专科医生对全科住院医师规范化培训的认知情况及带教意向调查  

Survey on cognition of general practice residency training and willingness of teaching among specialists

作　　者：单益梅[1] 袁路 范春琴[2] 唐诗民 陆洁玉[2] 黄晓琴[2] Shan Yimei;Yuan Lu;Fan Chunqin;Tang Shimin;Lu Jieyu;Huang Xiaoqin(Department of General Practice,Nantong First People's Hospitol,Affiliated Hospital 2 of Nantong University,Nantong 226001,China;Section of Research and Education,Nantong First People's Hospital,Affiliated Hospital 2 of Nantong University,Nantong 226001,China)

机构地区：[1]南通市第一人民医院南通大学第二附属医院全科医学科,南通226001 [2]南通市第一人民医院南通大学第二附属医院科教科,南通226001

出　　处：《中华全科医师杂志》2022年第4期349-354,共6页Chinese Journal of General Practitioners

摘　　要：目的调查专科医生对全科住院医师规范化培训(简称"规培")的认知及带教全科住院医师的意向,为医院制定激励机制提供帮助。方法于2021年5月10日至6月30日,以问卷调查的形式对南通市第一人民医院24个科室所有承担全科住院医师带教任务的221名专科医生进行全科住院医师规培认知及带教意向的调查。采用百分比描述计数资料,组间比较采用χ^(2)检验。结果185名专科医生有效回答问卷。其中,49人(26.48%)对国家全科规培政策完全了解,70人(37.84%)基本了解,52人(28.11%)一般了解,11人(5.95%)不太了解,3人(1.62%)完全不了解;44人(23.79%)对院级激励政策完全了解,62人(33.51%)基本了解,57人(30.81%)一般了解,18人(9.73%)不太了解,4人(2.16%)完全不了解。有省级以上师资证书的专科医生共62人,无证书者123人。有无省级以上全科师资证书的专科医生对国家规培政策的了解程度不同,差异有统计学意义(χ^(2)=14.28,P=0.003),对院级激励政策的了解程度差异无统计学意义(χ^(2)=8.18,P=0.075),对全科规培大纲的了解程度不同,差异有统计学意义(χ^(2)=16.79,P=0.001)。170名(91.89%)专科医生愿意带教全科住院医师,愿意带教的原因包括:认为可教学相长(161人,94.71%),认为可扩大基层患者来源(102人,60.00%),认为可帮助晋升职称(77人,45.29%)及其他原因(30人,17.60%)。在62名获得证书的专科医生中,有60人(96.77%)愿意带教全科住院医师;123名无证书的专科医生中,有110人(89.43%)愿意带教全科住院医师,差异有统计学意义(χ^(2)=4.92,P=0.027)。在院级激励政策中,吸引专科医生进行全科住培带教的政策分别是晋升职称(82人,44.32%)、绩效考核(63人,34.05%)、外出进修学习优先权(25人,13.51%)及评优(15人,8.11%)。结论加大对专科医生的全科师资培训,有利于提高专科医生对全科住院医师规范化培训的认知度,制定并落实有效的全科规培激励政Objective To survey the cognition of general practice residency training and the willingness of teaching among specialists.Methods A questionnaire survey was conducted among 221 specialists from 24 departments in Nantong First People's Hospital from May 2021 to June 2021 to investigate the their cognition of general practice residency training program and the teaching willingness.Results Total 221 questionnaires were distributed and 185 valid ones were retrieved with a response rate of 83.70%.The results showed that 49 specialists(26.49%)well knew the national general practice training policy,70(37.84%)knew the most,52(28.11%)knew basically,11(5.95%)knew little,and 3(1.62%)did not know at all.Meanwhile,44 specialists(23.78%)well knew the hospital incentive policies about general practice education,62(33.51%)knew the most,57(30.81%)knew basically,18(9.73%)knew little,and 4(2.16%)did not know at all.Whether they holding the teaching certificate of general practice was significantly associated with the cognition of national general practice training policy(χ^(2)=14.28,P=0.003)and with their knowledge of residency training program(χ^(2)=16.79,P=0.001),but not associated with knowing the hospital-level incentive policy(χ^(2)=8.18,P=0.075).A total of 170(91.89%)participants were willing to be clinical teachers of general practice.The reasons for the willingness of teaching were as following:learning more from the teaching in 161 participants(94.71%),expanding sources of patients from rural areas in 102(60.00%),facilitating promotion in 77(45.29%),and others in 30(17.60%).Among 62 specialists holding teaching certificate,60(96.77%)were willing to teach general practice residents;while among 123 specialists without teaching certificate,110(89.43%)were willing to teach(χ^(2)=4.92,P=0.027).In all hospital incentive policies,promotion of professional titles was most attractive one(82,44.32%),followed by performance appraisal(63,34.05%),priority for in-service training(25,13.51%),and appraisal for excellence award(15,8.1

关 键 词：在职培训 教学 认知 意向 全科医生 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]