住院医师规范化培训与临床实习并轨模式下临床实习生满意度调查  

Survey on satisfaction of clinical interns under the merging mode of standardized residency training and clinical practice

作　　者：刘晓鹏 李燕如 胡宝欣 黄晓瑜 张华 Liu Xiaopeng;Li Yanru;Hu Baoxin;Huang Xiaoyu;Zhang Hua(Department of Science and Education,Foshan Hospital Affiliated to Southern Medical University/Foshan Second People's Hospital,Foshan 528000,China;Foshan Hospital Affiliated to Southern Medical University/Nursing Department,Foshan Second People's Hospital,Foshan 528000,China)

机构地区：[1]南方医科大学附属佛山医院/佛山市第二人民医院科教科,佛山528000 [2]南方医科大学附属佛山医院/佛山市第二人民医院护理部,佛山528000

出　　处：《中华医学教育探索杂志》2023年第1期87-90,共4页Chinese Journal of Medical Education Research

基　　金：广东省临床教学基地教学改革研究项目 (2019JD021)。

摘　　要：目的:通过开展住院医师规范化培训与临床实习并轨模式下临床实习生对科室和带教教师的满意度调查,探求如何进一步推进临床实习工作。方法:采用整群抽样方式,自行设计量表,量表内容包括:教学工作重视程度、实习安排合理性、教学活动开展情况、教学活动开展质量、出科考核情况、带教教师医德医风示范性、教师带教态度及教师理论知识的传授情况、教师指导医疗操作情况、教师病历修改情况等。对2018年7月至2019年6月某医院临床专业实习生开展问卷调查。采用SPSS 22.0进行两独立样本的t检验或秩和检验方法,多组数据分析采用方差分析。结果:共发放调查问卷1230份,收回1195份,有效回收率97.15%。该医院临床实习生总体满意度为(9.62±0.39)分。实习生对带教教师医德医风示范性的评价最高[(9.75±0.78)分],对各科室教学活动开展质量的评价最低[(9.52±1.15)分],各项评价之间差异有统计学意义(F=7.30,P<0.001)。结论:各教研室、各科室在医院推行住院医师规范化培训与临床实习并轨模式下,按要求完成各项带教任务,但教学质量和内涵建设有待加强。Objective To investigate the satisfaction of clinical interns to the department and teachers under the merging mode of standardized residency training and clinical practice,and to explore the feasibility to further implement the mode in clinical practice.Methods Cluster sampling was used to design the scale,which included the importance attached by department to the teaching work,the rationality of the arrangement of practice content,the implementation of teaching activities,the quality of teaching activities,the status of out-department examination,the demonstration of medical ethics of teachers,the teaching attitude and knowledge lecturing of teachers,the revision of medical records and the guidance of skills operation,etc.The questionnaire survey was conducted among clinical interns in a hospital from July 2018 to June 2019.SPSS 22.0 was used to conduct t test or rank sum test of two independent samples,and the analysis of multiple groups of data was performed by means of variance analysis.Results A total of 1230 questionnaires were sent out,and 1195 were returned,with an effective recovery rate of 97.15%.The overall satisfaction of interns was(9.62±0.39).The interns gave the highest evaluation on the medical ethics and medical style of the teacher(9.75±0.78),and the lowest evaluation on the teaching quality of all departments(9.52±1.15).There were significant differences among the evaluations(F=7.30,P<0.001).Conclusion Under the merging mode of standardized residency training and clinical practice management,all teaching and research sections and departments have fulfilled various teaching tasks according to the requirements,but the teaching quality and connotation construction need to be further strengthened.

关 键 词：住院医师规范化培训 实习 满意度调查 

分 类 号：R-05[医药卫生]