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湖南省全科医生转岗培训效果评价

摘要

Objective To evaluate the effect of position transition training for general practitioners ( GPs ) in Hunan Province. Methods A survey was conducted among GPs who had participated in position transition training programs in 2010 in six randomly selected training bases of Hunan Province. Totally 420 questionnaire copies were distributed and 398 valid copies were collected. Results The subjects' sex ratio was 2. 06 : 1 ( male: female ), average age ( 34. 8 ±11. 2 ) years old, and average work experience ( 13. 0 ±6. 7 ) years. The proportion of assistant doctor, resident doctor, chief physician and above was 52.0% , 35.2% , and 12. 8% , respectively. The proportion of subjects with secondary technical diploma, junior college degree, and bachelor's degree was 16. 8% , 56. 8% , and 26. 4% , respectively. The proportion of full - time trainee and part -time trainee was 44. 2% and 55. 8% respectively. The average economic loss during the training program was ( 7 274. 7 ± 632. 9 ) yuan RMB. The subjects were good at clinical knowledge and skills, but poor at preventive healthcare knowledge and skills and auxiliary examination results. Conclusion Position transition training policies and measures, trainee selection criteria, training base construction, and teaching management should be improved and enhanced.%目的 评价湖南省全科医生转岗培训工作效果,为今后全科医生培养提供政策参考.方法 随机抽取6个全科医生转岗培训基地,对2010年度的培训学员进行整群抽样调查,发放问卷420份,回收有效问卷398份.结果 学员男女性别比为2.06:1,平均年龄(34.8±11.2)岁,平均工作年限(13.0±6.7)年;职称结构:助理医师占52.0%,执业医师占35.2%,主治以上职称医师占12.8%;学历结构:中专占16.8%,大专占56.8%,本科占26.4%.全脱产参与培训者占44.2%,半脱产参与培训者占55.8%;培训期间平均经济损失为(7 274.7±632.9)元.学员对临床知识技能的掌握情况较好,预防保健知识技能掌握得不够,对辅助检查结果的解读能力较差.结论 全科医生转岗培训应完善配套政策措施,严格学员选拔标准,加强培训基地建设,加强教学管理,开展教学评估,建立网络教学平台,优化组合培训内容.

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