河北省全科医生转岗培训现状及需求调查

Investigation on the status and demand of general practitioners transfer training in Hebei Province

目的调查河北省全科医生转岗培训现状及需求,为该省全科医生转岗培训方案的制定提供理论依据。方法选取2020年参加河北省全科转岗培训的801名学员进行问卷调查,收集相关数据并进行统计分析。结果全科转岗培训学员年龄多分布于41~50岁和31~40岁;大专学历占40.18%(309/769);学员执业范围以内科为主(64.76%,498/769);工作地点在乡镇卫生院的占70.35%(541/769)。多数学员未参加过全科医学相关学习及培训(69.70%,536/769),不同工作地点学员在参加全科医学相关培训和对全科医学及其相关理论了解程度方面差异有统计学意义(P<0.05)。学员认为需要提升的能力主要为全科医学相关理论知识(89.34%,687/769)和疾病的诊断与鉴别诊断(85.96%,661/769);38.62%(297/769)的学员认为理论培训时长应大于6个月,42.26%(325/769)的学员认为实践培训时长应为7~12个月;44.21%(340/769)的学员认为基层实践教学能更好地锻炼全科医学临床思维,不同年龄、学历、职称和工作地点的学员对于全科医学临床思维培养方式的需求差异有统计学意义(P<0.05);62.16%(478/769)的学员认为培训师资应涵盖全科、专科和社区,不同学历的学员对于培训师资的需求差异有统计学意义(P<0.05)。结论2020年河北省全科医生转岗培训学员年龄偏大,学历、职称相对较低,培训需求各有差异;多数学员之前未参加过全科医学相关学习及培训,且对全科医学理论及其相关政策了解不足。

Objective To investigate the current situation and demand of general practitioners transfer training in Hebei Province,and provide theoretical basis for the formulation of the general practitioners transfer training program in Hebei Province.Methods A questionnaire survey was conducted on 801 students who participated in the general practice transfer training in Hebei Province in 2020,and relevant data were collected and analyzed statistically.Results The ages of the trainees in general practice transfer training were mostly distributed between 41-50 years old and 31-40 years old;tertiary education accounted for 40.18%(309/769);the trainees'scope of practice was dominated by internal medicine(64.76%,498/769);and the workplaces were in township and village health centers accounted for 70.35%(541/769).Most of the trainees had not participated in general practice related learning and training(69.70%,536/769),and there were statistically significant differences in the trainees'participation in general practice related training and understanding of general practice and its related theories at different work places(P<0.05).Trainees thought that the abilities needed to be improved mainly included theoretical knowledge of general practice(89.34%,687/769)and diagnosis and differential diagnosis of diseases(85.96%,661/769).There was 38.62%(297/769)trainees believed that the theoretical training duration should be longer than 6 months,42.26%(325/769)trainees believed that the practical training duration should be 7-12 months,and 44.21%(340/769)trainees believed that grassroots practice teaching could better exercise the clinical thinking of general practice,and there was a statistically significant difference in the needs of students of different ages,educational backgrounds,professional titles and work places for the training of clinical thinking of general practice(P<0.05).There was 62.16%(478/769)trainees believed that the training teachers should cover general practice,junior college and community,and there was a statistically significant difference in the demand for training teachers among the trainees with different degrees(P<0.05).Conclusion In 2020,the general practitioner transfer training trainees in Hebei Province are older,with relatively low academic qualifications and titles,and varying training needs.Most of the trainees have not participated in the study and training related to general practice before,and have insufficient understanding of the theories and related policies of general practice.