浙江大学住院医师规范化培训临床教学满意度调查与分析  

Investigation and analysis of clinical teaching satisfaction degree in residents standardized training in Zhejiang University

作　　者：陈艳[1] 陈韶华[1] 王筝扬[2] 余美月[1] 方向明[3] Chen Yan;Chen Shaohua;Wang Zhengyang;Yu Meiyue;Fang Xiangming(Center for Continuing Education,Zhejiang University School of Medicine,Hangzhou 310029,China;Department of Respiration,Sir Run Run Shaw Hospital(SRRSH),Zhejiang University School of Medicine,Hangzhou 310029,China;Zhejiang University School of Medicine,Hangzhou 310029,China)

机构地区：[1]浙江大学医学院继续教育中心,杭州310029 [2]浙江大学医学院附属邵逸夫医院呼吸内科,杭州310029 [3]浙江大学医学院,杭州310029

出　　处：《中华医学教育探索杂志》2019年第11期1147-1151,共5页Chinese Journal of Medical Education Research

基　　金：浙江省医药卫生科技计划(2018KY079);浙江省高等教育课堂教学改革项目(kg20160032)。

摘　　要：目的通过调查与分析浙江大学住院医师规范化培训临床教学情况,为提升住院医师规范化培训质量提供依据。方法,自行设计问卷,从住培管理、师资临床带教和考核等方面,通过问卷星对浙江大学医学院6所附属医院住院医师进行调查。采用SPSS 19.0对相关数据行卡方检验。结果共有799名规培学员参加调查,男性312名、女性487名。满意度方面,住院医师整体对培训基地的满意度较高(73.46%),一、二、三年级学员的满意度分别为69.05%、74.72%、79.30%;不同身份住院医师对基地的满意度方面,社会人(85.71%)>单位人(74.08%)>专硕研究生(56.7%)。教学方面,分别有64.45%、39.42%、18.52%的学员认为,教师临床带教超过工作时间的20%、30%和40%;70.47%的学员认为教师每周对病历修改和指导超过2次;74.84%的学员认为教师对教学查房准备充分。各住培基地过程考核的实施情况较好,出科考核及年度考核的实施率分别达到99.37%和98.50%。结论,浙江大学规培学员对住培管理和临床教学满意度较高。培训基地要加强同质化管理,注重评价和反馈。Objective To investigate and analyze the clinical teaching of residents standardized training in Zhejiang University,so as to provide references to improve the quality of residents standardized training.Methods,Questionnaires were designed and electronic surveys via WJX software were conducted among residents from six affiliated hospitals of Zhejiang University School of Medicine on management,clinical teaching and assessment of residents.SPSS 19.0 was used to perform theχ2 test of relevant data.Results,A total of 799 residents,including 312 males and 487 females,took part in this survey.In terms of satisfaction degree,trained residents had a relatively high satisfaction degree on training base(73.46%),satisfaction degrees of residents from Grade one,two and three were 69.05%,74.72%and 79.30%,respectively.Satisfaction degree of residents with different identities to training base was social men(85.71%)>staff working in units(74.08%)>professional postgraduates(56.7%).In terms of teaching,64.45%residents thought that clinical teachers spent 20%more time on the clinical teaching than on the daily routine work,39.42%residents thought that clinical teachers spent 30%more and 18.52%residents thought clinical teachers spent 40%more.In addition,70.47%residents responded that their teachers revised and instructed the medical history writing more than twice a week;78.84%trained residents admitted that all teachers made full preparations for clinical teaching rounds.Besides,the process evaluation of training base was well implemented.Implementation rate of after-department examination and annual examination were 99.37%and 98.50%,respectively.Conclusion,Residents of Zhejiang University have a high satisfaction degree on training management and clinical teaching.Homogenized management of training base should be strengthened,and evaluation and feedback should be stressed.

关 键 词：住院医师 规范化培训 满意度调查 

分 类 号：R192.3[医药卫生—卫生事业管理]