医学教育管理

• 调查研究 • 上一篇    下一篇

全科医师师资培训需求及参训意愿相关因素分析

  

  1. 云南大学附属医院/云南省第二人民医院/云南省眼科医院全科医学科,昆明 650021
  • 收稿日期:2025-12-01 修回日期:2025-12-30 出版日期:2026-07-02 发布日期:2026-07-02
  • 基金资助:
    云南省教育厅科学研究基金项目:云南省全科医师社区师资培训效果评价及影响因素研究(2023J0047)

Correlated factors of training needs and participation willingness of general practitioner teachers

  1. Department of General Practice, Yunnan University Affiliated Hospital/the Second People's Hospital of Yunnan Province, Yunnan Eye Hospital, Kunming 650021, China
  • Received:2025-12-01 Revised:2025-12-30 Online:2026-07-02 Published:2026-07-02

摘要:  目的 分析全科医师师资培训需求的差异性特征,并探讨学员参训意愿的相关因素,为优化全科医学师资培训体系提供循证依据。方法 采用横断面研究设计,对参加2024年度云南省全科住院医师规范化培训省级师资培训班的145名学员进行自填式问卷调查。通过自行设计的结构化问卷,收集人口学特征及培训需求数据。采用χ2检验比较不同组别在培训内容、方式及预期效果的差异,采用多因素Logistic回归模型分析学员参训意愿的相关因素。结果 发放问卷145份,回收问卷141份,有效率为100%培训内容需求:①总体需求:“教学方法与技巧”需求度最高(96.45%);②组间比较:临床师资对“教学研究与论文写作能力”的需求显著高于基层师资(χ2=4.196,P=0.041),而基层师资在“社区卫生服务管理”(χ2=13.790,P<0.001)方面需求更高;本科学历者在“全科医学基础理论”(χ2=6.263,P=0.012)和“临床技能”(χ2=5.164,P=0.023)需求高于研究生学历者;高级职称者对“教学研究与论文写作”能力需求更突出(χ2=4.612,P=0.032)。培训方式偏好:①男性更倾向“传统讲课”和“专家讲座”(P<0.05);②本科学历者对“传统讲课”和“案例讨论”的需求更高(P<0.05)。培训预期效果:①临床师资更注重“解决实际问题”(P<0.05);②本科学历者更关注“理论知识提升”(P<0.05)。多因素Logistic回归分析显示,性别(OR=0.067,95%CI:0.007~0.628)和学历(OR=15.786,95%CI:1.407~177.139)与学员参训意愿有显著性关联(P<0.05)。结论 全科医师师资培训需求存在显著的群体异质性,建议实施分层分类培训策略:①按师资类型差异化设置临床与基层培训模块;②依据学历职称调整理论深度与实践比重;③结合性别差异优化教学方式组合。本研究为构建精准化全科师资培训体系提供了实证支持。

Abstract:  Objective To analyze the characteristics of the differences in general practitioners' faculty training needs and explore the correlated factors of participants' participation willingness, providing evidence-based support for optimizing the general practice faculty training system.Methods This study adopted a cross-sectional study design and conducted a self-administered questionnaire survey among 145 participants attending the 2024 provincial-level teacher training program for standardized residency training of general practitioners in Yunnan Province. A self-designed structured questionnaire was used to collect demographic characteristics and training demand data. Chi-square test was used to compare the differences in training content, methods, and expected outcomes among different groups, and and the multivariate Logistic regression Inthis stndy 145 questionnaires were distributed and 141 questionnaires were recovered, with a recovery roote of 100%. model was applied to analyze the influencing factors of participants' willingness to participate in the training.Results Training content needs:①Overall demand: "Teaching methods and skills" ranked the highest in demand degree (96.45%); ②Intergroup differences: Clinical faculty exhibited a significantly higher demand for "Educational research and academic writing" compared to community-based faculty (χ²=4.196, P=0.041), whereas community-based faculty showed greater demand for "Community health service management" (χ²=13.790, P<0.001). Faculty with bachelor's degrees had higher demands for "Fundamental theories of general practice" (χ²=6.263, P=0.012) and "Clinical skills" (χ²=5.164, P=0.023) than those with postgraduate degrees. Teachers with senior professional titles demonstrated greater demand for "Educational research and academic writing" (χ²=4.612, P=0.032). Training method preferences:①Male faculty preferred "Traditional lectures" and "Expert seminars" (P<0.05); ②Those with bachelor's degrees showed higher demand for "Traditional lectures" and "Case discussions" (P<0.05).Expected outcomes of the training:①Clinical faculty prioritized "Solving practical problems" (P<0.05); ②Teachers with bachelor's degrees emphasized "Enhancing theoretical knowledge" (P<0.05). Multivariate logistic regression analysis revealed that gender (OR=0.067, 95%CI: 0.007~0.628) and educational background (OR=15.786, 95%CI:1.407~177.139) were significantly correlated with trainees' willingness to participate (P<0.05).Conclusion Significant group heterogeneity exists in the training needs of general practice faculty. A stratified and categorized training strategy is recommended: ① Set differentiated clinical and primary care training modules according to teacher types; ② Adjust the depth of theoretical knowledge and the proportion of practical training based on educational background and professional titles; ③ Optimize the combination of teaching methods in light of gender differences. This study provides empirical evidence for establishing a targeted training system for general practitioner teachers.