山西省全科专业住院医师对规范化培训的满意度及就业意向调查  

Survey on satisfaction and employment intention of general practice residents in Shanxi province

作　　者：李靖 段朝霞[2] 安亚男 侯莎莎 刘浩 Li Jing;Duan Zhaoxia;An Yanan;Hou Shasha;Liu Hao(School of Management,Shanxi Medical University,Jinzhong 030604,China;Division of Research and Educational Affair,Shanxi Provincial People′s Hospital,Taiyuan 030012,China;School of Public Health,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学管理学院,晋中030604 [2]山西省人民医院科教处,太原030012 [3]山西医科大学公共卫生学院,太原030001

出　　处：《中华全科医师杂志》2023年第8期833-838,共6页Chinese Journal of General Practitioners

基　　金：山西省软科学研究重点项目(2018042018)。

摘　　要：目的:了解山西省全科专业住院医师对规范化培训的满意度及就业意向。方法:该研究为横断面调查。使用问卷星设计问卷,并于2021年5月期间通过山西省住院医师规范化培训信息管理平台定向推送给山西省在培全科住院医师(简称学员)。问卷内容包括学员的一般人口学特征、目前的临床实践能力和独立接诊能力、所在基地培训工作开展情况、对全科住院医师规范化培训(简称全科住培)的满意度、对全科前景的认识及就业意向。汇总分析问卷调查结果,多选题采用多重响应定义变量集的方法分析频率。结果:共发放问卷452份,收回有效问卷434份,有效回收率为96.02%。434名学员的年龄为(27.4±4.6)岁,其中2018级155人(35.71%)、2019级131人(30.18%)、2020级148人(34.10%)。286人(65.9%)能独立完成腹穿、腰穿、胸穿、骨穿等具体操作,且随着培训时间延长,能完成相关操作的人员占比增加[2020级、2019级、2018级分别为73人(49.3%)、92人(70.2%)、121人(78.1%),χ^(2)=29.39,P<0.001];372人(85.7%)能独立接诊常见病患者并作出初步诊断和处理,2020级、2019级、2018级能完成者占比差异无统计学意义(χ^(2)=3.35,P=0.188)。425人(97.9%)表示基地按照培训大纲安排轮转;390人(89.9%)表示出科考核包括理论和技能考核,且比例恰当;关于所在基地收治病例病种数是否满足培训细则要求,70人(16.1%)认为完全满足,144人(33.2%)认为大部分满足,197人(45.4%)认为基本满足,22人(5.1%)认为大部分不满足,1人(0.2%)认为完全不满足;368人(84.8%)表示带教老师经常对其病历书写进行指导。学员对全科带教老师和基地带教老师的满意度较高,非常满意者分别有174人(40.1%)和172人(39.6%);对住宿(或补助)比较满意者最多,为207人(47.7%),非常不满意者有38人(8.3%);对基本待遇比较满意者最多,为203人(46.8%),非常不满意者有35人(8.1%)。关于对全科专业的喜欢程度Objective To survey the satisfaction and employment intention of general practice residents(GPRs)in Shanxi Province.Methods A cross-sectional questionnaire survey was conducted in May 2021 among GPRs in Shanxi Province through the residency training information management platform.The questionnaire included general demographic information,clinical competency and independent practice ability,the status of the training base,their satisfaction with the training,career prospects and employment intention.The survey results were analyzed.Results A total of 452 questionnaires were distributed,and 434 valid ones were recovered with an effective recovery rate of 96.02%.The age of respondents was(27.4±4.6)years,there were 155 GPRs(35.71%)enrolled in 2018,131 GPRs(30.18%)in 2019,and 148 GPRs(34.10%)in 2020.A total of 286 GPRs(65.9%)thought that they were able to independently complete some procedures such as abdominal puncture,lumbar puncture,chest puncture,and bone puncture,and the proportion of GPRs who were able to complete the above procedures increased with the training time(49.3%(73/148),70.2%(92/131),and 78.1%(121/155)in 2020,2019,and 2018 batches,respectively,χ2=29.39,P<0.001);372 respondents(85.7%)thought that they were able to independently receive patients with common diseases and make preliminary diagnosis and treatment,while there was no significant difference in the proportion of GPRs enrolled in 2020,2019,and 2018(χ2=3.35,P=0.188);425 GPRs(97.9%)expressed that the base arranged rotation according to the training syllabus;390 GPRs(89.9%)thought that the proportion of knowledge and skill assessment in the final examination was appropriate.The survey showed that 70 GPRs(16.1%)thought that the number of cases and types of diseases in the teaching base fully met the requirements of the training program,144 GPRs(33.2%)thought that mostly met the requirements,197 GPRs(45.4%)thought that basically met the requirements,22 GPRs(5.1%)thought that most of them did not meet the requirements,and 1 GPR(0.2%)thought that

关 键 词：全科医师 满意度 就业 住院医师规范化培训 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]