八年制医学博士职业发展潜力现状评价  

Evaluation of the status quo of the eight-year program medical doctors＆#39; career development potential

作　　者：孔雯[1] 亓来华[2] 何华伟[2] 夏文芳[1,2] 孔维佳[1,3] 

机构地区：[1]华中科技大学同济医学院附属协和医院内分泌科,武汉430022 [2]华中科技大学同济医学院第一临床学院,武汉430022 [3]华中科技大学同济医学院附属协和医院耳鼻咽喉科,武汉430022

出　　处：《中华医学教育探索杂志》2015年第9期868-873,共6页Chinese Journal of Medical Education Research

基　　金：华中科技大学2015教学研究面上项目

摘　　要：目的：调查八年制医学博士职业发展潜力现状，探讨以提高职业发展潜力为目标的培养模式发展方向。方法以某高校附属医院八年制医学博士毕业生、临床学院八年制医学博士生指导教师以及临床学科科主任为研究对象，以问卷调查形式测评八年制医学博士临床能力、科研能力、综合能力等3项岗位竞争力，采用八年制医学博士毕业生自评和其导师以及所在科室科主任测评的方式分别匿名进行。将八年制医学博士每一类能力分别与传统模式培养的专业学位博士以及科研学位博士相比较。结果发放八年制医学博士毕业生问卷85份，收回74份，回收率为87%。发放八年制医学博士生导师问卷63份，收回53份，回收率为84%。发放科主任问卷26份，收回21份，回收率为81%。在临床能力方面，43%（32人）的八年制医学博士毕业生自评、94%（50人）的导师和81%（17人）的科室主任评价认为，低于专业学位博士。在科研能力方面，＆amp;nbsp；76%（56人）的八年制医学博士毕业生自评、91%（48人）的导师和86%（18人）的科室主任测评认为，低于科学学位博士。结论该调查在一定程度上表明，当前临床医学八年制博士毕业生职业发展潜力不足，反映出当前培养模式与培养目标之间的差距。建议我国八年制医学教育培养目标可定位为“学术型医生”或“科学家医生”，而培养模式应以科研和临床并举为宜。Objective By investigating the actualities of career development potential of eight- year program medical students, to explore a direction of training mode innovation aiming to improve career development potential. Methods Eight-year program medical graduates, their tutors, and di- rectors of their clinical department in a university hospital were the subjects of the current study. Questionnaire method was applied to evaluate professional competence including clinical skills, re- search capabilities and integrative ability. Anonymous questionnaires were dispensed to eight-year program medical graduates for self-evaluation. Distinct anonymous questionnaires were dispensed to tutors directors for evaluation. Traditional doctoral graduates （professional degree or academic degree） were set as standard for comparison of specific ability of eight-year program medical students. Results 74 out of 85 （87%） questionnaires for Eight-year program medical graduates were available. 53 out of 63 （84%） questionnaires for tutors were available. 21 out of 26 （81%） questionnaires for directors of clinical departments were available. In clinical capabilities, according to 43 percent （32 persons） of the eight-year MD graduates＇ serf-assessment and the evaluation of 94% （50 persons） mentors and 81% （17 people） department directors, eight-year program medical graduates were regarded as lower-skilled clinicians compared with doctoral graduates with professional degree. Eight-year program medical graduates were also considered with worse research capabilities than doctoral graduates with profes- sional degree by themselves （76%, n=56）, their tutors （91%, n=48）, and their department directors （86%, n=18）. Conclusions The survey shows that to some extent, the current eight-year clinical doctoral graduates lack of career development potential, reflecting the current training mode cannot lead to the given training goals. We suggest that both clinical skills and research capabilities should be enhance

关 键 词：八年制医学教育 培养模式 问卷调查 职业发展潜力 

分 类 号：R-05[医药卫生]