某三甲医院住院医师规范化培训后岗位胜任力的调查分析

Investigation and Analysis of Post Competence of Resident Doctors After Standardized Training in Grade A Tertiary Hospital

目的旨在通过某三甲医院住院医师规范化培训后分析住院医师的岗位胜任力、完成规范化培训后住院医生的规范化培训情况及对规范化培训的满意度、工作情况、意向和态度,为制定有针对性的工作能力培养方案奠定基础。方法对2013年1月—2023年1月某三甲医院486名曾经参加规范化培训后的住院医师进行调查,筛选出符合要求的472名住院医师进行问卷调查。结果91.67%的住院医师获得了住院医师规范化培训证书,仅有39.96%的住院医师对培训期间的月收入感到满意。培训结束后回本单位工作或是入职到本单位人员,收入均较住培期间增加。性别是岗位胜任力临床基本能力、医生职业精神与素质、信息管理能力的影响因素(P<0.05);完成住培时学历是岗位胜任力临床基本能力、掌握与运用医学知识的影响因素(P<0.05)。结论中国住院医师规范化培训正在逐步完善,为了培养更多的临床医生,提高他们工作意愿,需要制定和执行更好的住院医生住培政策,提高培训质量。同时应加强区域间医学教育的沟通与协作,以促进医学教育均衡发展。

Objective To analyze the resident's post competency after standardized training in grade A tertiary hospital,and the standardized training situation of residents who completed standardized training,as well as their satisfaction,work situation,intention and attitude towards standardized training,so as to lay a foundation for formulating targeted work ability training programs.Methods From January 2013 to January 2023,a questionnaire survey was conducted among 486 residents who had participated in standardized training in grade A tertiary hospital,and 472 residents who met the requirements were selected.Results 91.67%of the residents obtained the standardized training certificate for residents,and only 39.96%of the residents were satisfied with their monthly income during the training period.After the training,the income of those who return to work or join the company was higher than that during the training period.Gender was the influencing factor of post competency,clinical basic ability,doctor's professional spirit and quality and information management ability(P<0.05).Education at the time of completion of residency was the influencing factor of post competency,clinical basic ability and mastering and applying medical knowledge(P<0.05).Conclusion The standardized training of residents in China is gradually improving.In order to train more clinicians and improve their willingness to work,it is necessary to formulate and implement better policies for the training of residents and improve the training quality.At the same time,communication and cooperation between regions should be strengthened to promote the balanced development of medical education.