China,and the lowest was 2.41±0.14 in south China,χ^(2)=19.86,P=0.003).Conclusions There are great differences in the general situation of radiology residents'training and in the completion of regular residential training tasks at different regions of China.The SRT policy need to be improved in three aspects:promoting stratified teaching,improving the training entrance standard as well evaluation system in training bases and development of training policy with professional radiology characteristics.