全科医生互动小组式临床技能培训学员与教师反馈调查  

Feedback from trainees and trainers of interactive clinical skill training workshop for general practice

作　　者：沙悦[1] 曾学军[1] 何仲[2] 马天龙[2] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院普通内科,100032 [2]北京协和医学院继续教育学院

出　　处：《中华全科医师杂志》2015年第9期660-665,共6页Chinese Journal of General Practitioners

摘　　要：目的 了解全科医生对临床技能培训内容与方式的需求和建议,为开展和加强全科医生临床技能培训工作提供参考依据.方法 采用自行设计的调查问卷,对参加2014年中华医学会全科医学分会第十二次学术会议的互动小组式临床技能培训班的86名学员进行调查并分析结果;培训班结束后对12名教师进行小组访谈,以主题框架法分析教师对培训内容与培训形式的反馈意见.结果 回收学员反馈问卷86份,问卷回收率100.0％.86名学员来自国内17个省/直辖市,平均工作年限15.6年,社区全科医生占38.4％（33/86）.86人中,62人（72.1％）没有参加过类似内容的培训,71人（82.6％）没有参加过类似形式的培训.70人（81.4％）认为本次培训与自己日常工作关系非常大或有部分关系.76人（88.4％）认为本次培训采用的互动小组形式很好.针对培训的每一项具体内容,认为完全或大部分达到自己对培训预期的学员均占到55.0％以上.76人（88.4％）认为培训总体实施效果很好,68人（79.1％）表示以后肯定会或很可能会再次参加类似互动小组式临床技能培训;但针对问卷中由教师建议的“可能需要类似培训”的内容,学员回答结果与教师建议并不一致.教师反馈认为,要根据学员的层次水平调整培训内容的广度和深度;培训内容应以专科基础知识、基本技能和社区常见病为重点,强调全科观念;转诊指征是全科培训的重要内容和难点;关于培训形式要注重互动式教学,资料准备要充分,同时需要加强现场把控能力,并且重视场地硬件设施准备.结论 临床技能培训是全科医生培训的重要内容,互动小组式临床技能培训是符合全科医生需要的培训方式.目前利用综合医院内专科临床教师做好全科医生临床技能培训是切实可行的,在培训内容上应更加贴近全科医生实际工作需求.Objective To review the feedback from trainees and trainers of interactive clinical skill training workshop for general practice.Methods An interactive clinical training workshop was held on October,2014,medical staff from 17 provinces or municipalities attended the workshop.Feedback from 86 trainees was collected by questionnaire survey,while the feedback from 12 trainers was collected by focus group.Results Total 86 questionnaires were collected from trainees with a response rate of 100％.The average working year of trainees was 15.6 ; 38.4％ of them were general practitioners in community health centers; and most of them had no similar trainings before.Among 86 trainees,70 （81.4％） thought that the training contents were relevant to their daily work,76 （88.4％） thought that workshop was good method for the training.More than 55.0％ trainees told that the training contents met their expectation ; 76 （88.4％） thought that the workshop was well conducted in general,68 （79.1％） were willing to participate similar training workshops in the future.However,the contents ＂probably need similar training＂ advised by the trainers in the questionnaire were not agreed by trainees.The trainers thought the width and depth of training contents should be modified according to the trainees＇ level.Basic knowledge,basic clinical skill and common diseases should be emphasized ; and the concept of general practice and indications of referral were among the important but difficult parts in the training.For an interactive clinical skill training,teaching materials preparation,lacale control and local teaching facilities were all important.Conclusions Clinical skill training is an important part of general practitioners＇ training,and workshop is an effective way for training.The training contentd should be more closer to the daily work of general practitioners.

关 键 词：临床技能 教学 问卷调查 小组访谈 全科医生 

分 类 号：R197.3[医药卫生—卫生事业管理]