海军基层部队军医住院医师外科规范化培训现状和对策

Current Situation and Countermeasures of Standardized Surgical Training for Military Medical Residents in Naval Grass-Roots Unit

目的探讨目前海军基层部队住院医师外科规范化培训现状,研究问题及相关对策。方法随机选取上海长征医院2019年8月—2021年8月参加参加住院医师外科规范化培训的基层部队军医76名,通过问卷调查的方式了解其对培训的满意度和培训效果。结果问卷回收率为100%,均为有效问卷。96.05%和98.68%的学员对住培基地管理较满意;86.84%认为住培方案的制定合理;13.16%认为三级学科轮转应具有个体性;97.37%认为住培床位满足学习需要;94.74%认为住培病种能满足学习需要;92.11%认为临床操作机会不足;分别有88.16%、85.53%、69.74%以及96.05%学员认为带教理论、操作、教学和医德符合住培要求;学员对临床思维满意度为78.95%、医患沟通满意度为76.32%,而临床科研不满意度88.16%。结论目前基层军医外科规范化培训中存在操作机会少,理论学习和科研不能协调,缺乏个体化目标等问题,需要加强学员的技能培训和人文教育,提高带教的教学能力,严格教学督导。

Objective To explore the current status of standardized surgical training for residents in the basic units of the navy,research problems and countermeasures Methods A total of 76 military medical residents in naval basic-level units who participated in the standardized surgical training for resident physicians in the Shanghai Changzheng Hospital from August 2019 to August 2021,were randomly selected to understand their satisfaction with the training and the training effect through questionnaire survey.Results The recovery rate was 100%,and all questionnaires were valid.96.05%and 98.68%of the trainees were satisfied with the management of the residential training base.86.84%thought that the formulation of residential training program was reasonable;13.16%thought that the three-level discipline rotation should have individuality;97.37%believe that residential beds meet learning needs;94.74%thought that the disease could meet the learning needs;92.11%thought that the clinical operation opportunity was insufficient;88.16%,85.53%,69.74%and 96.05%of the students believed that the theory,operation,teaching and medical ethics of teaching met the requirements of residential training,respectively.The satisfaction of clinical thinking was 78.95%,the satisfaction of doctor-patient communication was 76.32%,and the dissatisfaction of clinical research was 88.16%.Conclusion At present,there are some problems in the standardized training of basic military medicine and surgery,such as the lack of operation opportunities,the lack of coordination between theoretical learning and scientific research,and the lack of individual goals.It is necessary to strengthen the skill training and humanistic education of trainees,improve the teaching ability and strict teaching supervision.