某医疗集团内基层医疗机构教学情况调查与思考  

Survey and reflection on teaching in primary medical institutions within a medical group

作　　者：钟小兰[1] 戴秀敏 陈晓慧 欧阳国美 谭丽娟[2] 廖小明[3] ZHONG Xiaolan;DAI Xiumin;CHEN Xiaohui;OUYANG Guomei;TAN Lijuan;LIAO Xiaoming(Department of Science and Education,Huadu District People's Hospital of Guangzhou,Guangdong Province,Guangzhou510800,China;Department of Infectious Diseases,Huadu District People's Hospital of Guangzhou,Guangdong Province,Guangzhou510800,China;Department of Traditional Chinese Medicine,Huadu District People's Hospital of Guangzhou,Guangdong Province,Guangzhou510800,China)

机构地区：[1]广州市花都区人民医院科教科,广东广州510800 [2]广州市花都区人民医院感染性疾病科,广东广州510800 [3]广州市花都区人民医院中医科,广东广州510800

出　　处：《中国当代医药》2024年第7期150-154,共5页China Modern Medicine

基　　金：广东省广州市花都区科技计划项目(21-HDWS-035);广东省广州市花都区人民医院院内科研基金项目(2021C09)。

摘　　要：目的通过调查广州市花都区人民医院医疗集团(以下简称“本集团”)内基层医院教学现状,为下一步以教学为抓手提升对基层医院帮扶提供依据。方法2022年4月至5月选取本集团内的9家基层医疗机构医务人员,以电子问卷形式开展教学情况的横断面调查,共获得485份有效答卷,并对问卷调查结果采用归纳总结法及卡方检验进行统计分析。结果98.76%的受访者认可“教学相长”,89.90%认为开展教学、培训对个人素质提升有明显帮助,87.42%很愿意开展带教工作。在基层医院教学管理体系上,仅有20.62%的人员有带教经历,参加过各种带教培训的最高比例为30.10%;96.7%的受访者认为仍需要开展理论培训,96.49%认为仍需要开展实操训练。对教学方法的选择,排名前3位的分别为“问题为导向法”“案例教学法”“讲义讲授法”,人员占比分别是73.58%、64.53%、54.23%;71.34%的受访者认为基层教学最突出的问题是“没有教学条件”。各调查指标在有带教经历和无带教经历者之间比较,差异无统计学意义(P>0.05)。结论基层医院已有一定教学基础,医务人员对教学工作有较高的认知水平,且带教意愿强,但是教学条件、师资能力和教学水平均有明显不足。统筹医疗集团内教学资源,开展临床教学帮扶,有明确的现实意义。Objective Through investigating and studying the teaching status of grassroots hospitals within Guangzhou Huadu District People's Hospital Medical Group(hereinafter referred to as the"Group"),this study aims to provide a basis for improving support to grassroots hospitals through teaching.Methods From April 2022 to May 2022,a cross-sectional survey on teaching situations was conducted among 516 medical staff from 9 grassroots medical institutions within the Group using electronic questionnaires.A total of 485 valid responses were obtained,and the results of the questionnaire survey were analyzed using the method of induction and summarization as well as chi-square test.Results 98.76%of the respondents recognized the concept of"learning through teaching",and 89.90%believed that conducting teaching and training had a significant impact on personal development.87.42%of the respondents were willing to engage in teaching work.In terms of the teaching management system in grassroots hospitals,only 20.62%of the personnel had teaching experience,and the highest proportion of those who had participated in various teaching training was 30.10%.96.7%of the respondents believed that theoretical training still needed to be conducted,and 96.49%believed that practical training was still necessary.The top three choices for teaching methods were"problem-oriented approach""case-based teaching method"and"lecture-based teaching method"with proportions of 73.58%,64.53%,and 54.23%respectively.71.34%of the respondents believed that the most prominent problem in grassroots teaching was the lack of teaching conditions.There was no statistically significant difference between the various survey indicators when comparing those with teaching experience and those without(P>0.05).Conclusion Basic hospitals have a certain teaching foundation,and the medical staff have a higher cognition level of teaching work and a strong willingness to teach,but the teaching conditions,teachers'ability and teaching level are obviously insufficient.Coordinating

关 键 词：医疗集团 基层师资 医教融合 教学相长 以教促学 

分 类 号：R197[医药卫生—卫生事业管理]