新疆首批住院医师规范化培训基地建设的实践与思考  

Practice and review of the construction of standardized medical resident training bases for the first batch of residents in Xinjiang

作　　者：常舒雅[1] 秦洁[1] 姚华[1] 李英[1] 黄晓巍[1] 

机构地区：[1]新疆医科大学第一附属医院规范化培训科,乌鲁木齐830011

出　　处：《中华医学教育探索杂志》2016年第10期1057-1065,共9页Chinese Journal of Medical Education Research

基　　金：自治区科技支疆项目计划（指令性）项目（201491193）

摘　　要：目的调查研究2014年新疆首批住院医师规范化培训基地建设现状，为卫生行政部门完善住院医师培训基地建设政策提供依据。方法选取20所基地医院中规范化培训工作相关人员133人进行问卷调查，同时选取基地医院的院级领导、职能科室管理人员、带教教师、住院医师共254人进行深入访谈。主要围绕基地医院及各专业基地科室的基本情况进行数据收集，了解基地医院住院医师规范化培训工作的基本情况、难点与存在的问题、对培训工作的建议与意见。运用SPSS17．0对调查结果采用描述性分析、卡方检验、Wilcoxon秩和检验进行分析。结果基地医院基本条件参差不齐，70．0％的基地医院藏书数量为1万～5万册，75．0％的基地医院计算机拥有量小于等于30台，南/北疆地区教学/非教学医院的专业基地病例病种与技能操作符合率差异有统计学意义。带教师资整体水平参差不齐，只有5家基地医院师资上岗培训率≥80％，满足国家要求。各专业基地招生人数有上升趋势，其中全科、儿科、精神科等紧缺专业逐年增加，增加比例为1～2倍。国家财政补助已落实，但缺乏地方财政投入。结论基地建设的均衡发展、制度建设与组织管理的不断完善、提高带教质量与带教积极性、提高住院医师的待遇、争取更多国家和地方财政拨款等将是新疆住院医师规范化培训基地建设与发展的重点。Objective Through investigating the current situation of first national Standardized Medical Resident Training Bases construction in Xinjiang to provide the basis for the administrative department of public health to improve their resident training bases. Methods Selecting standardized training related personnel 133 people of 20 base hospital to conduct a questionnaire survey, and selecting the base hospital leaders, the management staff of functional departments, teachers and residents, a total of 254 people were given in-depth interviews. We conducted data collection mainly around the basic situation of the base hospitals and departments, to understand the basic situation, difficulties and problems of the standardized training of resident doctors in the base hospitals, and suggestions and opinions on the training work. We usedx2 test,Wilcoxon rank test to make statistical analysis. Results Basic conditions of the hos- pital was not balanced, 70% of the base hospital library number was 10 thousand -5 million, 75% of the base hospital computer had a volume of less than or equal to 30. There was statistical significance in the difference of the rate of operation between the cases and the skills in the southern/northern region teaching/non pro- fessional teaching base hospital. Teacher level was not balanced, and only 5 hospital teacher training rate was greater than or equal to 80%, which met the national gequirements. Enrollment of each department had a rising trend, including the department of pediatrics, psychiatry and other major shortage of profes-sional year by year, the increase in the proportion of 1~2 times. National financial aid was implemented, but lacked local financial input. Conclusion The balanced development of base construction, the continuous improvement of system construction and organization management, the improvement of the teachers＇ teach- ing and training quality, the improvement of the resident treatment and striving for more national and local financial allocation will be the focus of

关 键 词：住院医师规范化培训 培训基地 调查 

分 类 号：R-05[医药卫生]