摘要
目的为明确住院医师突发公共卫生事件应急能力培训现况、需求和培训效果,旨进一步完善住院医师突发公共卫生事件应急能力培训内容,提高住院医师应对突发公共卫生事件应急能力。方法采用问卷调查的方式,选取上海交通大学医学院附属5家在培的住院医师规范化培训学员作为调查对象,有794名住院医师接受了调查,问卷内容包括一般资料,应急培训现况和培训需求以及应急培训效果,采用卡方分析、方差分析以及LSD事后多重比较法对不同年级、不同专业的住院对突发公共卫生事件知晓情况、培训需求以及培训效果进行比较分析。结果目前住院医师对突发公共事件的知晓程度较高,但是不同年资的住院医师的知晓率有差异,在对“群体性不明原因疾病”和“群体性预防接种反应和群体性药物反应”,高年级的住院医师认知率要高于低年级的住院医师(χ^(2)=9.41,P<0.05;χ^(2)=10.90,P<0.05);从培训现况和需求来看,住院医师更倾向于理论、技能和模拟演练相结合的应急能力培训,且希望增加例如风险沟通能力、冲突管理能力等培训内容。在培训效果方面,住院医师对行为层的培训效果自评分数最高为(8.32±1.52)分,各层的得分为8分以上,为“良好”水平,且不同专业的住院医师突发公共卫生事件应急能力培训效果有区别,且有统计学差异(F=4.44,P<0.001),全科住院医师的应急处置能力培训效果要高于儿科、妇产科、麻醉科、内科学和外科学,儿外科要高于儿科和妇产科,急诊要高于儿科、妇产科。结论加强突发公共卫生事件应急能力培训的模拟演练培训,应急能力培养中除了关注医学相关能力的提升,也需要对相关法律法规知识、风险沟通能力和冲突管理等能力进行培训。不同临床专业的应急能力培养效果有差异,可能与临床专业背景的性质有关,在今后的课程设置中可以根据专业背景设置有针对性的应急课程培训。
Objective To clarify the current situation,needs,and effectiveness of public health emergency response training for resident physicians,further improve the training content,and enhance their ability to respond to public health emergencies.Methods A questionnaire survey was conducted among 794 resident physicians who were undergoing standardized residency training at 5 affiliated hospitals of Shanghai Jiao Tong University School of Medicine.The questionnaire included general information,emergency training status,training needs,and emergency training effectiveness.Chi-square test,analysis of variance,and least significant difference post hoc multiple comparisons were used to analyze the awareness,training needs,and training effectiveness of residents of different training years and specialties.Results Overall,resident physicians showed high levels of awareness about public health emergencies,but there were differences in the awareness rate among resident physicians of different training years.In terms of"clusters of unexplained diseases"and"adverse reactions to mass immunizations and drug exposures",the awareness rate of senior resident physicians was higher than that of junior resident physicians(χ^(2)=9.41,P<0.05;χ^(2)=10.90,P<0.05).In terms of training status and needs,resident physicians preferred emergency capability training that combines theory,skills,and simulation exercises.They also suggested to adding training content such as risk communication skills and conflict management skills.In terms of training effectiveness,the highest self-evaluation score for training effectiveness at the behavioral level was(8.32±1.52)points,with an average score of 8 points or above for each level,indicating a"good"level of effectiveness.Moreover,the training effectiveness of emergency response capabilities varied significantly for resident physicians with different specialties(F=4.44,P<0.001).The training effectiveness of emergency response capabilities was higher for general resident physicians than for residents in pediatrics,obstetrics and gynecology,anesthesia,internal medicine,and surgery;higher for pediatric surgery residents than for residents in pediatrics and obstetrics and gynecology;and higher for emergency medicine residents than for residents in pediatrics and obstetrics and gynecology.Conclusions The simulation training for public health emergency response should be strengthened.In addition to the improvement of medical abilities,it is necessary to provide training on relevant legal and regulatory knowledge,risk communication skills,and conflict management skills.The effectiveness of emergency response training varies among different clinical specialties,which may be related to the nature of the clinical professional background.In future course design,targeted emergency training courses can be set up based on professional background.
作者
李萍萍
翁玲
董璐
Li Pingping;Weng Ling;Dong Lu(Department of Pediatric Clinical Medicine,Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;Department of Science and Education,Fujian Maternal and Child Health Hospital,Fuzhou 350000,China)
出处
《中华医学教育探索杂志》
2025年第7期976-984,共9页
Chinese Journal of Medical Education Research
基金
2022年毕业后医学教育项目(BYH20220412)
上海交通大学医学院关于2022年度科技创新项目(人文社科类)课题(WK2217)
福建医科大学教改项目(J22021)。
关键词
住院医师
突发公共卫生事件
应急处置能力
培训
Resident physician
Public health emergency
Emergency response capability
Training
