医学教育管理 ›› 2019, Vol. 5 ›› Issue (1): 54-59.doi: 10.3969/j.issn.2096-045X.2019.01.013

• 调查研究 • 上一篇    下一篇

山东省某三甲医院住院医师规范化培训内容及满意度的现况调查

战京燕1, 娄景秋2, 周少玲2, 宋少杰2, 陈 薇2, 程洪霞2   

  1. 1. 青岛大学医学院附属烟台毓璜顶医院呼吸内科,烟台26400;2. 青岛大学医学院附属烟台毓璜顶医院培训部,烟台 26400
  • 收稿日期:2018-11-01 出版日期:2019-02-20
  • 通讯作者: 周少玲

Investigation of the situation of resident physicians standardized training in Shandong Province

Zhan Jingyan1, Lou Jingqiu2, Zhou Shaoling2, Song Shaojie2, Chen Wei2, Cheng Hongxia2   

  1. 1. Respiratory Department of Yantai Yuhuangding Hospital of Qingdao University Medical College, Yantai 264000, China; 2. The Training Department of Yantai Yuhuangding Hospital of Qingdao University Medical College, Yantai 264000, China 
  • Received:2018-11-01 Online:2019-02-20
  • Contact: Zhou Shaoling

摘要: 目的 调查我院住院医师规范化培训现况及满意度,进行分析并提出整改措施。方法 从2015 年到2017 年对同一批住培医师进行不记名填写调查问卷的形式进行调查,内容分为3 个版块:理论培训及临床实践考核情况、住培医师对规培满意度、住培医师对规培整体认知。应用SPSS 18.0 统计软件对不同年限之间的数据进行统计学分析。结果 培训考核方面,随着培训时间的延长,住培医师对培训及考核要求的频率逐渐降低,培训时间段建议是下午15:30-17:00(P < 0.05);出科考核要求多种形式的住培医师数量增多(P < 0.05)。住培医师满意度方面,培训时间越长,住培医师对带教和临床技能培训考核的满意度越高。住培医师对规培整体认知方面, 2015 年,88.51% 的住培医师认为通过规培自己的临床技能有所提高;2017 年,98.32% 的住培医师认为通过规培自己的临床技能有所提高,培训时间越长,认可规培的住培医师越多。结论 丰富住培医师理论培训内容及形式,弹性安排培训考核频率及时间,结构化考试与单一技能培训结合,制订带教激励制度,是提升住院医师规范化培训质量和满意度的保证。

Abstract: Objective To investigate the situation of resident physicians standardized training. Methods Class 2014 standardized training residents were selected for questionnaire survey. The contents of investigation were divided into theoretical training and clinical practice ability training, residents’ satisfaction on standardized training, and the whole cognition of standardized training. Results In training and assessment, we found with the passage of training time,the frequency of training and assessment requirements of the resident doctor gradually was decreased, the training time was favored on 15:30-17:00 (P<0.05), and the number of physicians in favor of various assessment forms has increased (P<0.05). In terms of residents’ satisfaction, the longer the training time, the higher the satisfaction of residents with training physicians and with the assessment of teaching and clinical skills training. For the whole cognition of standardized training,in 2015, 88.51% yet in 2017, 98.32% of resident physicians believed that their clinical skills have improved. Most resident physicians thought that the longer the training time was, the more they think high of the trainers. Conclusions To increase satisfaction, we should put emphases on improving the content of theoretical training, arranging training time properly,objective structured clinical examination combined with basic skills training and developing systems of teaching.