【摘要】 目的通过了解北京市基层社区卫生服务中心管理者对本市开展的"3+2"助理全科医生培训项目及培训合格学员的工作状况的评价,以了解该项目的培训效果,为项目改进提供参考依据。方法采用目的抽样法,选取北京市怀柔区和延庆区在2013年选送新毕业的3年制专科毕业医生参加"3+2"助理全科医生培训的社区卫生服务中心的管理者17例作为访谈对象。于2015年8月,采用专题小组访谈法开展研究,访谈内容包括"3+2"助理全科医生培训的效果(学员的变化、岗位胜任力、培训对基层医疗人才队伍能力建设的影响)以及对培训的改进建议等。采用内容分析法对访谈结果进行分析,提炼出访谈主题。结果受访者认为"3+2"助理全科医生培训项目有助于提高学员的全科医疗服务能力、人际关系处理能力及综合素质等;经过培训的学员回到单位后,具有较强的岗位胜任力;培训项目对基层医疗卫生机构的人才队伍能力建设起到积极作用。建议应根据基层实际需求,对培训内容进行进一步调整;加强带教师资全科医学理念的培养。结论 "3+2"助理全科医生培训项目的效果值得肯定,该项目是为农村地区输送合格全科医生的有效途径。但是,仍需根据基层实际情况改进培训的内容与方式,提高培训项目的适用性,改善培训效果。更多还原

【Abstract】 Objective To investigate the effects of " 3 + 2 " assistant general practitioners training program implemented in Beijing based on the status of this program and the capabilities for work in the qualified trainees assessed by the administrators from community health service centers(CHSCs) in Beijing,in order to provide references for the improvement of the development of this program.Methods Using purposive sampling,we selected 17 administrators from the CHSCs in Huairou District and Yanqing District in Beijing in which new medical graduates with three-year college degree were chosen to attend the " 3 + 2 " assistant general practitioners training program as the participants.The focus discussions were conducted in August2015,which covered the views about the effects of " 3 + 2 " assistant general practitioners training program assessed from the aspects of changes in the capabilities for work,and competence for the position in the trainees,impact of the training on the development of capabilities of the talents in grassroots medical institutions,and suggestions for the improvement of the training.Content analysis was used to explore the major arguments of the interview.Results The assessment of the training program effects by the interviewees were summarized as follows:(1) The " 3 + 2" assistant general practitioners training program was contribute to the improvement of capabilities for work,interpersonal skills and comprehensive qualities of the trainees.(2)The trainees showed high competence for the position after training.(3) The development of capabilities of the talents in grassroots medical institutions has been promoted actively by the training program.The suggestions put forward by the interviewees are the following:(1) Modifying the content of the training program based on the needs of the community residents and the conditions of the grassroots medical institutions.(2) Strengthening the ideas about general practice in the trainers of the training program.Conclusion The " 3 + 2" assistant general practitioners training program has affirmative effects,and it can be used as an effective way for training the qualified general practitioners deployed in rural areas.However,its effects can be improved by enhancing the serviceability through modifying the contents and methods of training in accordance with the demands of the community residents and the conditions of the grassroots medical institutions.更多还原