CAJ | 학술논문

为了解上海市社区医师继续教育培训的现状及需求,随机抽取浦东新区、宝山区、闵行区、静安区、卢湾区的5个社区卫生服务中心的117名全科医师为调查对象,采用自行设计的调查问卷,就继续教育的现状、参加学习的动因、对培训内容和培训方式的需求等进行调查.结果显示,目前的继续教育培训率为73.5％,低于卫生部的要求.在参加继续教育的动因上,不同工龄全科医师选择中“有学分”和“晋升要求”的比例差异有统计学意义(P＜0.05);在对继续教育内容的需求方面,不同工龄全科医师选择“医患交流”和“基础理论”的比例差异有统计学意义(P＜0.05);对培训方式的需求上,不同工龄全科医师选择“网络教育”、“短期进修”的比例差异有统计学意义(P＜0.05);授课方式上,不同工龄全科医师选择“授课”和“以问题为核心的PBL教学”的比例差异有统计学意义(P＜0.05).提示,应加强继续教育的监管力度,拓宽多渠道的培训方式以满足不同层次全科医生的需求.
위료해상해시사구의사계속교육배훈적현상급수구,수궤추취포동신구、보산구、민행구、정안구、로만구적5개사구위생복무중심적117명전과의사위조사대상,채용자행설계적조사문권,취계속교육적현상、삼가학습적동인、대배훈내용화배훈방식적수구등진행조사.결과현시,목전적계속교육배훈솔위73.5％,저우위생부적요구.재삼가계속교육적동인상,불동공령전과의사선택중“유학분”화“진승요구”적비례차이유통계학의의(P＜0.05);재대계속교육내용적수구방면,불동공령전과의사선택“의환교류”화“기출이론”적비례차이유통계학의의(P＜0.05);대배훈방식적수구상,불동공령전과의사선택“망락교육”、“단기진수”적비례차이유통계학의의(P＜0.05);수과방식상,불동공령전과의사선택“수과”화“이문제위핵심적PBL교학”적비례차이유통계학의의(P＜0.05).제시,응가강계속교육적감관력도,탁관다거도적배훈방식이만족불동층차전과의생적수구.
One hundred and seventeen general practitioners from five community health service centers in Shanghai Pudong,Baoshan,Minhang,Jing'an and Luwan Districts were randomly selected for survey.The current situations,the intention and the related factors in GP continuing education were surveyed by using self-designed questionnaire.The survey showed that the rate of continuing education was 73.5％,which was lower than the requirements of the Ministry of Health.There were significant differences in motivation (for "credit" and "promotion"),training needs (" doctor and patient communication" or "basic theory"),training mode (" on-line education" or " short term study"),and teaching methods ("classroom lecturing" or "PBL") among GPs with different length of service (all P ＜ 0.05).The results indicate that to improve the quality of continuing medical education for GPs in community it is necessary to strengthen supervision,broaden the training channels to meet the different needs of general practitioners.