CAJ | 학술논문

目的：了解上海市全科医师规范化培训工作中临床轮转的实施情况，对临床轮转的实施效果进行评价。方法在上海市承担全科医师规范化培训任务的临床基地中随机选取11家临床基地，以在各临床基地已基本完成临床轮转的2010、2011级两届全科医师规范化培训学员127人为调查对象。于2013年3—4月，采用自填式调查问卷对学员进行调查，调查内容包括学员的基本情况及对临床轮转效果、临床轮转计划、带教师资教学能力和教学模式等的评价。发放问卷127份，回收有效问卷127份，有效回收率为100.0％。结果127名学员中，男39人（占30.7％），女88人（占69.3％）；平均年龄（26.2±1.1）岁；本市生源44人（占34.6％），外地生源83人（占65.4％）。有77人（占60.6％）对临床轮转效果表示满意和比较满意，有121人（占95.3％）认为临床轮转计划制定合理和基本合理，有84人（占66.2％）对临床师资的教学能力总体评价为满意和基本满意。学员认为临床轮转中收获最大的科室依次是内科（122人，96.1％）、急诊科（65人，51.2％）、儿科（45人，35.4％）；在内科科室中，学员认为收获较大的科室依次是心内科（121人，95.3％）、呼吸科（99人，78.0％）、消化内科（65人，51.2％）、内分泌科（36人，28.3％）。结论上海市全科医师规范化培训学员认为临床轮转的总体效果较好，对临床轮转的培训效果较满意，临床轮转的培训质量较高。
목적：료해상해시전과의사규범화배훈공작중림상륜전적실시정황，대림상륜전적실시효과진행평개。방법재상해시승담전과의사규범화배훈임무적림상기지중수궤선취11가림상기지，이재각림상기지이기본완성림상륜전적2010、2011급량계전과의사규범화배훈학원127인위조사대상。우2013년3—4월，채용자전식조사문권대학원진행조사，조사내용포괄학원적기본정황급대림상륜전효과、림상륜전계화、대교사자교학능력화교학모식등적평개。발방문권127빈，회수유효문권127빈，유효회수솔위100.0％。결과127명학원중，남39인（점30.7％），녀88인（점69.3％）；평균년령（26.2±1.1）세；본시생원44인（점34.6％），외지생원83인（점65.4％）。유77인（점60.6％）대림상륜전효과표시만의화비교만의，유121인（점95.3％）인위림상륜전계화제정합리화기본합리，유84인（점66.2％）대림상사자적교학능력총체평개위만의화기본만의。학원인위림상륜전중수획최대적과실의차시내과（122인，96.1％）、급진과（65인，51.2％）、인과（45인，35.4％）；재내과과실중，학원인위수획교대적과실의차시심내과（121인，95.3％）、호흡과（99인，78.0％）、소화내과（65인，51.2％）、내분비과（36인，28.3％）。결론상해시전과의사규범화배훈학원인위림상륜전적총체효과교호，대림상륜전적배훈효과교만의，림상륜전적배훈질량교고。
Objective To study the implementation status of clinical rotation in standardized training for residency of general practitioners in Shanghai and evaluate the implementation effect of clinical rotation. Methods We selected 11 clinical bases that were commissioned with the task of standardized training for general practitioners in Shanghai,and we enrolled 127 trainees of Grade 2010 and Grade 2011 who had basically completed clinical rotation as subjects. From March to April 2013,self-administrated questionnaire survey was conducted on the subjects,covering basic information,the effect of clinical rotation, the planning of clinical rotation, the teaching capability of faculty and teaching modes. A total of 127 questionnaires were distributed,and 127 questionnaires were returned,with an effective returning rate of 100. 0%. Results Among 127 trainees, 39(30. 7%)were males and 88(69. 3%)were females,with an average age of(26. 2 ± 1. 1);44(34. 6%)were locals and 83(65. 4%)were from other cities. There were 77(60. 6%)trainees who were very satisfied or satisfied with the effect of clinical rotation,121(95. 3%)trainees who thought the planning of clinical rotation was reasonable and basically resonable and 84(66. 2%) trainees who were very satisfied and satisfied with the general teaching capability of faculty. The departments that trainees thought to receive the most from clincial rotation were the department of internal medicine(122,96. 1%),emergency department(65,51. 2%)and the department of paediatrics(45,35. 4%);for the departments of internal medicine,the departments that trainners thought to receive the most from clincial rotation were the department of cardiology(121,95. 3%), pneumology department(99,78. 0%),the department of gastroenterology(65,51. 2%)and endocrinology department(36, 28. 3%) . Conclusion The trainers of standardized training for general practitioners in Shanghai mostly think the clinical rotation has a good effect in general and are satisfied with the training effect of clinical rotation,which indicates that the training quality of clinical training is high.