全科医师对自身岗位培训的需求和评价  

General practitioners＇ demand and evaluation for their own post training

作　　者：谢朝辉[1] 顾利[2] 傅丽东[1] 姜梅[1] 

机构地区：[1]首都医科大学电力教学医院健康管理部,社区医学教研室,100073 [2]北京市西城区卫生局科教处

出　　处：《中华医学教育探索杂志》2014年第10期1040-1044,共5页Chinese Journal of Medical Education Research

摘　　要：目的从全科医师角度探讨其岗位培训需求、培训内容、培训模式以及现有培训的优缺点，为管理机构提高全科医师岗位培训的效果和质量提供合理化建议。方法2013年10月对197名全科医师就自身岗位培训的需求、培训内容、培训模式等进行了问卷调查。依据访谈提纲对北京市西城区20名社区卫生服务中心领导和全科医师就全科医师培训的优缺点进行了个人深入访谈。所有调查资料用FoxPro6．0建立数据库，双录入，采用SPSS19．0进行统计汇总；定性资料用率来表示；访谈资料用文字描述，编码并进行分类分析。结果70．00％以上的全科医师有加强临床医学、人文社科知识和临床科研方法培训的需求；但对全科医学的理论和基础医学知识培训的需求量较小，仅占22．50％。90．00％以上的全科医师赞成采用有针对性灵活的培训方式。85．00％以上全科医师认为现有培训教师水平很好，赞同在医学院校开设全科医师培训项目。受访医师对现有培训部门太多，培训质量不高，培训项目多，培训内容重复等方面提出批评。结论应根据全科医学岗位培训的需求，增加人文和科研等有针对性的培训内容：宜采用病例讨论．现场参观等灵活多样的授课方式；并应协调各部门制定培训激励和考评机制，保证培训质量。Objective To explore the post training needs, training content, training mode and the advantages and disadvantages of the existing training from the general practitioner perspective, in order to provide reasonable suggestions for the management institutions to improve the quality and effect of the post training for all general practitioners. Methods In October, 2013 a questionnaire survey was conducted to 197 family physicians for their post training needs, training content and training mode. According to the interview outline, an in-depth individual interview was conducted to 20 leaders and general practitioners from the community health service center in Beijing Xicheng District on the advantages and disadvantages of general medical training. All survey information databases were established using FoxPro 6.0 software and double entry. Package was statistically analyzed with SPSS 19.0 statistical software, qualitative data using rate to represent; interviews with text descriptions, coding classification analysis. Results More than 70% of general practitioners had the demand for strengthening the training of the clinical medicine, the knowledge of humanities and social sciences as well as clinical research methods, but the demand for the training of general medical theory and basic medicine was small, only accounting for 22.50% general practitioners. More than 90.00% of general practitioners were in favor of targeted flexible training methods. More than 85.00% of general practi- tioners believed that existing training teachers＇ teaching abilities were very good, and they agreed to open general practitioner training project in medical colleges and universities. The surveyed physicians also made some criticism about too many training departments, low training quality, too many training programs, and training content repetition etc.. Conclusion According to the general medical post training needs, human and scientific research of targeted training should be increased by using case discussion, site visit and many f

关 键 词：全科医师 岗位培训 需求 问卷调查 访谈 

分 类 号：R192.3[医药卫生—卫生事业管理]