摘要
背景为充实全科医师队伍,推进分级诊疗制度落实,全科医师转岗培训作为全科医师过渡期培训形式于2010年相继在全国范围内启动,且浙江大学医学院附属第一医院于2017年开始承担部分全科医师转岗培训工作。目的从柯氏模型的反应层评估浙江大学医学院附属第一医院全科转岗培训效果,旨在全面了解学员的主观感受,及时发现存在的问题,为将来的转岗工作提供参考。方法选取2017年9月2018年8月在浙江大学医学院附属第一医院进行转岗培训的9名医师为调查对象。于2018年6月,通过转岗培训学员微信群发送调查问卷链接,学员各自于网上填写。调查问卷内容包括:学员基本情况、对转岗培训基地的评价、对自我能力提升情况的评价、对目前转岗培训方式的评价。结果回收有效问卷9份。对理论培训阶段的评价:8/9的学员对学时数设置以及教学水平的评价方面表示“满意”或“很满意”,7/9的学员对课程内容设置表示“满意”或“很满意”;对临床培训基地的评价:超过一半的学员对培训时长(7/9)和培训内容(8/9)“满意”或“很满意”,对师资水平均表示“满意”或“很满意”。在全科医学理论方面:9名学员均表示通过理论课的学习,对全科医学的认识和医患沟通能力有“较大提高”或“很大提高”,8/9的学员在全科适宜技术方面有“较大提高”或“很大提高”。在临床综合能力的评价中,8/9的学员表示门诊应诊能力有“较大提高”或“很大提高”。在全科实践能力的评价中,所有学员表示自己在全科常见病诊治以及全科医疗教学能力方面有“较大提高”或“很大提高”。所有学员参加过浙江大学医学院附属第一医院全科医学科的教学活动,并认为这些教学活动提升了其综合能力[如门诊应诊能力(9/9)、自学能力(9/9)、门诊带教能力(8/9)等]。对于总体培训效果,
Background To enrich the team of general practitioners(GPs) and promote the implementation of hierarchical diagnosis and treatment system,position transition training,which is the transitional training form for GPs,was launched nationwide in 2010.In 2017,the First Affiliated Hospital of Zhejiang University began to undertake some training tasks.Objective By evaluating the effects of position transition training on GPs in the First Affiliated Hospital of Zhejiang University based on reaction level of Kirkpatrick model,we aim to gain a full understanding of subjective feelings of the trainees and to find problems in time,finally to provide a reference for the future training.Methods Nine doctors who were trained from September 2017 to August 2018 in the First Affiliated Hospital,Zhejiang University were selected.In June 2018,a questionnaire link was sent to the trainees through the Wechat,and each trainee completed the questionnaire on the Internet.The questionnaire included the basic situation of the trainees,and the evaluation of the transition training base,self-improvement situation,and the current transition training methods.Results Nine valid questionnaires were collected.For the evaluation of the theoretical training,8/9 of the trainees expressed "satisfied" or "very satisfied" with the number of class hours and the teaching level;7/9 of them were "satisfied" or "very satisfied" with the curriculum content.For the evaluation of the clinical training base,more than half of trainees were "satisfied" or "very satisfied" with the length of clinical training (7/9) and its contents(8/9),and all of them were "satisfied" or "very satisfied" with the quality of teaching.For the mastery of general practice theory,all of trainees thought their understanding of general medicine and doctor-patient communication ability had "moderate improvement" or "great improvement";8/9 of them chose "moderate improvement" or "great improvement" for the appropriate technology in general practice.For the evaluation of the clinical compr
作者
秦红莉
刘颖
任菁菁
QIN Hongli;LIU Ying;REN Jingjing(Department of General Medicine,the First Affiliated Hospital,Zhejiang University,Hangzhou 310003,China)
出处
《中国全科医学》
CAS
北大核心
2020年第3期348-352,共5页
Chinese General Practice
基金
国家自然科学基金资助项目(71350006)
关键词
全科医生
转岗培训
柯氏模型
反应层评估
横断面研究
General practitioner
Position transition training
Kirkpatrick model
Evaluation of reaction layer
Cross-sectional studies
