某医学院全科医学住院医师规范化培训质量分析

Quality Analysis of Standardized Training for General Practice Residents in a Medical College

目的 为较全面了解某医学院全科医学专业住院医师规范化培训的现状,分析影响规范化培训的因素,并评价培训效果,以促进全科医学人才培训健康发展。方法 运用文献研究法、问卷调查法,制定全科规培调查问卷表,2022年10月1日-2023年6月30日对某医学院附属医院全科规培的2020级、2021级、2022级学员共75名及已结业的10名学员开展调查。结果 学员对全科规培的总体满意度较高,其中对基层基地师资满意度为(3.98±0.61)分,对培训内容满意度为(4.28±0.71)分,对考核方式满意度为(4.39±0.68)分,对临床基地师资满意度为(4.41±0.72)分。工作经验对带教师资的满意度有影响,对理论、技能的影响最大,具有统计学意义,P<0.05。学员规培前后的8大工作胜任力存在显著性差异,年龄、学历及工作经验是影响工作能力的显著因素。执业医师首次通过率近3年平均55.33%。结论 规培生对全科规培质量总体情况较为满意,尤其对师资建设情况较为满意。学员学习效果明显,理论及技能均有提高,工作胜任力明显提升。但执业医师首次通过率低,基层基地师资水平、学员薪酬待遇及学员在部分科室工作负荷过重等方面存在诸多不足,应引起相关各级部门、机构与管理人员的高度重视,强化以工作能力为导向的全科规培,以提高某医学院全科人才培养质量。

Objective To understand the current situation of the standardized training of general practice resident doctors(referred to as general practice training)in a medical college,analyze the factors affecting the standardized training,evaluate the training effect,in order to promote the healthy development of general practice training.Methods By using the method of literature research and questionnaire survey,the general discipline training survey form was developed.From October 1st,2022 to June 30th,2023,a total of 75 students of grade 2020,2021 and 2022 and 10 students who had completed their studies were investigated.Results The students'overall satisfaction with the general discipline training was high,among which the satisfaction with the basic base teachers was(3.98±0.61)points,the satisfaction with the training content was(4.28±0.71)points,the satisfaction with the assessment method was(4.39±0.68)points,and the satisfaction with the clinical base teachers was(4.41±0.72)points.Work experience influenced the satisfaction with teacher funding.Work experience had the greatest influence on theoryand skill.There were significant differences in the eight job competencies of the trainees before and after the training,and age,education background and work experience were the significant factors affecting the work ability.The first pass rate of medical practitioners averaged 55.33%in the past three years.Conclusions The program was satisfied with the overall quality of the program,especially with the construction of teachers.The learning effect of the students was obvious,the theory and skills had been improved,and the work competence had been significantly improved.However,the first pass rate of medical practitioners was low,and there were many deficiencies in the level of teachers in the grass-roots base,the salary of students and the heavy workload of students in some departments.Relevant departments,institutions and management personnel at all levels should pay great attention to it,and strengthen the workability-oriented general training to improve the quality of general personnel training in a medical college.