县域-综合医院合作框架下区域全科医生分层递进式培训成效与展望  

Efficiency and Prospect of Hierarchical Progressive Training for County-level General Practitioners with the Cooperative Framework between County-level Government and Medical Instituions and a Tertiary General Hospital

作　　者：黄丽娟[1] 方力争[1] 朱文华[1] 陆国强 张艳 金梦绮 祝悦 俞晓明 盛伟 HUANG Lijuan;FANG Lizheng;ZHU Wenhua;LU Guoqiang;ZHANG Yan;JIN Mengqi;ZHU Yue;YU Xiaoming;SHENG Wei(Department of General Practice,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China;People's Hospital of Deqing County,Huzhou 313216,China;Health Bureau of Deqing County,Huzhou 313200,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院全科医学科,浙江省杭州市310016 [2]浙江省湖州市德清县人民医院,313216 [3]浙江省湖州市德清县卫生健康局,313200

出　　处：《中国全科医学》2023年第19期2417-2422,共6页Chinese General Practice

基　　金：中国医师协会2022年全科医学教育教学研究课题(YXGP20210301-05);第三临床医学院教学改革研究项目(Y2021E21)。

摘　　要：背景自2020年10月开始,依托邵逸夫医院的全科医学科教学资源和经验,德清县属德清县人民医院及下属12家基层医疗卫生机构全科人才开展了“师资培养-骨干培养-持续培训”三个阶段的分层递进式教学培养。目的分析2020年10月至2021年11月开展区域全科医生分层阶梯式培训的相关成效。方法对14名高级师资人才进行参与培训前(2020年10月)、邵逸夫全科科室轮转培训结束时(2021年1月)和总体完成12个月培训时(2021年10月)的阶段能力评价,能力评估涵盖全科职业能力、全科临床能力、全科实践技能、全科教学能力、全科专业能力5个方面;对28名全科骨干医师参与培训前(2021年1月)和总体完成12个月培训时(2021年12月)的阶段能力进行评价,能力评估涵盖全科职业能力、全科临床能力、全科实践技能、全科专业能力4个方面。对82名初级梯队全科医师参与培训前(2021年1月)和总体完成12个月培训时(2021年12月)的阶段能力进行评价。能力评估涵盖全科职业能力、全科临床能力、全科实践技能3个方面。结果14名高级师资不同时间全科职业能力评分比较,差异有统计学意义(P<0.05);其中培训第3个月、培训第12个月全科职业能力评分均高于培训前(P<0.05)。高级师资不同时间全科临床能力与全科实践技能评分比较,差异有统计学意义(P<0.05);培训第3个月、培训第12个月全科临床能力与全科实践技能评分均高于培训前(P<0.05)。高级师资培训第12个月全科教学能力评分高于培训第3个月(P<0.05)。28名全科骨干医师培训后全科职业能力评分、全科临床能力与全科实践技能评分均高于培训前(P<0.05)。82名初级梯队全科医师培训后全科职业能力评分、全科临床能力与全科实践技能评分均高于培训前(P<0.05)。结论本研究提供了一种有序、有力、可持续开展的综合医院引领、扶持区域全科医学人Background Since October 2020,relying on the teaching resources and experience of Department of General Practice of Sir Run Run Shaw Hospital,a three-stage hierarchical progressive teaching and training of "teacher trainingbackbone training-continuous training" has been carried out for general practitioners in People's Hospital of Deqing County and 12subordinate primary care institutions in Deqing County.Objective To analyze the related efficiency of stratified stepped training for regional general practitioners from October 2020 to November 2021.Methods The stage competencies of 14 senior faculty members were evaluated prior to participation in training(October 2020),at the end of rotation training of Department of General Practice of Sir Run Run Shaw Hospital(January 2021)and at the end of the 12-month training(October 2021);the competency evaluation covers five aspects:general practice occupational competence,general practice clinical competence,general practice skills,general practice teaching competence and general practice professional competence.The stage competencies of 28 core general practitioners were evaluated prior to participation in training(January 2021)and after completing the 12-month training(December 2021),the competency evaluation covers four aspects:general practice occupational competence,general practice clinical competence,general practice skills and general practice professional competence.The stage competencies of 82 junior echelon general practitioners were evaluated prior to participation in training(January 2021) and after completing the 12-month training(December 2021),the competency evaluation covers three aspects:general practice occupational competence,general practice clinical competence and general practice skills.Results There were significant differences in general practice occupational competence among 14 senior faculty members(P<0.05);among them,the scores of general practice professional competence in the third month and the twelfth month of training were higher than those

关 键 词：全科医生 教育 医学 继续 区域合作 培训 能力评估 成效 展望 

分 类 号：R192[医药卫生—卫生事业管理]