河北省三级医院全科医学骨干师资培训调查分析  

Survey on training for general practice backbone mentors in tertiary hospitals of Hebei province

作　　者：王荣英[1] 齐冉[1] 贺振银[1] 万茜茜 支晓[1] 李峰[1] 王金艳[1] 赵稳稳[1] Wang Rongying, Qi Ran, He Zhenyin, Wan Xixi, Zhi Xiao, Li Feng, Wang Jinyan, Zhao Wenwen(Department of General Practice, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, Chin)

机构地区：[1]河北医科大学第二医院全科医疗科,石家庄050000

出　　处：《中华全科医师杂志》2018年第4期276-280,共5页Chinese Journal of General Practitioners

基　　金：河北省政府资助课题研究项目（361004）

摘　　要：目的了解全科医学骨干师资培学员对培训的反馈意见及对全科医学教学工作的建议。方法对参加2016年河北省全科医学师资骨干培训班的学员进行随机问卷调查和书面访谈。调查、访谈的主要内容包括学员基本情况、对全科医学的理解、对师资培训的理解和培训工作的建议、对三级医院全科医学学科建设方面的建议等。结果共发放问卷208份，回收有效问卷208份（100．0％）。208名参与调查学员年龄均≥30岁，其中本科及以上学历者占97．1％（202／208），主治及以上职称者占97．1％（202／208），工作年限10年以上者占79．3％（165／208）。表示不了解或仅部分了解全科医学的学员占81．3％（169／208），以前未参加过全科医学培训者占76．4％（159／208），认为现阶段的全科医生不能胜任“健康守门人”角色者占59．6％（124／208），所在单位为住院医师规范化培训基地的学员占92．3％（192／208）。对全科师资培训内容选择从高到低依次为：临床技能培训、基层及社区卫生服务发展及政策、全科医师规范化培训细则、理论培训、全科教学的现状与对策、医患关系与医学伦理学。对培训方式的选择从高到低依次为：临床医学系列讲座、病例讨论、专题讲座、远程教学、集中面授。培训学员对于全科医师师资培训工作提出的建议主要为：①探索全科医师规范化培训模式；②完善全科医师继续教育制度；③重视社区全科医学师资的培训；④建立健全全科医师制度。对三级医院全科医学学科建设方面的建议主要包括：①政府、院领导应重视；②三级综合医院全科医学科承担培养合格全科人才的任务；③应与基层社区服务中心合作，扶持社区工作。结论专科医生缺乏对全科医学的整体认识，对综合医院全科医学科的设置问题存在疑惑；应加强并完善�Objective To survey on training for general practice backbone mentors in tertiary hospitals of Hebei province. Methods A questionnaire survey on training status was conducted among general practice backbone mentors in tertiary hospitals of Hebei Province. The survey items included the basic information, knowledge of general practice and its training, suggestions for mentors training and general practice discipline construction in tertiary hospitals. Results Total 208 questionnaires were distributed and 208 were retrieved with a recovery rate of 100%. Among 208 participants, all of them were over the age of 30; 202 （97. 1% ） had bachelor degree or above; 202 （97. 1% ） were attending doctors or above; 165 （79.3%） had worked for more than 10 years;169 （81.3% ） had no or little knowledge of general practice; 159 （76.4%）had not received general practice training before; 124 （59.6%） thought that general practitioners were not qualified as ＂gatekeeper＂ at present; and 192 （92.3%） worked in the hospitals providing standardized residency training. The training contents in general section were prioritized as clinical skills, community health service development and policy, rules for general practice standardized training, theoretical training, the present situation and countermeasure of general teaching, the doctor-patient relationship and medical ethics. The contents in training method section were prioritized as lecture series of clinical medicine, case discussion, seminar, distance education with classroom teaching. The suggestions for mentors training included ： the exploration of standardized training model, perfecting continuing education system for general practice mentors, more attention to the training at community health service centers and the consummation of general practice system. The suggestions for general practice discipline construction were that more attentions should be paid by the government and the hospitals leaders, the general practice departments in tertiary hospit

关 键 词：师资培训 问卷调查 全科医学 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]