CAJ | 학술논문

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。
목적：료해광동성전과의생전강배훈항목실천기능배훈단기효과，위개진배훈책략화조시제공과학의거。방법안조위생부제정적《기층의료위생궤구전과의생전강배훈대강（시행）》，대래자광동성15개경제흠발체지시적451명기층의생진행위기1년적전과의생전강배훈。채용자행설계문권대학원진행실천배훈전、후효과조사，내용포괄실천기능장악정황이급대배훈질량적평개。응용SPSS 13.0처리수거，대수거진행묘술성분석、t검험、방차분석급상관분석。결과학원배훈전、후실천기능수평자평총분균치분별위（136.37±21.74）분화（169.39±17.12）분，배훈전、후분치차이구유통계학의의（t=29.028，P=0.000），각류기능분치균고우배훈전；학원대실천기능배훈적총만의솔위91.6%，대배훈배경화배훈보장방면만의도교저；학원실천기능수평제고정도적영향인소포괄학력、직칭、배훈의원이급시부삼가과전과의생배훈；실천기능배훈효과화학원대배훈적총만의도정정상관（r＝0.162，P＝0.037）。결론전과의생실천기능배훈취득료교호적효과；금후배훈응해주의증가학원실천조작궤회，과학설계실천배훈내용，진일보가강배훈항목관리，이기지속제고실천기능배훈효과。
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.