新疆地区临床医学专业学位硕士研究生住院医师规范化培训满意度调查:基于潜在剖面分析  

Satisfaction survey of standardized residency training for clinical medicine professional postgraduates in Xinjiang region:based on latent profile analysis

作　　者：文保锋 加依娜·拉兹别克 王俊安 曹明芹[1] WEN Baofeng;LAZIBIEKE Jiayina;WANG Jun'an;CAO Mingqin(School of Public Health,Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学公共卫生学院,乌鲁木齐830011

出　　处：《医学新知》2024年第6期717-724,共8页New Medicine

基　　金：新疆维吾尔自治区研究生教育教学改革项目(XJ2020GY19)。

摘　　要：目的了解新疆地区临床医学专业学位硕士研究生(简称“临床专硕生”)对住院医师规范化培训(简称“住培”)的满意度现状,并分析其影响因素。方法分层随机抽取2023年3月—6月在新疆9所医院住培的临床专硕生作为研究对象,使用住培满意度量表进行调查。采用潜在剖面分析探索满意度得分的群体异质性,采用有序Logistic回归分析潜在类别的影响因素。结果共纳入1404名临床专硕生,住培满意度总体平均得分为(3.79±0.77)分,潜在剖面分析显示临床专硕生住培满意度可以分为三个潜在类别:较低满意(26.71%)、中等满意(48.43%)、高满意类(24.86%)。有序Logistic回归显示:中等压力[OR=1.808,95%CI(1.446,2.259)]或较小压力[OR=4.229,95%CI(2.861,6.259)]、认为“四证合一”模式对就业帮助较大[OR=1.627,95%CI(1.102,2.401)]、临床知识运用能力较强[OR=2.936,95%CI(1.432,6.025)]、对培养定位中等认同[OR=1.853,95%CI(1.255,2.737)]或较高认同[OR=4.108,95%CI(2.793,6.050)]的临床专硕生,其更可能属于更高住培满意度的潜在类别。结论新疆地区临床专硕生住培满意度处于中等水平,建议分析压力来源并采取对应缓解措施,在培养内容上,应更注重培养临床知识转化能力,通过了解学员就业意向,制定个性化的培养方案,以提高临床专硕生的住培满意度。Objective To understand the current satisfaction status and analyze the influencing factors of standardized residency training for clinical medicine professional postgraduates in Xinjiang region.Methods A stratified random sampling method was used to select clinical professional master's students studying in 9 standardized training hospitals in Xinjiang from March to June 2023 as research subjects,and a questionnaire on residency satisfaction was used for investigation.Latent profile analysis was employed to explore the heterogeneity of satisfaction scores among students,and ordered Logistic regression analysis was used to examine the influencing factors of latent categories.Results 1,404 clinical professional master's student were included.The overall average score of satisfaction with residency training among clinical professional master's students was(3.79±0.77)points.Latent profile analysis indicated that satisfaction with residency training among clinical professional master's students could be divided into three latent categories:low satisfaction(26.71%),moderate satisfaction(48.43%),and high satisfaction(24.86%).Ordered Logistic regression showed that students with moderate pressure[OR=1.808,95%CI(1.446,2.259)]or low pressure[OR=4.229,95%CI(2.861,6.259)],those who believed that the program was helpful for employment[OR=1.627,95%CI(1.102,2.401)],those with strong abilities in applying theory to work[OR=2.936,95%CI(1.432,6.025)],and students with moderate acceptance[OR=1.853,95%CI(1.255,2.737)]or high acceptance[OR=4.108,95%CI(2.793,6.050)]of the training orientation were more likely to belong to a potential category with higher satisfaction with residency training.Conclusion The satisfaction of clinical professional master's students in residency training in Xinjiang is at moderate level.It is recommended to analyze the sources of stress and implement corresponding measures to alleviate it.In terms of training content,there should be a greater emphasis on cultivating the ability to translate clinical knowl

关 键 词：医教协同 临床医学 专业学位研究生 住院医师规范化培训 满意度 潜在剖面分析 

分 类 号：G64[文化科学—高等教育学]