CAJ | 학술논문

目的：了解精神科医师参加继续医学教育主要动机，确定相关需求，为发展提供改进策略。方法：对上海市、区两级共20家精神专科医院的500名精神科医师进行匿名问卷调查，相关数据进行卡方检验等分析。结果：被调查者中42.82%认为现行政策“好或较好”，85.21%近3年参加过继续医学教育，满意度较高的主要集中在“教师授课态度”（64.50%）、“培训目的的明确性”（64.11%）、“授课内容”（59.62%）；亟待解决的问题依次为“培训时间与正常临床工作相冲突”（55.63%）、“教学形式不够灵活多样”（54.30%）。相关性分析发现，高等级医院、工作年限长、职称高的医师倾向于更了解医学继续教育政策（P<0.01）。结论：上海市精神科医师对继续医学教育较为重视，大多能积极参与，处于基本满意状态，但继续医学教育在培训内容和形式上有待完善。建议加强政策引导与机构的支持力度，完善管理和评价机制。
목적：료해정신과의사삼가계속의학교육주요동궤，학정상관수구，위발전제공개진책략。방법：대상해시、구량급공20가정신전과의원적500명정신과의사진행닉명문권조사，상관수거진행잡방검험등분석。결과：피조사자중42.82%인위현행정책“호혹교호”，85.21%근3년삼가과계속의학교육，만의도교고적주요집중재“교사수과태도”（64.50%）、“배훈목적적명학성”（64.11%）、“수과내용”（59.62%）；극대해결적문제의차위“배훈시간여정상림상공작상충돌”（55.63%）、“교학형식불구령활다양”（54.30%）。상관성분석발현，고등급의원、공작년한장、직칭고적의사경향우경료해의학계속교육정책（P<0.01）。결론：상해시정신과의사대계속의학교육교위중시，대다능적겁삼여，처우기본만의상태，단계속의학교육재배훈내용화형식상유대완선。건의가강정책인도여궤구적지지력도，완선관리화평개궤제。
Objective: To understand main motives of the psychiatrists participating in the continuing medical education, find out the related needs to bring up the corresponding strategies for developing the education. Methods:The research took 500 first-line doctors from 20 psychiatric hospitals as survey examples and all participants were asked to complete an anonymous questionnaire. The main statistical analysis techniques I used include Chi Square Test and so on. Results:42.82%of the subjects think that the present continuing education policy is“excellent or good”, meanwhile 85.21%of the total amount have participated the continuing medical education during the recent three years. Most of the subjects are satisfied with the present continuing medical education mainly on the three aspects:teachers’ attitudes (64.50%), clear purpose of training(64.11%), training content(59.62%). In the research, 55.63%of the subjects chose“there is time conflict existing between training and clinical work”, 54.30%of the subjects chose“the teaching styles are inflexible”. By correlation analysis, the urgent needs of the psychiatrists in Shanghai are to improve their practical ability and update their knowledge, meanwhile it shows that the subjects from high level hospitals or with higher titles participate in the education less(P P<0.01). Conclusion:The psychiatrist in Shanghai attaches importance to the continuing medical education and most can actively participate in, with basic satisfaction. We suggest to strength policy guidance and improve and perfect evaluation on continuing medical education, and establish an operational, practical psychiatric continuing medical education assessment and management system.