全科医学专业住院医师规范化培训结业学员公共卫生服务能力现状与培训需求  

Current status and training need of public health service ability for graduates of standardized training for general practice resident physicians

作　　者：葛剑力[1] 耿莎莎[1] 任光为 张亚莉 江华[1] Ge Jianli;Geng Shasha;Ren Guangwei;Zhang Yali;Jiang Hua(Department of General Practice,Shanghai East Hospital,Tongji University School of Medicine,Shanghai 200120,China;Department of Medical Education,Shanghai Sanlin Community Health Service center,Shanghai 200124,China;Department of General Practice,Shanghai Lujiazui Community Health Service Center,Shanghai 200135,China)

机构地区：[1]同济大学附属东方医院全科医学科,上海200120 [2]上海市三林社区卫生服务中心医教科,上海200124 [3]上海市陆家嘴社区卫生服务中心全科医学科,上海200135

出　　处：《中华医学教育杂志》2024年第6期450-453,共4页Chinese Journal of Medical Education

基　　金：全国医学专业学位研究生教育指导委员会全国全科医学教育教学科研课题(B-YXGP20210301-03);锦州医科大学2022年教育教学研究与改革项目(YB2022023);南京医科大学2021年度校级教育研究课题(2021ZC087)。

摘　　要：目的调查全科医学专业住院医师规范化培训(住培)结业学员公共卫生服务能力现状与培训需求。方法2022年5至12月,选取上海市6个社区卫生服务中心417名全科医学专业住培结业学员(以下简称学员)进行线上问卷调查,了解其基本情况、公共卫生服务能力自我评估、基层工作对公共卫生服务的需求、公共卫生服务能力培训现状和需求。结果417名学员中,138名(33.1%)学员认同全科医师要作为基层公共卫生服务管理主要承担者,155名(37.2%)学员认同全科医师需要具备公共卫生服务问题处理能力。公共卫生服务能力自我评估中,352名(84.4%)学员掌握健康档案管理,仅有97名(23.3%)学员掌握严重精神障碍患者管理。215名(51.6%)学员认为住培期间接受的公共卫生服务能力培训在实际工作中覆盖率不足50.0%;367名(88.0%)学员认为有必要加强公共卫生服务能力培训。结论学员公共卫生服务意识薄弱,公共卫生服务能力不足,相关培训欠缺。因此,建议在住培阶段,更多地融入公共卫生服务能力的教学与培训。Objective To investigate the current status and training needs of public health service capabilities among graduates of standardized training for general practice resident physicians.Methods From May to December 2022,417 graduates of standardized training for general practice resident physicians from 6 community health centers in Shanghai were selected to participate in an online questionnaire survey to understand the basic situation,public health service needs in grassroots work,self-assessment of public health service capabilities,current status and needs of public health service capabilities training.Results Among the 417 trainees,138(33.1%)trainees agreed that general practitioners should be the main bearers of grassroots public health service management,and 155(37.2%)trainees agreed that general practitioners need to have the ability to handle public health service issues.In the self-assessment of public health service capabilities,352(84.4%)trainees mastered health record management and only 97(23.3%)trainees mastered severe mental disorder patient management.215(51.6%)trainees believed that the coverage rate of public health service training received during standardized training was less than 50%in actual work.In addition,367(88.0%)trainees believed it should be necessary to strengthen relevant skill training.Conclusions Graduates of standardized training for general practice resident physicians have inadequate awareness of public health service capabilities,insufficient public health service capabilities,and a lack of relevant training.It is recommended to integrate more into the cultivation and teaching of public health service capabilities during the stage of standardized training for resident physicians.

关 键 词：医师 全科医学 公共卫生 服务能力 培训现状 需求 住院医师规范化培训 

分 类 号：R05[医药卫生]