摘要
目的调查江苏省精神科住院医师规范化培训(住培)效果同质化状况。方法选取江苏省区域内已经取得住培资质的7个三级以上精神科住培基地的106位住培生作为调查对象。采用问卷法现场调查住培生的临床能力(包括精神科知识、一般临床知识和临床基本技能)、科研能力、人文素质、健康和心理,并统计分析各医院各方面的差异。结果7所医院住培生在性别、年龄、来源、工作时间、有无医师执业证书这5个方面比较,差异均无统计学意义(P均>0.05);在学历和住培时间方面差异有统计学意义(P<0.05)。在临床能力方面,各医院住培生在精神科知识、一般临床知识、临床基本技能3方面比较,差异均具有统计学意义(P均<0.05)。各医院之间互相比较,与得分最高的医院相比:有3所精神病专科医院和1所综合性医院在精神科知识方面得分较低,差异均具有统计学意义(P均<0.05);分别有3所精神病专科医院在一般临床知识和基本技能方面得分较低,差异具有统计学意义(P均<0.05)。分别比较每所医院住培生在精神科知识、一般临床知识和基本技能三方面的得分情况,有2所综合性医院和3所精神病专科医院差异具有统计学意义(P均<0.05)。每所医院住培生在精神科知识、一般临床知识和基本技能三方面相互比较,与得分最高的方面比较:有1所综合性医院在精神科知识方面得分较低,差异具有统计学意义(P<0.05);所有医院在一般临床知识方面得分较低,差异具有统计学意义(P<0.05);所有医院在基本技能方面得分与其他方面比较,差异无统计学意义(P>0.05)。在综合能力方面,各医院住培生在临床能力、科研能力、人文素质方面差异均具有统计学意义(P均<0.05);在健康和心理方面比较,差异无统计学意义(P>0.05)。各医院之间相互比较,与得分最高的医院相比:全部4所精神病专科医院和1所综合性医院�
Objective To investigate the homogenization of standardized training for psychiatrists in Jiangsu Province.Methods One hundred and six trained psychiatry residents from seven mental training bases in Jiangsu Province were selected as the subjects.A questionnaire was designed for field investigation.Results There was no significant difference in sex,age,source,working time,or medical practising certificate among the psychiatry residents from different hospitals(P>0.05),but there was a significant difference in educational background and training time(P<0.01).In terms of clinical ability,there were significant differences in psychiatry knowledge,general clinical knowledge,and clinical basic skills among hospital students(P<0.05).Compared with the hospitals with the highest score,the scores of three psychotic hospitals and one general hospital were lower(P<0.05),and the scores of general clinical knowledge and basic skills were lower(P<0.05).The scores of psychiatry knowledge,general clinical knowledge,and basic skills in each hospital were then compared.There were significant differences between the two general hospitals and three psychotic hospitals(P<0.05).When the scores of psychiatry knowledge,general clinical knowledge,and basic skills in each hospital were compared with those with the highest score,one general hospital had a lower score of psychiatry knowledge(P<0.05),and all hospitals had a lower score of general clinical knowledge(P<0.05).In terms of comprehensive ability,there were significant differences in clinical ability,scientific research ability,and humanistic quality psychiatry residents from different hospitals(P<0.05),but there was no significant difference in health or psychology(P>0.05).Compared with the hospitals with the highest score,all four psychotic hospitals and one general hospital had lower scores of clinical ability(P<0.05),two psychotic hospitals and one general hospital had lower scores of scientific research ability(P<0.05),and the scores of scientific research ability of two psych
作者
石元洪
崔莎莎
童萍
董丽平
高霞
Shi Yuanhong;Cui Shasha;Tong Ping;Dong Liping;Gao Xia(Department of Clinical Psychology,Yangzhou University Medical School Subei Hospital,Yangzhou 225001,China)
出处
《中华临床医师杂志（电子版）》
CAS
2019年第12期938-942,共5页
Chinese Journal of Clinicians(Electronic Edition)
基金
江苏省卫计委2016年住院医师规范化培训管理课题(C2016021)
扬州市科技强卫工程领军人才(创新团队)基金(LJRC20184)
