全科住院医师规范化培训毕业学员的岗位胜任力调查  

Survey on post competency of general practitioners with completion of residency training

作　　者：方林燕 王燕 严晓晔 张志英[1] 殷兆芳 吕晴 黄岳青 黄敏[1] Fang Linyan;Wang Yan;Yan Xiaoye;Zhang Zhiying;Yin Zhaofang;Lyu Qing;Huang Yueqing;Huang Min(Department of General Practice,Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou Municipal Hospital,Suzhou 215000,China)

机构地区：[1]南京医科大学附属苏州医院、苏州市立医院全科医学科,苏州215000

出　　处：《中华全科医师杂志》2023年第1期36-42,共7页Chinese Journal of General Practitioners

基　　金：江苏省医学重点学科项目(ZDXKC2016007);江苏基层卫生发展与全科医学教育研究中心重点项目(2021A01);医学人文素养在全科医师规范化培训中的构建与探索项目(Slyyjy202106)。

摘　　要：目的了解全科住院医师规范化培训(住培)毕业学员的岗位胜任力情况。方法该研究为问卷调查。于2022年1至3月采用单纯随机抽样的方法抽取于苏州市立医院完成全科住培的2009至2021届学员,对其进行问卷调查,进一步对其中仍从事全科医疗的学员进行岗位胜任力调查。自行设计问卷,内容包括学员的基本情况,与岗位胜任力相关的临床、公卫、人文、科研教学能力的相关问题。每项能力满分100分,分为4个等级,即A级86~100分、B级70~85分、C级55~69分、D级0~54分,评分为A级者认为该项能力优秀。统计各项能力达优秀学员的占比。结果(1)基本情况:调查有效问卷回收率为96.3%(157/163)。纳入分析的157名毕业学员中男性62名(39.5%),毕业后工作单位属性主要是城市社区卫生服务机构[78名(49.7%)],所在岗位属性大部分仍为全科医疗[119名(75.8%)]。(2)临床诊疗能力:毕业学员的病史采集、基本药物使用、常见病多发病诊疗以及慢性非传染性疾病管理能力自评达优秀者占比均在半数以上,分别为58.8%(70/119)、57.1%(68/119)、54.6%(65/119)以及54.6%(65/119);基于循证的临床决策、体格检查、检查解读、转诊服务、家庭医疗服务、康复服务、急救以及初步的心理咨询与治疗能力达优秀者占比均偏低,分别为43.7%(70/119)、42.9%(52/119)、38.7%(46/119)、37.8%(45/119)、33.6%(40/119)、22.7%(27/119)、21.0%(25/119)以及16.8%(20/119)。(3)基本公共卫生服务能力:毕业学员的基本公共卫生服务相关能力自评优秀者均不足半数,达优秀学员占比从高到低依次为人群与个人健康教育能力[38.7%(46/119)]、疾病的预防控制与保健能力[33.6%(40/119)]、对签约患者的健康管理能力[33.6%(40/119)]、重点和特殊人群保健能力[26.1%(31/119)]、协助处理突发公共卫生事件能力[25.2%(30/119)]、临床相关传染病的处理能力[22.7%(27/119)]、基于流行病学的社区诊断Objective To survey the post competency of general practitioners who completed residency training in Suzhou Municipal Hospital.Methods A questionnaire survey on post competency of general practitioners was conducted from January to March 2022.General practitioners who completed standardized residential training in Suzhou Municipal Hospital from 2009 to 2021 were randomly selected for the survey.The self-designed questionnaire included the basic information and post competency in terms of clinical,public health,research and teaching abilities as well as medical ethics and humanism.A self-evaluation was also performed and the abilities were graded(A 86-100,B 70-85,C 55-69,D 0-54),and grade A was classified as excellent.Results A total of 163 questionnaires were distributed and 157 valid ones were collected with a recovery rate of 96.3%.Among 157 respondents 62(39.5%)were males.The participants mainly worked in urban community health service institutions(78(49.7%)),and most of them worked as general practice(119(75.8%)).For the self-assessment of clinical skills,the proportion of respondents with excellent abilities in history taking,basic drug use,diagnosis and treatment of common diseases,and chronic disease management was 58.8%(70/119),57.1%(68/119),54.6%(65/119)and 54.6%(65/119),respectively.The proportion of respondents with excellent abilities in evidence-based clinical decision making,physical examination,tests interpretation,referral services,family medical services,rehabilitation services,first aid,and psychological counseling and treatment was 43.7%(70/119),42.9%(52/119),38.7%(46/119),37.8%(45/119),33.6%(40/119),22.7%(27/119),21.0%(25/119),and 16.8%(20/119),respectively.For the self-assessment of basic public health service ability,the proportion of respondents with excellent abilities in health education,disease prevention and control,health management,health care for key and special groups,handling public health emergencies,management of infectious diseases,epidemiology-based community diagnosis and comm

关 键 词：全科医师 住院医师规范化培训 岗位胜任力 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]