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进修医师职业精神培养的实践与自评结果分析

Practice and Self-Assessment Analysis of the Cultivation of Professional Ethics for Advanced Physicians

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【作者】 李荣李建玲曾锋王爱民

【Author】 Li Rong;Li Jianling;Zeng Feng;Wang Aimin;Xiangya Hospital, Central South University;

【通讯作者】 王爱民;

【机构】 中南大学湘雅医院

【摘要】 目的:了解进修医师职业精神的培训效果,探索适合进修医师的职业精神培养模式。方法:对39名在某三甲医院进行学习的进修医师进行一系列的职业精神培训,培训前后采用进修医师职业精神评价调查表对进修医师的职业精神进行自评。结果:7个职业精神评价要素的自评中,39名进修医师在培训前后评分均为“良”以上水平,经过规范的职业精神培训后,7个职业精神评价要素的评分均高于培训前;其中有4个要素其差异具有统计学意义(P<0.05);31个职业精神评价指标的评价在培训前后评分均为“良”以上水平,经过规范的职业精神培训后,除“公平合理运用各种医疗资源”“注意维护患者的尊严”外的其余29个指标的评分均高于培训前;其中有9个指标的差异具有统计学意义(P<0.05)。结论:进修医师的职业精神表现尚好,规范的职业精神培训有助于提升进修医师的职业精神表现,此培养模式有其推广及应用价值。

【Abstract】 Objective: To understand the training effects on the professional ethics of advanced physicians and explore a suitable model for cultivating professional ethics in advanced physicians. Methods: A series of professional ethics training programs were conducted for 39 advanced physicians studying in a tertiary hospital. A “Professional Ethics Self-Assessment Survey for Advanced Physicians” was used to evaluate the self-assessment of their professional ethics before and after the training. Results: In the self-assessment of seven professional ethics evaluation factors, all 39 advanced physicians scored at or above the “good” level before and after the training. After standardized professional ethics training, the scores for all seven professional ethics evaluation factors were higher than before, with statistically significant differences in four of them(P<0.05). The evaluation of 31 professional ethics indicators scored at or above the “good” level before and after the training. After standardized professional ethics training, the scores for 29 of the indicators were higher than before, with statistically significant differences in nine of them(P<0.05), except for “fair and reasonable use of various medical resources” and “attention to maintaining patient dignity.” Conclusion: The professional ethics performance of advanced physicians is generally good. Standardized professional ethics training helps improve their professional ethics performance. This cultivation model has value for promotion and application.

【关键词】 进修医师职业精神效果自评
【Key words】 Advanced physicianProfessional ethicsEffectSelf-assessment
【基金】 2022年度中南大学学位与研究生教育教学改革项目“PBL联合叙事医学教学模式在提升临床专业研究生核心岗位胜任力中的应用”;2022年度中南大学学位与研究生教育教学改革项目“EPA理念下专硕并轨研究生临床能力评价的实践探索”(2022JGB123);2022年中南大学教育教学改革研究群普通教育类项目“基于岗位胜任力的评估与反馈新体系在急诊医学临床教学评价中的应用”(2022jy139);2021年中南大学湘雅医院医院管理研究课题“基于‘医学人文’理念的住院医师党建模式研究”;2022年湖南省卫生健康委科研“基于EPA理念的住院医师规范化培训课程体”(202215014645)
  • 【文献出处】 中国高等医学教育 ,China Higher Medical Education , 编辑部邮箱 ,2023年09期
  • 【分类号】R-4;C975
  • 【下载频次】3
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