某高校附属儿童专科医院住院医师职业发展支持体系的构建  

Construction of a career development and support system for residents in a university-affiliated children′s hospital

作　　者：吴昊[1] 马久圆 宋义蒙 谭慧 王雅婷 樊茹 柴毅明[1] 周文浩 吴静燕[1] Wu Hao;Ma Jiuyuan;Song Yimeng;Tan Hui;Wang Yating;Fan Ru;Chai Yiming;Zhou Wenhao;Wu Jingyan(Department of Education and Training,Children's Hospital of Fudan University,Shanghai 201102,China;Department of Neonatology,Children's Hospital of Fudan University,Shanghai 201102,China)

机构地区：[1]复旦大学附属儿科医院教育培训部党委学生工作部,上海201102 [2]复旦大学附属儿科医院新生儿科,上海201102

出　　处：《中华医学教育杂志》2024年第8期592-596,共5页Chinese Journal of Medical Education

基　　金：上海市医院协会医院管理研究基金2021年青年项目(Q2021030)。

摘　　要：目的探索构建儿科住院医师职业发展支持体系,提升儿科住院医师职业信念,坚定其职业发展道路。方法根据预调研、文献研究和前期工作基础拟定职业发展支持体系初稿,2023年6至7月邀请某高校附属儿童专科医院17名专家参加专家函询,经过2轮函询最终形成儿科住院医师职业发展支持体系。结果2轮专家函询问卷均全部回收,专家权威程度系数分别为0.894和0.868,2轮专家函询的协调系数分别为0.212和0.269(χ^(2)值分别为82.86和123.28,均P<0.001)。最终形成的支持体系包含思政教育、社会支持、教学环境、自我效能4项一级项目和22项二级项目。结论成功构建了儿科住院医师职业发展体系,为儿科住院医师培养提供了科学依据,为坚定儿科住院医师的职业发展道路提供了参考路径。Objective:To explore the effect of constructing a career development and support system for pediatric residents to enhance their professional beliefs and to strengthen their career path.Methods:Based on earlier research,literature review,and preliminary work,a provisional career development and support system was drafted.Seventeen experts from a university-affiliated children′s hospital were invited to participate in Delphi study from June to July 2023.After two rounds of consultation,a career development and support system for pediatric resident physicians was finally formed.Results:Two rounds of expert consultation resulted in a 100.0%questionnaire response rate,with expert authority coefficients of 0.894 and 0.868,respectively.The coordination coefficients of the two rounds of expert consultation were 0.212 and 0.269,respectively(χ^(2) values were 82.86 and 123.28,both P<0.001).The final support system includes 4 primary items,namely professionalism and beliefs,social support,teaching environment,and self-efficacy,as well as 22 secondary items.Conclusions:The construction of the career development and support system for pediatric resident physicians may inform for the training of pediatric resident physicians,and provide a path for strengthening the career path of pediatric resident physicians.

关 键 词：儿科 住院医师 职业发展 思政教育 社会支持 教学环境 自我效能 

分 类 号：R-4[医药卫生]