摘要
目的：了解广东省全科医生转岗培训项目实践技能培训短期效果，为改进培训策略和措施提供科学依据。方法按照卫生部制定的《基层医疗卫生机构全科医生转岗培训大纲（试行）》，对来自广东省15个经济欠发达地市的451名基层医生进行为期1年的全科医生转岗培训。采用自行设计问卷对学员进行实践培训前、后效果调查，内容包括实践技能掌握情况以及对培训质量的评价。应用SPSS 13.0处理数据，对数据进行描述性分析、t检验、方差分析及相关分析。结果学员培训前、后实践技能水平自评总分均值分别为（136.37±21.74）分和（169.39±17.12）分，培训前、后分值差异具有统计学意义（t=29.028，P=0.000），各类技能分值均高于培训前；学员对实践技能培训的总满意率为91.6%，对培训环境和培训保障方面满意度较低；学员实践技能水平提高程度的影响因素包括学历、职称、培训意愿以及是否参加过全科医生培训；实践技能培训效果和学员对培训的总满意度呈正相关（r＝0.162，P＝0.037）。结论全科医生实践技能培训取得了较好的效果；今后培训应该注意增加学员实践操作机会，科学设计实践培训内容，进一步加强培训项目管理，以期持续提高实践技能培训效果。
Objective To understand the short-term effect of practice skill training for general practitioners in Guangdong province and to provide scientific basis for improving the training strategy. Methods According to the training outline （Outline of job-transfer training for general practitioner in primary health institutions （trial））of the Ministry of Health,job-transfer training was provided for a total of 451 primary care doctors in economically undeveloped cities for one year. All trainees were investigated before and after training by questionnaire,which were designed by ourselves and included practical skill level and satisfaction degree.SPSS 13.0 software was used to do statistical analysis and data were processed by description analysis,t test,ANOVA and correlation analysis. Results Average self-evaluation scores of practical skills were 136.37 ±21.74 and 169.39 ±17.12 before and after training with significant differences （t=29.028,P=0.000）. Scores of all types of practical skills after training were significantly higher than those before training （P〈0.000 1）. Total satisfaction rate was 91.6%and students were not well satis-fied with training environment and training guarantee. Fac-tors influencing the effect of training included educational background,professional title,doctors＇ de-sire of training,whether taking part in the general practitioner training or not. The effect of practical training was positively correlated with total satisfaction （r=0.162,P=0.037）. Conclusions Remark-able results of practice skill training have been achieved. In the future,more chances for practice should be provided for trainees and contents of skill training should be designed according to the need of community health service,and more attention should be paid to the training project management.
出处
《中华医学教育探索杂志》
2014年第1期13-17,共5页
Chinese Journal of Medical Education Research
基金
基金项目：广东省医学科研指令性课题（C2009006）
中华医学会医学教育分会、中国高等教育学会医学教育专业委员会医学教育研究课题（2012-QK-19）
关键词
全科医生
实践技能
培训效果
General practitioners
Practice skill
Training effect
