安徽省全科医学专硕研究生与住院医师规范化培训并轨培养实施效果及其影响因素

A study on the implementation effect and influencing factors of the parallel training for master's

目的研究安徽省全科医学专硕研究生与住院医师规范化培训(住培)并轨培养模式的实施效果及核心胜任力的影响因素,为提升住院医师核心胜任力及改善住培基地管理提供参考。方法研究对象包括参加安徽省2022年度业务水平测试的全科医学专业住院医师311人、2022年住培结业考核的全科医学住院医师198人及随机抽样安徽省在培二、三年级与已结业的全科医学专业住院医师参加问卷调查181人三部分。每部分按照不同身份分为专硕研究生和中央项目住院医师2组,每部分专硕研究生分别为37、28、70人,中央项目住院医师分别为274、170、111人。评价专硕研究生与住培并轨培养的实施效果,分析核心胜任力的影响因素。结果专硕研究生年度业务水平测试成绩≥P_(60)为32.43%(12/37),中央项目住院医师成绩≥P 60为22.26%(61/274),2组比较χ^(2)=1.877,P=0.171。专硕研究生科研能力评分高于中央项目住院医师(P<0.05)。结论安徽省全科医学专硕研究生与住培并轨培养模式实施效果良好,基本实现同质化要求。科研能力是住院医师核心胜任力的重要影响因素,住培基地应注重中央项目住院医师科研能力的培养,以提升住院医师的核心胜任力。

Objective By investigating the implementation effect of the concurrent training model for master's degree in general practice and standardized residency training,as well as the factors influencing core competence in Anhui Province,this study offers value insights to enhance the core competence of residents and improve the management of residency training bases.Methods The study included a population of 311 general practice residents who took the 2022 business level test in Anhui Province,198 general practice residents who completed their residency training in 2022,and 181 randomly selected second-year and third-year general medicine residents in Anhui Province who participated in the questionnaire survey.The participants were divided into two groups based on their status:master's degree graduates and central program residents.The respective group sizes were 37,28,and 70 for professional master's degree students,and 274,170,and 111 central program residents.The implementation effect of concurrent training for professional master's degree students and residents was evaluated,and to analyze the influencing factors of core competence.Results The results revealed that among professional master'degree students,32.43%(12/37)achieved annual business proficiency test scores≥P_(60),while among central program residents,the percentage was 22.26%(61/274).The comparison between the two groups yieldedχ^(2)=1.877 and P=0.171,indicating no significant difference.The scientific research ability of professional master's degree students was higher compared to central program residents.Conclusion The implementation of the parallel training model for the master's degree in general practice in Anhui Province has proven to be effective,successfully achieving the desired standardization.Scientific research ability is a crucial factor influencing the core competence of residents.Therefore,residency training institutions should pay attention to the cultivation of scientific research ability among central program residents to enhance their overall core competence.