基于自评与他评的住院医师职业素养现状分析及对策研究  

Analysis and countermeasures of resident's professionalism based on self-assessment and other assessment

作　　者：沈丽琼 罗璐瑶 陈谨瑜 叶燕青[1] Shen Liqiong;Luo Luyao;Chen Jinyu;Ye Yanqing(Teaching Office,Zhongnan Hospital,Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院教学办公室,武汉430071

出　　处：《医学教育管理》2023年第5期649-654,共6页Medical Education Management

基　　金：武汉大学医学部教学研究项目(2020046)。

摘　　要：目的 调查住院医师的职业素养现状,分析自评和他评的应用效果。方法 2021年3-4月,采用方便抽样抽取武汉大学中南医院在培住院医师及其带教老师为调查对象,采用一般资料调查表和住院医师职业素养调查表,以自评和他评相结合的方式调查。结果 发放自评问卷571份、他评问卷623份,自评和他评均有效问卷486份,有效率分别为85.11%、78.01%。住院医师职业素养自评、他评总得分分别为107.8±14.3、107.6±6.4(t=0.441,P=0.681);各维度自评、他评间的一致性较高(r>0.7,P<0.05),不同年级、身份类型、学历、专业基地以及对培训基地的满意度均影响住院医师的职业素养(P<0.05)。结论 住院医师职业素养尚可,仍有待提升;学历越高、年级越高以及对培训基地的满意度越高,住院医师的职业素养越高;非手术类专业基地的住院医师职业素养更高;培训基地应该因材施教、因地制宜地开展职业素养培训课程。Objective To investigate the current situation of residents' professionalism and to analyze the application effects of self-assessment and other assessment.Methods From March to April 2021,in training at Zhongnan Hospital of Wuhan University and their clinical teachers were selected by convenient sampling method and surveyed by a combination of self-assessment and other assessment using a general information questionnaire and a resident professionalism questionnaire.Results A total of 571 self-evaluated questionnaires and 623 teacher-evaluated questionnaires were distributed and 486 both valid questionnaires were received.The effective rate was 85.11%、 78.01%.The self-assessment score and teacher's assessment score of residents' professionalism was 107.8±14.3,107.6±6.4(t=0.441,P=0.681),respectively.Different grades,identity types,education levels,professional bases and satisfaction with training bases all affected the professionalism of residents(P0.05).Conclusion Residents' professionalism is fair and still needs to be improved;the higher the education level,the higher the grades,and the higher the satisfaction with the training base,the higher the residents' professionalism;the residents' professionalism in non-surgical specialty bases is even higher;and training bases should establish professionalism training curricula that are tailored to the needs of the individual and to the local context.

关 键 词：职业素养 住院医师 自评 他评 

分 类 号：R4[医药卫生—临床医学] G640[文化科学—高等教育学]