住院医师职业精神现况调查评价与结果分析  

The analysis and evaluation of resident professionalism

作　　者：李荣[1] 李亚平[1] 彭杰[1] 黄利辉[1] 曾锋[2] 陈慧玲[1] 钱招昕[1] 雷光华[1] 陈翔[3] 田勇泉[4] 

机构地区：[1]中南大学湘雅医院医务部,中南大学医院管理研究所,长沙410008 [2]中南大学湘雅医院泌尿外科 [3]中南大学医院管理处,长沙410008 [4]中南大学,长沙410083

出　　处：《中华医学教育杂志》2016年第2期287-290,共4页Chinese Journal of Medical Education

基　　金：美国中华医学基金会：“医学生职业精神评价体系研究”（CMB：N08-936）;教育部人文社会科学研究规划基金：“具有中国特色的住院医师培训及评价体系的研究”（11YJA630034）;中南大学湘雅医院医院管理研究基金：“住院医师职业精神培养模式研究”（2016GL20）

摘　　要：目的 调查住院医师职业精神的现况,为培训机构实施住院医师职业精神教育提供反馈与参考.方法 采用改良的《住院医师职业精神评价调查表》,通过住院医师自我评价和带教教师评价2种方法,对212名轮岗住院医师职业精神现况进行评估.结果 住院医师职业精神总体评价较好,在7个职业精神评价要素中,“尊重他人”评分最高,“尽职尽责”“领导能力”评分最低;住院医师自我评价与带教教师评价仅在5个指标（共29个指标）的差异上具有统计学意义（P＜0.05）;不同年级住院医师的职业精神评分在评价要素“追求卓越、精益求精”方面具有统计学意义（P＜0.05）.结论 应该加强住院医师尽职尽责和领导能力的教育,教育住院医师帮助同行改进不足,介入他人不专业操作,增强情绪自控能力,在集体学习、反馈、小组讨论时主动承担任务,且注意加强带教教师和高年资住院医师的职业精神培养.Objective Objective To evaluate the status of residents professionalism and provide feedback and reference for professionalism education.Methods An adaptation evaluation form and faculty evaluation.Results Residents professionalism overall is in a better scope,＂ respect＂ get highest score and ＂responsibility ＆amp; leadership＂ get lowest score in seven evaluation elements of professionalism;Only five indicators （total there are 29 indicators） difference was statistically significant between score of self-assessment and teachers evaluation （P 〈 0.05）;The difference of professionalism ratings between different graders was statistically significant （P 〈 0.05）.Conclusions ＂Responsibility ＆amp; Leadership＂ education of residents should be strengthened.The residents should be educated to help their fellow workers improve inadequate facets,intervene on behalf of patients when others behave unprofessionally,and enhance emotional self-control and role group leader in group-learning.The professionalism education of the faculty and the senior residents should be strengthened.

关 键 词：住院医师 职业精神 评估 分析 

分 类 号：R197.323[医药卫生—卫生事业管理]