安徽省全科医学专硕研究生与住院医师规范化培训并轨培养实施效果及其影响因素

余海燕; 钟平; 王伟; 朱传波; 于先清; 王浩洋; 陈任; 肖锦铖

doi:10.16766/j.cnki.issn.1674-4152.003309

安徽省全科医学专硕研究生与住院医师规范化培训并轨培养实施效果及其影响因素

doi: 10.16766/j.cnki.issn.1674-4152.003309

余海燕^1, ,,
钟平¹,
王伟¹,
朱传波²,
于先清³,
王浩洋¹,
陈任⁴,
肖锦铖⁴

1.
安徽医科大学附属宿州医院住培基地管理办公室，安徽宿州 234000
2.
安徽省住培事务管理中心，安徽合肥 230001
3.
安徽省全科医学培训中心，安徽合肥 230001
4.
安徽医科大学卫生管理学院，安徽合肥 230032

基金项目:

安徽省教育厅2022年度高等学校省级质量工程项目 2022jxg1034

安徽省宿州市科技局2022年科技项目 SZZCZJ202223

详细信息

通讯作者:
余海燕，E-mail: 57622183@qq.com

中图分类号: R192 R499
计量
- 文章访问数: 82
- HTML全文浏览量: 31
- PDF下载量: 7
- 被引次数: 0
出版历程
- 收稿日期: 2023-02-16
- 网络出版日期: 2024-01-29

A study on the implementation effect and influencing factors of the parallel training for master's degree in general practice and residency standardized training in Anhui Province

1.
Management Office of Residency Standardized Training Base of Suzhou Hospital, Anhui Medical University, Suzhou, Anhui 234000, China

摘要

摘要: 目的研究安徽省全科医学专硕研究生与住院医师规范化培训(住培)并轨培养模式的实施效果及核心胜任力的影响因素，为提升住院医师核心胜任力及改善住培基地管理提供参考。方法研究对象包括参加安徽省2022年度业务水平测试的全科医学专业住院医师311人、2022年住培结业考核的全科医学住院医师198人及随机抽样安徽省在培二、三年级与已结业的全科医学专业住院医师参加问卷调查181人三部分。每部分按照不同身份分为专硕研究生和中央项目住院医师2组，每部分专硕研究生分别为37、28、70人，中央项目住院医师分别为274、170、111人。评价专硕研究生与住培并轨培养的实施效果，分析核心胜任力的影响因素。结果专硕研究生年度业务水平测试成绩≥P₆₀为32.43%(12/37)，中央项目住院医师成绩≥P₆₀为22.26%(61/274)，2组比较χ²=1.877，P=0.171。专硕研究生科研能力评分高于中央项目住院医师(P<0.05)。结论安徽省全科医学专硕研究生与住培并轨培养模式实施效果良好，基本实现同质化要求。科研能力是住院医师核心胜任力的重要影响因素，住培基地应注重中央项目住院医师科研能力的培养，以提升住院医师的核心胜任力。
- 核心胜任力 /
- 全科医学 /
- 专硕研究生 /
- 住院医师规范化培训
Abstract: Objective By investigating the implementation effect of the concurrent training model for master' s degree in general practice and standardized residency training, as well as the factors influencing core competence in Anhui Province, this study offers value insights to enhance the core competence of residents and improve the management of residency training bases. Methods The study included a population of 311 general practice residents who took the 2022 business level test in Anhui Province, 198 general practice residents who completed their residency training in 2022, and 181 randomly selected second-year and third-year general medicine residents in Anhui Province who participated in the questionnaire survey. The participants were divided into two groups based on their status: master' s degree graduates and central program residents. The respective group sizes were 37, 28, and 70 for professional master' s degree students, and 274, 170, and 111 central program residents. The implementation effect of concurrent training for professional master' s degree students and residents was evaluated, and to analyze the influencing factors of core competence. Results The results revealed that among professional master ' degree students, 32.43% (12/37) achieved annual business proficiency test scores ≥P₆₀, while among central program residents, the percentage was 22.26% (61/274). The comparison between the two groups yielded χ²=1.877 and P=0.171, indicating no significant difference. The scientific research ability of professional master' s degree students was higher compared to central program residents. Conclusion The implementation of the parallel training model for the master' s degree in general practice in Anhui Province has proven to be effective, successfully achieving the desired standardization. Scientific research ability is a crucial factor influencing the core competence of residents. Therefore, residency training institutions should pay attention to the cultivation of scientific research ability among central program residents to enhance their overall core competence.
- Core competence /
- General practice /
- Professional master' s degree /
- Standardized residency training

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表 1 181名全科医学专业住院医师基本情况

Table 1. Basic profile of 181 Family Medicine Residents

项目	类别	人(%)
性别	男性	93(51.38)
	女性	88(48.62)
年龄(岁)	<30	132(72.93)
	≥30	49(27.07)
具有医师资格	是	174(96.13)
	否	7(3.87)
结业情况	是	50(27.62)
	否	131(72.38)
身份类型	专硕研究生	70(38.67)
	中央项目住院医师	111(61.33)
培训基地类型	省级医疗机构	119(65.75)
	地市级医疗机构	62(34.25)

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表 2 安徽省全科医学专硕研究生与中央项目住院医师2022年度业务水平测试成绩比较(%)

Table 2. Comparison of practice proficiency test results for master' s degree in general medicine and central program residency in Anhui Province in 2022 (%)

组别	人数	安徽省百分位数排名
组别	人数	≥P₆₀	<P₆₀
专硕研究生	37	32.43(12/37)	67.57(25/37)
中央项目住院医师	274	22.26(61/274)	77.74(213/274)
注：2组比较，χ²=1.877，P=0.171。

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表 3 安徽省全科医学专硕研究生与中央项目住院医师2022年住培结业考核成绩比较(%)

Table 3. Comparison of residency completion assessment results for master' s degree in general medicine and central program residency in Anhui Province in 2022 (%)

组别	人数	合格	不合格
专硕研究生	28	96.43(27/28)	3.57(1/28)
中央项目住院医师	170	92.35(157/170)	7.65(13/170)
注：2组比较，采用Fisher精确检验，P=0.697。

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表 4 安徽省全科医学专硕研究生与住培并轨培养模式下不同身份类型培训对象核心胜任力比较(x±s, 分)

Table 4. Comparative analysis of core competencies for different status types under the parallel training model of postgraduate and residency training in general medicine in Anhui Province (x±s, points)

组别	人数	职业素养	常见病诊治能力	全科医疗服务技能	基本公共卫生服务技能	医患沟通能力	团队合作能力	病人管理能力	全科思维能力	教学能力	科研能力	学习能力
专硕研究生	70	7.19±1.33	7.01±1.54	7.00±1.54	6.79±1.72	7.29±1.50	7.17±1.56	7.06±1.59	7.09±1.54	6.57±2.00	6.76±1.83	7.17±1.42
中央项目住院医师	111	7.43±1.51	7.32±1.47	7.25±1.66	7.25±1.53	7.52±1.39	7.50±1.48	7.46±1.48	7.45±1.43	7.00±1.66	5.70±2.03	7.27±1.44
t值		1.122	1.357	1.023	1.905	1.082	1.442	1.730	1.625	1.496	3.534	0.452
P值		0.264	0.177	0.308	0.058	0.281	0.151	0.085	0.106	0.137	0.001	0.652

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