摘要
目的 比较分析中英文文献中全科住院医师规范化培训(简称"全科住培")的研究热点,为我国相关研究提供借鉴.方法 检索2004年1月1日至2023年12月31日中国知网、中华医学期刊和科学引文数据库(Web of Science)核心合集中的全科住培相关文献,运用CiteSpace.6.2.R4进行关键词共现和聚类分析.结果 本研究共纳入749篇中文文献和482篇英文文献.2004至2015年共发表英文文献222篇,是同期中文文献的近3倍,自2016年起中文文献年均发文量增至71.5篇,英文文献仅为33篇.英文文献中,源自中国的文献占比仅有1.9％(9/482),且中心性为0.高频关键词聚类分析显示,英文文献研究热点关注全科住培学员的综合能力培养、心理健康识别与管理、教育实践与成效评估和需求导向的课程设计;中文文献研究热点聚焦培养全科住培学员的岗位胜任力、优化培养模式、强化基地建设和评价教学效果.提升住培质量与学员综合能力是中英文文献共同的研究热点,中文文献更强调满足不同背景学员的培训需求,英文文献则侧重根据特殊人群需求和当前疾病流行趋势优化全科住培课程.结论 自2016年以来中文文献中全科住培研究热度增强,但国际影响力有待提升.未来应当借鉴国际先进经验,加强国际交流与合作,以提升我国全科住培研究的质量和影响力.
Abstract
Objective To conduct a comparative analysis of the research hotspots in the field of standardized residency training of general practitioners in Chinese and English literature,aiming to inform relevant research in China.Methods Searches were conducted for literature related to general practice residency training from January 1,2004 to December 31,2023,in CNKI,Chinese Medical Journals,and the Web of Science database.The analysis of keyword co-occurrence and clustering was performed using CiteSpace.6.2.R4 package.Results A total of 749 Chinese and 482 English literature was included in this study.From 2004 to 2015,English publications amounted to 222,nearly three times the volume of Chinese publications in the same period.Since 2016,the average annual number of Chinese publications has increased to 71.5,while English publications have remained at only 33 per year.Chinese publications accounted for only 1.9％(9/482)of the English publications,with a centrality of 0.Cluster analysis of high-frequency keywords revealed that English literature focused on the development of residents'comprehensive abilities,identification and management of mental health,educational practice and effectiveness evaluation,and demand-oriented curriculum design.In contrast,Chinese literature centered on cultivating residents'post-competency,optimizing training models,strengthening base construction,and evaluating teaching outcomes.Both Chinese and English literature highlighted the importance of improving training quality and residents'comprehensive abilities.Chinese literature placed greater emphasis on meeting the training needs of residents from diverse backgrounds,whereas English literature prioritize improvement of residency training courses guided by the needs of special populations and current trends in disease prevalence.Conclusions Since 2016,research on standardized residency training of general practitioners in China has gained significant interest,yet its international influence remains to be enhanced.In the future,it is essential to adopt international best practices,foster global exchanges and collaborations,and improve the quality and impact of China's research in this field.
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