摘要
目的了解全科医学专业学位博士研究生(简称“全科医学专博”)的培养期望与需求,探讨全科医学专博培养的目标与定位。方法2020年12月至2021年3月选择与全科医学专博培养利益相关者为调查对象,包括上海及各区卫生健康委员会、国内外医学院校从事全科医学教育管理者,国内综合医院、国际诊所和上海市社区卫生服务中心的全科医生及全科医学生等共130名,并按人员不同分为培养单位组(42名)、用人单位组(42名)和医生组(46名),采用线上问卷调查方式调查并比较各组对全科医学专博的培养目标、定位、内容及需求差异。结果多数被调查者认为全科医学专博培养有必要加强临床科研能力培养,“全科医学科研能力”排在首位(121名,93.1%)。114名(87.7%)调查对象认为培养定位应为全科医学领军人才。有关临床能力培养内容方面,86名(66.1%)调查对象认为目前全科医生临床能力培养欠缺全人群全生命周期医学照顾方面的内容,用人单位组对于全科医生急性病处理及转诊能力培养期待值明显高于培养单位组(χ^(2)=25.73,P<0.01)和医生组(χ^(2)=24.37,P<0.01)。有关科研能力培养方面,调查对象认为全科医学专博应侧重在社区临床医学(110名,84.6%)、社区预防医学及流行病学方向(114名,87.7%)的科研培训。有关方法学训练内容和教学能力培养的调查,117名(90.0%)调查对象认为应加强临床科研设计和方法学训练,125名(96.2%)调查对象认为应加强临床带教思维培训。108名(83.1%)调查对象认为所在单位有必要招录全科医学博士研究生。结论全科医学专博培养是以培养全科医学领军人才为目标,加强临床科研能力培养,着力培养其“会研究、善带教、懂管理”的综合能力,使之真正成为本学科的领军人才。
Objective To survey the training requirements for doctoral candidates in general practice.Methods A questionnaire survey was conducted to investigate the requirements for general practice doctorate training;the items included the training target,training objectives and training contents.A total of 130 stakeholders of general practice participated in the survey,including administrators in health committees,general practice educators of medical schools,general practitioners in hospital and community health service centers and students in general medicine.The participants were divided into training unit group(n=42),employer group(n=42)and doctor and student group(n=46).Results Among all training objectives,the training"general medicine scientific research ability"ranked the first(121,93.1%);while 114(87.7%)respondents believed that the training target should be the leading talents in general medicine.Regarding the content of clinical competence training,86(66.1%)respondents believed that there was a lack of medical care training for whole life-cycle and whole population currently.The training requirement for acute disease management and referral competence in employer group was significantly higher than the training unit group(χ^(2)=25.73,P<0.01)and the doctor and student group(χ^(2)=24.37,P<0.01).Most survey respondents believed that the doctorate candidates in general medicine should focus on scientific research training in community clinical medicine(n=110,84.6%),community preventive medicine and epidemiology(n=114,87.7%);117(90.0%)respondents believed that clinical research design and methodology training should be strengthened,and 125(96.2%)respondents believed that clinical teaching thinking training should be strengthened;108(83.1%)survey respondents believed that it is necessary for their units to recruit personnel with doctoral degree in general medicine.Conclusion The training of doctorate candidates in general medicine should aim at cultivating leading talents in general medicine,strengthen the training
作者
赵欣欣
李觉
于德华
吴恒璟
郑加麟
Zhao Xinxin;Li Jue;Yu Dehua;Wu Hengjing;Zheng Jialin(Tongji University School of Medicine,Shanghai 200092,China;Department of General Practice,Tongji University School of Medicine,Shanghai 200090,China;Zhenru Street Community Health Service Center,Tongji University School of Medicine,Shanghai 200333,China)
出处
《中华全科医师杂志》
2021年第11期1141-1146,共6页
Chinese Journal of General Practitioners
基金
上海市一流研究生教育引领计划立项项目(2020YL01)。
关键词
教育
医学
研究生
全科医学
专业学位博士
培养需求
Education,medical,graduate
General practice
Professional doctoral degree
Training demand
