摘要
目的 了解上海市住院医师规范化培训与临床医学专业学位硕士研究生教育衔接改革的实施现状.方法 参考美国毕业后医学教育认证委员会（ACMGE）编制的《住院医师培训调查问卷》,自行设计问卷,对上海市4所高等医学院校15家附属医院的306名2011级临床医学专业学位硕士研究生（住院医师）进行问卷调查.结果 受调查者中回答报考专业学位的主要原因为“完成由医学生向临床医生的过度”的98人,占比32.1％；“毕业后能够留沪工作”的76人,占比24.9％.对改革举措持赞成意见者的259人,占比84.6％.调查对象对薪资满意的的80人,占比26.3％,4所高校满意度构成有所差异（x2=14.451,P=0.025）.对轮转制度和工作环境的满意分别为146人和114人,分别占比47.7％、37.3％.此外,有151人认为通过培训其临床工作能力基本可以达到培训要求,占比49.1％；有20人则认为不能达到培训要求,占比6.5％.结论 上海市住院医师规范化培训和临床医学专业学位硕士研究生培养并轨的试点工作,得到医学高校及其附属医院的重视,上海市4所高等医学院校15家附属医院的306名2011级临床医学专业学位硕士研究生对改革举措的总体认可度较高；同时仍然存在一些问题,突出反映在保障措施、临床轮转等方面.
Objective To investigate the details of the present situation of standardized training for masters of medicine in Shanghai.Methods Questionnaire surveys are taken among the trainees who are the present residents of 15 university affiliated hospitals in Shanghai.,including questions on the following categories：general information,training management,program content and effect feedback.Results There are 98 respondents,accounting for 32.1％ who apply for this degree aiming to be a qualified doctor and another 76 respondents,accounting for 24.9％ expecting a position in Shanghai.Overall acceptance of the reform initiatives is about 84.6％.However,only 80 respondents,accounting for 26.3％ feel satisfied,a slight difference exists in satisfaction scores of four universities（x2 =14.451,P =0.025）.The satisfaction rate of rotation system and working environment were 47.7％ and 37.3％.In addition,151 respondents,accounting for 49.1％ believe that this training program can help them improve clinical skills.20 respondents,accounting for 6.5％ considered themselves can not meet the training requirements.Conclusions It is necessary to enhance government support and the evaluation system,and additional investigation of the variation in resident scores is needed.
出处
《中华医学教育杂志》
2013年第5期761-764,共4页
Chinese Journal of Medical Education
