广东省助理全科医生培训基地建设现状及思考  

Analysis and reflection on the construction of the assistant general practice base in Guangdong Province

作　　者：徐诗瑶 薛青[1] 柯飒 周奕[1] XU Shiyao;XUE Qing;KE Sa;Zhou Yi(Department of General Medicine,The Fifth Affiliated Hospital,Sun Yat-Sen University,Zhuhai,Guangdong,519000,China)

机构地区：[1]中山大学附属第五医院全科医学部,广东珠海519000

出　　处：《中国初级卫生保健》2025年第4期5-8,共4页Chinese Primary Health Care

摘　　要：目的:总结广东省助理全科医生培训基地建设现状并提出改进建议。方法:收集2020年广东省15个地市91家助理全科医生培训基地自评表,自评表内容包括基本条件、培训管理、师资队伍、过程管理、质量控制及保障措施6项一级指标、17项二级指标、46项三级指标。针对三级指标计算得分率,得分率≥80%为合格,65%≤得分率<80%为基本合格,得分率<65%为不合格。结果:91家备案助理全科医生培训基地三级指标中不合格率在30%以上共有9个三级指标,分别为带教活动考核、临床培训基地全科医学科设置要求、激励制度、临床培训基地师资条件、助理全科医生培训结业考核通过率、综合考核、师资评价、助理执业医师资格考试通过率、专业基地负责人条件。不合格率在20%~30%之间共有10个三级指标,分别为师资培训、基层实践基地师资条件、设立全科教研室与教学小组、管理床位数、沟通反馈、临床培训基地与基层实践基地联系紧密、培训基地条件、临床技能操作种类及数量、师资队伍组成、病例讨论。结论:大多数助理全科医生培训基地存在师资队伍、基地建设薄弱的问题。建议优化师资培训模式,以进一步提高培训质量。OBJECTIVE To summarize the current situation of the construction of the training base for registered assistant gener⁃al practitioners in Guangdong Province and put forward suggestions for improvement.METHODS The self-evaluation form of some registered assistant general practice training bases in Guangdong Province in 2020 was collected,which included 6 first-level indica⁃tors of basic conditions,training management,teaching staff,process management,quality control and safeguard measures,which were refined into 17 second-level indicators and 46 third-level indicators,and the scoring rate was calculated for the third-level in⁃dicators.The scoring rate of 80%or more was qualified,and the scoring rate was 65%and above to 80%for basic qualification,the score rate below 65%is regarded as unqualified.RESULTS A total of 91 training bases for registered assistant general practitioners were involved in this study.There are 9 third-level indicators with a failure rate of more than 30%in the third-level indicators,namely:“assessment of teaching activities”,“requirements for the setting of general medicine departments in clinical training bas⁃es”,“incentive system”,“conditions for teachers in clinical training bases”,“pass rate of assistant general practitioner training com⁃pletion assessment”,“comprehensive assessment”,“teacher evaluation”,“pass rate of qualification examination for assistant practitio⁃ners”,and“conditions for persons in charge of professional bases”.Between 20%and 30%,there are 10 third-level indicators,namely:“teacher training”,“teacher conditions of grassroots practice bases”,“establishment of general practice teaching and research depart⁃ments and teaching groups”,“number of beds management”,“communication and feedback”,“close connection between clinical train⁃ing bases and grassroots practice bases”,“conditions of training bases”,“types and quantities of clinical skills operations”,“composi⁃tion of teaching staff”,

关 键 词：培训基地建设 助理全科医生 培训效果 广东 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]