【摘要】 目的评估2010年湖南省全科医生转岗培训的效果,为进一步规范下一阶段的转岗培训提供依据。方法以2010年度湖南省全科医生转岗培训操作技能考试成绩合格的学员为本调查对象,采用自制的《湖南省全科医生转岗培训学员调查问卷》进行调查。采用Epidata建立数据库,双录入核对整理数据库,采用SPSS 13.0统计软件进行描述性统计分析。结果发放问卷956份,回收有效问卷893份,问卷的有效回收率为93.4%。893名学员中,男592人(占66.3%),女301人(占33.7%);平均年龄34.3岁;平均工作年限13.7年。学员的培训需求主要为:掌握新技术652人(占73.0%);临床操作实践501人(占56.1%);基础理论408人(占45.7%)。通过本次培训,认为最大的收获依次为:提高临床诊治能力606人(占67.9%);开阔思路324人(占36.3%);纠正和规范之前的知识和技术247人(占27.7%);提高操作能力199人(占22.3%);提高理论水平188人(占21.1%);解决实际工作问题107人(占12.0%)。愿意注册全科医学专业的有862人(占96.5%);不愿注册者31人(占3.5%)。结论进一步提高全科医生培训质量需加强全科医生政策的宣传和配套措施的落实,以基层卫生工作需求为导向优化组合培训内容,加强全科医生转岗培训基地和师资队伍建设,建立健全全科医生培养评价体系,加强培训工作的督导评估。更多还原

【Abstract】 Objective To assess the effect of position transition training in 2010 for general practitioners in Hunan Province so as to provide basis for further standardize the position transition training in the future.Methods The trainees,who participated in the position transition training for general practitioners of Hunan province in 2010 and passed the examination on the operational skills were chosen as the subjects,and a self-designed questionnaire was used for survey.Epidata was taken to establish database,double entry collation was used to arrange database,and SPSS 13.0 software was used statistical analysis of the database.Results Totally 956 questionnaires were issued,and 893 eligible ones were retrieved,with a eligible retrieving rate of 93.4%.Among the 893 trainees,592(66.3%)were male and 301(33.7%) were female;the average age was 34.3 years old;and the average working time was 13.7 years duration.The requirement for training were mainly to master new technology in 652 trainees(73.0%),to improve clinical operation capacity in 501(56.1%),and to raise the basic theories in 408(45.7%).The major achievements from the training ranged in order of increasing clinical abilities of diagnosis and treatment in 606 trainees(67.9%),extending the thinking approach in 324(36.3%),correcting or standardizing the previous knowledge and skills in 247(27.7%),increasing the operating capabilities in 199(22.3%),raising the theoretical level in 188(21.1%),and resolving the real problems of working in 107(12.0%).There were 862 trainees(96.5%) who were willing to become a registered general practitioner and 31(3.5%) who were not.Conclusion To further improve the general practitioner training quality,the popularization of policy and the implementation of supporting measures for general practitioners should be strengthened;the training content should be optimized by taking the demand of grassroots health work as the direction;the construction of the base and the teaching contingent should be enhanced;the training evaluation system of the general practitioner should be established and improved;and the supervision evaluation of training work should be strengthened as well.更多还原