
全科医生转岗培训效果与需求调查
杨昕晖, 刘铭忆, 谢苗荣, 李雅琴, 韩金红, 彭笑笑, 李严平, 马秀华
全科医生转岗培训效果与需求调查
Investigation on the effectiveness and needs of general practitioner in a general practitioner job-transfer training
目的 了解北京市大兴区全科医生转岗培训基地参培学员培训效果及需求,为后续全科医生转岗培训工作开展提供参考和指导。 方法 选取2019—2021年在北京市大兴区全科医生转岗培训基地进行临床培训并已结业的68名学员为研究对象。研究人员依据《全科医生转岗培训大纲》及《北京市全科医生转岗培训细则》组编试卷,组织统一测评,统计分析测评结果及影响因素。通过问卷调查了解学员基本情况及培训需求。 结果 67名学员总成绩平均分(125.0±9.8)分,及格率95.5%,不同学历背景学员总成绩差异有统计学意义(P<0.05)。在单项模块中,社区康复、眼科常用知识和技能、康复科常用知识和技能模块回答正确率均>60%,社区常见慢性病管理、预防医学、内分泌科常用知识和技能及肾内科常用知识和技能模块回答正确率均为0。绝大部分学员认为培训对临床工作有较大帮助,能高频地将培训知识与技能应用于实际临床工作,年龄、工作年限比较,差异有统计学意义(P<0.05)。66.2%学员认可的培训方法是案例讨论,69.1%学员认为最需要的培训内容是常见病、多发病诊治。 结论 结业学员的全科知识掌握水平普遍及格,但慢病管理和预防医学等模块的培训有待强化,建议培训基地应以学员需求为导向设计培训方案,分层培训,增强培训效果。
Objective To understand the training effect and needs of trainees at Beijing Daxing District General Practitioners (GPs) Transfer Training Base, and to provide reference and guidance for the follow-up GPs transfer training. Methods This study was a cross-sectional survey and 68 participants who had completed clinical training at the Beijing Daxing District GPs Transfer Training Base from 2019 to 2021 were selected. According to "the General Practitioner Transfer Training Outline" and "the Beijing General Practitioner Transfer Training Rules", we compiled test papers, organized unified assessment, and statistically analysed the results and the influencing factors. A questionnaire survey was conducted to understand the basic situation and training needs of the trainees. Results The average total score of the trainees was (125.0±9.8) points with a pass rate of 95.5%, and the difference in scores between trainees with different educational backgrounds was statistically significant (P<0.05). In the single module, the correct answer rates of "community rehabilitation", "common knowledge and skills in ophthalmology" and "common knowledge and skills in rehabilitation " were more than 60%, while "community common chronic disease management", "preventive medicine", "common knowledge and skills in endocrinology" and "common knowledge and skills in kidney medicine" were zero. Eighty-eighe point two percent of the trainees thought that the training was more helpful to their clinical work and that they could apply the training knowledge and skills to actual clinical work with high frequency, but there were differences among trainees of different ages and years of working experience (all P<0.05). The training method recognised by 66.2% of the trainees was case discussion, and 69.1% of the trainees considered that the most needed training content was the diagnosis and treatment of common and frequent diseases. Conclusion Trainees are generally qualified in general practice, but modules such as the management of common chronic disease and preventive medicine need to be strengthened. It is recommended that training bases should design training programs oriented to the needs of trainees, and that training should be conducted at different levels to improve the effectiveness of training.
general practitioner / GPs job‑transfer training / training effect / training needs
R192
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杨昕晖:酝酿和设计实验,实施研究,采集、分析数据,起草论文;刘铭忆:酝酿和设计实验,实施研究,采集数据;马秀华、谢苗荣、李雅琴、韩金红:指导论文,对文章的知识性内容作批评性审阅;彭笑笑,李严平:实施研究,采集数据。
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