结核病领域继续医学教育项目的实践及优化路径研究

Analysis of the practice and optimization path of continuing medical education programs in tuberculosis

目的总结医院主办结核病领域继续医学教育项目的实践,为提升服务水平和提高培训质量提出改进建议和参考。方法梳理医院结核病领域继续医学教育项目开展现状,采用问卷调查方式对举办的30个项目的3451名学员从学习态度、学习环境与条件、学习成绩、发展状态4个方面进行满意度调查评价。采用SPSS 22.0进行卡方检验和t检验。采用python 3.8.1软件进行词频分析。结果75.54%的学员(2607人)对项目总体很满意,23.41%(808人)表示满意。不同职称、地区、学历的医师在满意度涉及的不同题项上存在差异,差异具有统计学意义(P<0.05),主任医师(或正高职称人员)对培训项目的了解情况高于其他医师(P<0.001);京内医师的学习收获高于京外医师(P=0.002);博士和硕士学位的医师对编写教材满意度显著低于本科及以下学历医师(P=0.001)。结论参加结核病领域继续医学教育项目的学员满意度整体处于中上等水平。应从多维度入手,充分发挥医院学科优势,打造品牌培训项目;建立项目全周期管理机制,规范开展高质量项目;大力发展网络远程教育,探索可验证自学模式。

Objective To summarize the practice of continuing medical education programs in tuberculosis at Beijing Chest Hospital,and to put forward suggestions and references for improving the level of education and the quality of training.Methods This paper examined the current situation of continuing medical education programs in tuberculosis at Beijing Chest Hospital.A satisfaction survey was administered to 3451 trainees in 30 programs using a questionnaire that assessed the four aspects of learning attitude,learning environment and conditions,learning performance,and development status.SPSS 22.0 was used for the X test and t-test.Python 3.8.1 was used for word frequency analysis.Results Of the participants,75.54%(2607)were generally satisfied and 23.41%(808)were satisfied with the programs.Physicians with different titles,regions,and education levels differed significantly on satisfactory items(P<0.05).Chief physicians(professors)demonstrated a significantly higher understanding of the training programs compared to other physicians(P<0.001).Physicians who worked in Beijing exhibited a significantly greater learning uptake than those from regions outside Beijing(P-0.002).Physicians with doctoral and master's degrees were significantly less satisfied with the teaching materials compared to those with undergraduate or lower degrees(P-0.001).Conclusions The overall satisfaction of participants in continuing medical education programs in tuberculosis is relatively high.The managerial staff should improve the programs in multiple dimensions by giving full play to the advantageous disciplines in the hospital,developing brand training programs,and establishing a full-cycle management mechanism.Additionally,it is crucial to standardize high-quality programs,actively expand online distance education,and explore verifiable self-study models.