摘要
目的了解我国医学生对专科医师规范化培训制度的认同情况,为专科医师规范化培训的全面开展提供理论支撑和政策参考。方法运用分层抽样和配额抽样法在全国7个行政区17所高校中抽取2367名医学生进行无记名电子问卷调查,运用SPSS19.0对调查结果进行统计分析,主要运用均数比较、构成比比较和卡方分析等。结果对专科医师规范化培训"很了解"的只有231人(9.8%)、"了解一些"的有1790人(75.6%);不同行政区域(χ^(2)=33.7,P<0.05)、不同类型(χ^(2)=40.5,P<0.05)医学生对专科医师规范化培训认知度差异存在统计学意义;17.0%的医学生表示会主动参加专科医师规范化培训,641人(22.9%)对专科医师规范化培训制度持"支持"态度,782人(33.0%)"不支持"该制度,不支持的主要原因包括培训期间待遇低(71.8%)、专科医师规范化培训制度导致成为医生的培养时间过长(87.7%)、培训质量难以保证(59.1%)等。结论对于专科医师规范化培训,需进一步建立网络宣传交流平台,提高宣传效率;加大财政投入,建立基地获得投入资金与培训质量挂钩机制,保证学员待遇水平;探索专科医师规范化培训与专业型博士并轨培养模式以缩短培训周期;改革人事制度,将专科医师规范化培训纳入职称晋升条件。
Objective In order to understand the identity of medical students for the standardized training for specialists,and provide theoretical support and policy reference for it.Methods Using the method of stratified sampling and quota sampling,2 367 medical students were selected from 17 universities in 7 administrative regions of the country to carry out anonymous electronic questionnaire survey.The results were analyzed by SPSS 19.0,with methods of mean comparison,ratio constituent and Chi-square test.Results In the survey,only 231 samples had a good understanding of specialist training for specialists,which accounted for 9.8%.And there were statistical differences between different types of medical students(χ^(2)=40.5,P<0.05)and different administrative areas(χ^(2)=33.7,P<0.05).17.0% of the samples have shown that they would take participate in the special training system initiatively;641 samples(22.9%)had a positive attitude towards the system,and 782 samples(33%)did not.The main reasons for non-support included low treatment(71.8%),long training time for becoming a doctor(87.7%)and the difficulty of ensuring the training quality(59.1%).Conclusion The research can shed some lights on standardized training for specialists including establishing a network communication platform to improve the efficiency,increasing financial investment,setting up a mechanism to link the capital input to training quality to ensure the treatment of trainees,exploring the training mode of combining standardization training and doctorate training to shorten the training period,reforming the personnel system and incorporating specialists training system into the promotion conditions of professional titles.
作者
黄卫
杨婷婷
夏欧东
Huang Wei;Yang Tingting;Xia Oudong(Zhujiang Hospital of Southern Medical University,Guangzhou 510515,China)
出处
《中华医学教育探索杂志》
2019年第2期212-216,共5页
Chinese Journal of Medical Education Research
基金
2016年广东省深化专业学位研究生教育综合改革项目(C1033087)
2015年广东省研究生教育创新计划项目教改重点项目(2015JGXM-ZD11).
关键词
专科医师规范化培训
认同感
对策
Standardized training for specialists
Sense of identity
Countermeasure
