本站原创摘 要 目的：了解上海高校附属医院住院医师规范化培训的实施现状,为卫生行政部门完善培养制度提供依据.方法：对上海市4所高等医学院校15家附属医院应届受训医师从4个方面进行问卷调查,收集数据进行统计分析.结果：住院医师规范化培训工作得到各医院的高度重视,取得了一定的效果,但教学计划实施、保障措施落实、临床技能培养等在调研过程中反映出比较突出的问题.结论：应加强对培训环节的质量监督,重点提升培训者临床实践技能,加大培训投入是推动住院医师培训制度健康发展的有力保障.
关 键 词附属医院 住院医师 规范化培训 问卷调查
中图分类号：R192.3；G64 文献标识码：C 文章编号：1006-1533(2012)15-0042-04
Questionnaire survey of standardized training for residents
in 15 university-affiliated hospitals in Shanghai
TANG Jia-you1,2, WU Jing1,2, XU Ji-ping1, ZENG Ying1, CHEN Teng-fei3, YANG Xu3, LI Jue1
(1.School of medicine, Tongji University, Shanghai 200092, China, 2. Shanghai East Hospital affiliated to
Tongji University, Shanghai 200120, China, 3. Shanghai tenth people’s hospital of Tongji University, Shanghai 200072, China)
ABSTRACT Objective: This article focus on understanding the present situation of standardized training for residents in 15 university-affiliated hospitals in Shanghai, and providing the basis for public health administrative department to improve training standard and develop new policy. Method: Questionnaire surveys are taken among the trainees who are the present residents in 15 university-affiliated hospitals in Shanghai. The collected data were analyzed. Result: The results of questionnaire surveys showed that leadership of these hospitals he paid high attention to resident standardized training work, which has obtained certain effects. However, the problems in the training quality monitoring and examination still exist. Conclusion: It is necessary to strength the clinical skills training of residents, elevate the connotation of trainees, improve their social awareness, and explore new management system and the mode of residency job training.
KEY WORDS affiliated hospital, residents, standardized training, questionnaire survey
2010年《上海市住院医师规范化培训实施办法（试行）》出台,拟对在本市医疗机构从事临床工作的医学专业毕业生进行住院医师规范化培训,并首批部署了39家医院作为培养基地.这项工作的开展是我国医疗体制改革以及医学教育改革的一项重要内容,得到包括市卫生局、市教委及各医学高校的高度重视和支持.经过为期两年的实践,上海市住院医师规范化培训的改革取得了一定的经验与成效,但在落实政策及保障实施的过程中仍存在一些不容忽视的问题.为此, 本文调查了上海市4所高等医学院校15家附属医院应届受训医师的培训现状,初步分析受训者的反馈信息与影响因素,为进一步完善住院医师规范化培养模式提出改善建议.
1.对象与方法
1.1 调查对象
同济大学、复旦大学、交通大学、上海市中医药大学15家附属医院各科应届毕业受训医师486人,其中研究生学历215人（44.2%）,本科学历271人（55.8%）.
1.2 调查方法
参考美国毕业后医学教育认证委员会编制的 《住院医师培训调查问卷》,根据在上海实施住院医师规范化培训的实际情况,自行设计问卷.调查内容包括一般信息、培训管理、培训内容和效应反馈4个部分,共24个问答项.
1.3 数据分析
利用EpiData 2.1a软件对数据进行整理和录入,调查结果选用SPSS l4.0软件进行统计学分析,采用的主要方法有统计描述、卡方检验.并对问卷进行了信度、结构效度的分析.