四川省全科住院医师规范化培训基层实践基地教学管理现状调查  

Survey on teaching management in community practice bases for general practice residency training in Sichuan province

作　　者：王莉斐 王红义 曾庆秋 Wang Lifei;Wang Hongyi;Zeng Qingqiu(Yulin Community Health Service Center of Wuhou District,Chengdu 610041,China)

机构地区：[1]成都市武侯区玉林社区卫生服务中心,成都610041

出　　处：《中华全科医师杂志》2024年第10期1069-1074,共6页Chinese Journal of General Practitioners

摘　　要：目的了解四川省全科住院医师规范化培训(简称为住培)基层实践基地教学管理现状。方法该研究为横断面调查。以四川省71家全科住培基层实践基地的教学管理者为调查对象,于2023年4月通过微信群向其发放问卷。根据《全科专业住院医师规范化培训基地标准(2022年修订版)》(简称为《标准》)、《住院医师规范化培训内容与标准-全科培训细则(2022年修订版)》(简称为《细则》)以及相关文献自行设计问卷,内容涉及教学管理者的基本情况、所在基层实践基地相关情况及其对住培教学组织建设的看法、住培教学的重难点等。结果共发放问卷71份,共计52名基层实践基地的教学管理者参与了本次调查,其中有效问卷51份,有效回收率为71.8%。纳入的51名教学管理者来自四川省17个市区,基地主任、教学主任、教学秘书分别有10名(19.6%)、19名(37.3%)、22名(43.1%),对《细则》表示了解者49名(96.1%),接受过师资培训者49名(96.1%)。纳入的教学管理者所在基层实践基地具有教室、会议室或图书馆者,具有投影仪者,具有全科医学参考书者均超过70%;基地师资配置满足《标准》者50个(98.0%),所有基地均达到基地师资专业技术职务人数要求,成立教学小组者49个(96.1%),上级临床基地开展过提升带教水平相关培训者45个(88.2%),建立了指导医师激励机制者47个(92.2%),教学管理者中认为所在基地全科带教师资胜任教学者39个(76.5%);基地的院/中心领导班子履行了“主要领导责任制”者26个(51.0%),所有基地均建立了住院医师管理制度;设置出科考核者、入科教育者、小讲课者、病例讨论者、入基层实践基地教育者、教学门诊者均在70%以上;基地组织建设中存在的主要问题包括教学队伍能力不均衡、缺乏引导力和凝聚力、基层教学组织架构制度不完善等;基地全科住培的重点包括增强带教师资的带�Objective To survey the status quo of community practice bases for general practice residency training in Sichuan province.Methods The study was a cross-sectional survey.Online questionnaires were distributed via a WeChat group to 71 teaching managers of primary practice bases for general practice residency training in Sichuan Province in April 2023,and was completed anonymously.The questionnaire was designed according to the Standard for Residency Standardized Training Bases in General Practice(2022 Revision)(referred to as the Base Standard),the Content and Standard for Residency Standardized Training-Rules for General Practice Training(2022 Revision)(referred to as the Rules),and the relevant literature.The contents of the questionnaire included the basic information of the teaching managers and their institutions.Results Seventy-one questionnaires were distributed.A total of 52 questionnaires were filled,and 51 valid ones were returned with an effective recovery rate of 71.8%.The participants were from 17 urban areas in Sichuan province,including 10(19.6%)base directors,19(37.3%)teaching directors,and 22(43.1%)teaching secretaries.Among 51 participants,49(96.1%)knew the rules;and 49(96.1%)had received teacher training.More than 70%of the bases had classrooms,meeting rooms or libraries,projectors,and reference books on general medicine;50(98.0%)bases met the requirements for faculty number and quality set by the base standard;49(96.1%)had teaching teams,45(88.2%)bases had held upgrading causes for teaching faculty,47(92.2%)set up incentive mechanisms for teaching faculty,and 39(76.5%)of the teaching managers thought that the teaching faculty in their institutions was qualified;and 26(51.0%)thought the leadership of the bases fulfilled the"main leadership responsibility system".All bases had set up resident management system;over 70%of the bases had completed the system for enrollment,assessment,lecturing,case discussion,and teaching clinics.The main problems in the teaching bases included unequal ability of te

关 键 词：全科医师 教学管理策略 全科住院医师培训 基层实践基地 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]