目的 了解新疆全科(助理)医师规范化培训的过程培养现状.方法 于2016年3月,采用抽签法在2013年新疆维吾尔自治区卫生与计划生育委员会认定的10所全科医师培训基地中抽取5所,以该5所基地中正在接受全科(助理)医师规范化培训的246例学员为研究对象.根据本课题组的前期研究,收集纳入基地的条件和培训情况;自行设计调查问卷,收集纳入学员对培训基地条件和培训情况的评价,主要内容包括学员对培训基地基本条件、培训制度、培训内容、师资条件、培训考核、培训效果的评价.结果 10所(100.0％)培训基地均有协作社区实践基地,带教教师职称均为主治医师及以上;均制定了全科医师规范化培训实施办法,有明确的考勤、考核及奖惩制度;均按照《住院医师规范化培训内容与标准(试行)》(《内容与标准》)制定了公共理论、专业知识、技能培训计划;4所(40.0％)培训基地按时组织实施了入科考核,7所(70.0％)培训基地参照《内容与标准》组织实施了出科考核和年度考核.95.1％ (234/246)的学员认为培训科室符合培训要求,53.7％ (132/246)的学员认为培训科室病种符合培训需求,92.3％ (227/246)的学员认为师资力量符合培训要求;98.8％ (243/246)的学员对考核管理制度感到满意;97.2％ (239/246)的学员认为入科宣教形式与内容符合培训要求;62.2％ (153/246)的学员认为入科考试制度符合培训要求,97.6％ (240/246)的学员认为出科考试制度符合培训要求,98.0％ (241/246)的学员认为年度考核制度符合培训要求;87.0％ (214/246)的学员认为培训有助于提高技能操作水平,100.0％ (246/246)的学员认为培训有助于丰富专业知识,100.0％ (246/246)的学员认为培训有助于提高对各民族患者的服务能力,40.7％(100/246)的学员认为培训有助于提高科研能力.结论 新疆全科(助理)医师规范化培训的过程培养有亮点也有不足,应注意保证培训科室病种符合培训标准,增加对入科考核的重视度、确保考核的及时性和有效性,加大对科研方面的培训意识、鼓励学员科研行为.%Objective To study the present process training situation of standardized training of the general (assistant) practitioners in Xinjiang.Methods In March 2016,five bases from 10 general practitioners training bases identified by Xinjiang Uygur Autonomous Region Health and Family Planning Commission in 2013 were selected by using the drawing method.A total of 246 trainees who were receiving generalized (assistant) physician training in these five bases were selected as the research subjects.According to the included conditions and training status collected in the pre-study in the research group,self-designed questionnaires were used to collect trainees' evaluation of conditions of the bases and the training status,and it mainly included the evaluation of the trainees on the basic conditions of the training base,training system,training content,teaching conditions,training appraisal and the training effects.Results All of the 10 training bases (100.0％) had practice bases of collaborative communities,and the title of teachers was attending physician or above it;the bases had developed measures for the implementation of standardized training of general practitioners,specific check on work attendance,assessment and reward and punishment system;all had made training plan of public theory,specialized knowledge and skill according to Standardized Training Content and Standard of Resident Physicians (on trial) (Content and Standard).Four (40.0％) training bases organized and carried out department entrance examiuation on time and seven (70.0％) training bases carried out the department rotation examination and annual assessment with reference to Content and Standard.95.1％ (234/246) of the trainees believed that the training departments meet the requirements of training,53.7％ (132/246) of the trainees believed that the disease types of training departments meet the needs of training,92.3％ (227/246) of the trainees believed that the teaching force meet the training requirements;98.8％ (243/246) of the trainees were satisfied with the evaluation management system;97.2％ (239/246) of the trainees believed that the educational form and content of admission to the department meet the requirements of training;62.2％ (153/246) of the trainees believed that the entrance examination system was in line with the training requirements,97.6％ (240/246) of the trainees believed that the after-department examination system meet the requirements of training,98.0％ (241/246) of the trainees considered that the annual assessment system meet the requirements of training;87.0％ (214/246) of the trainees believed that the training will help improve the level of operation skills,100.0％ (246/246) of the trainees believed that the training will help enrich the expertise,100.0％ (246/246) of the trainees believed that the training will help improve the service capacity of patients of all ethnic groups,40.7％ (100/246) of the trainees believed that the training will help improve scientific research ability.Conclusion There are advantages and shortcomings in the process training of standardized training of the general (assistant) practitioners in Xinjiang.We should ensure that the disease types of the training department meet the training standards,increase the emphasizing degree of department entrance examination,ensure the timeliness and effectiveness of assessment,increase training awareness of scientific researches and encourage scientific research behaviors of the trainees.
展开▼
