CAJ | 학술논문

目的探索规范、系统的社区全科师资培训模式,提升师资教学能力与综合素质.方法自2011年3月至2012年2月,在上海市枫林街道社区卫生服务中心内采用自荐法、推荐法选拔出16名社区全科师资人员,进行理论课程、教学演练、教学实践三阶段式培训.在培训前后分别对受训师资人员及其所带教的50名学员进行临床能力的测试与评估,采用白评调查问卷对受训师资人员培训前后的全科医疗工作能力、全科医学教学能力、个人综合素质进行评价.结果培训前后师资人员在全科医学知识、体格检查、临床操作技能方面的测试结果比较,差异均无统计学意义(P值分别为0.794、0.674和0.326).自我评价问卷调查发现,培训后师资人员的全科医疗工作能力(t=-2.840,P=0.015)、个人综合素质方面(t=-3.017,P=0.011)较培训前明显提升,差异有统计学意义.对师资人员带教学员的评估方面,带教后50名学员的全科医学理论知识(t=-9.200,P=0.000)、体格检查(t=-9.947,P=0.000)、临床操作技能(t=-14.828,P=0.000)与带教前相比均有明显提高,差异有统计学意义.结论三阶段式、系统化的师资培训模式不同于以往的师资培训班,将教学理论与临床带教密切结合,强调师资实际教学能力的培养与提高,为规范开展社区全科师资培训、提升师资教学能力与综合素质提供了一定的实践经验.
목적 탐색규범、계통적사구전과사자배훈모식,제승사자교학능력여종합소질.방법 자2011년3월지2012년2월,재상해시풍림가도사구위생복무중심내채용자천법、추천법선발출16명사구전과사자인원,진행이론과정、교학연련、교학실천삼계단식배훈.재배훈전후분별대수훈사자인원급기소대교적50명학원진행림상능력적측시여평고,채용백평조사문권대수훈사자인원배훈전후적전과의료공작능력、전과의학교학능력、개인종합소질진행평개.결과 배훈전후사자인원재전과의학지식、체격검사、림상조작기능방면적측시결과비교,차이균무통계학의의(P치분별위0.794、0.674화0.326).자아평개문권조사발현,배훈후사자인원적전과의료공작능력(t=-2.840,P=0.015)、개인종합소질방면(t=-3.017,P=0.011)교배훈전명현제승,차이유통계학의의.대사자인원대교학원적평고방면,대교후50명학원적전과의학이론지식(t=-9.200,P=0.000)、체격검사(t=-9.947,P=0.000)、림상조작기능(t=-14.828,P=0.000)여대교전상비균유명현제고,차이유통계학의의.결론 삼계단식、계통화적사자배훈모식불동우이왕적사자배훈반,장교학이론여림상대교밀절결합,강조사자실제교학능력적배양여제고,위규범개전사구전과사자배훈、제승사자교학능력여종합소질제공료일정적실천경험.
Objective To evaluate a normative and systematic training mode for teachers of community general practice.Methods A total of 16 general practice teachers,who came from Fenglin community health service centre in Shanghai,participated three-stage training mode during March 2011 to February 2012.The clinical competence evaluation and questionnaire survey were conducted before and after training.Fifty trainees trained by the teachers also received clinical competence evaluation.Results After the three-stage training,the test score in medical knowledge,physical examination and clinical skills of the teachers did not change significantly (P =0.794,0.674 and 0.326).The self assessment questionnaire survey of general practice teachers indicated a significant increase,especially in practice capability (t =-2.840,P =0.015) and overall quality (t =-3.017,P =0.011).After training by the teachers,the medical knowledge (t =-9.200,P =0.000),physical examination (t =-9.947,P =0.000) and clinical skills (t =-14.828,P =0.000) of 50 trainees increased markedly.Conclusions Differed from conventional training courses,the three-stage training enhances teaching ability and overall quality of community general practice teachers,and provides a effective training model.