首页|基于学员角度的云南省农村订单定向医学生规范化培训效果评价研究

基于学员角度的云南省农村订单定向医学生规范化培训效果评价研究

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目的 分析云南省全科住培基地订单定向医学生的培训效果,探索其影响因素,提出有针对性的建议,以期提高云南省全科住培基地的订单定向医学生住培效果。方法 采用分层整群抽样的方法,抽取8家全科住培基地,对基地内所有订单定向住培学员共621人进行问卷调查,最终回收有效问卷616份,采用SPSS 26。0对数据进行两样本秩和检验、K-W检验和有序多分类Logistic回归分析。结果 云南省"5+3"模式订单定向医学生规范化培训基地效果介于一般(48。29%)与好(45。37%)之间。省级全科住培基地效果比州市级全科住培基地好,多数省级住培学员认为培训效果好(167名,59。64%),而多数州市级住培学员认为培训效果一般(194名,57。91%)。当师资带教水平能满足带教工作时,订单定向住培学员的住培效果评价好(197名,68。17%)。当基地至少每月开展一次技能培训时,多数订单定向住培学员认为培训效果好(96名,48。73%)。有序多分类Logistic回归分析显示,基地性质、性别、对政策的态度、心理状态、师资带教胜任情况、经费保障制度完善情况、培训计划符合情况、培训过程符合情况和教学活动开展情况是云南省"5+3"模式订单定向医学生规范化培训基地效果的影响因素(P<0。05)。结论 云南省"5+3"模式订单定向医学生规范化培训基地效果介于一般与好之间,需从加强基础设施建设、发挥基地联动作用、完善培训计划、落实执行情况、健全基地经费保障制度、加强全科师资队伍建设、重视技能实践培训、打造多元化培训活动等方面提高基地培训效果。
Evaluation of standardized training for rural order-oriented medical students in Yunnan Province of China from the perspective of students
Objective To investigate the training effect of order-oriented medical students in Yunnan Province of China and related influencing factors and targeted suggestions,and to improve the training effect of order-oriented medical students in residency training bases in Yunnan Province.Methods The stratified cluster sampling method was used to select 8 general residency training bases,and a questionnaire survey was performed among the 621 order-oriented students in these training bases.Finally,616 valid questionnaires were collected.SPSS 26.0 was used to perform the two-sample rank sum test,the K-W test,and the ordered multinomial logistic regression analysis.Results The training effect of the"5+3"order-oriented medical students in Yunnan Province was between generally good(48.29%)and good(45.37%).The effect of the provincial general training base is better than that of the municipal general training base,and most training students at the province level(167,59.64%)thought that the training effect was good,while most of the training students at the prefecture or municipal level(194,57.91%)thought that the training effect was generally good.When the teaching level of the teachers can meet the teaching work,the residential training effect of the order-oriented residential training students is well evaluated(197,68.17%).When skill training was carried out by the base at least once a month,most of the order-oriented trainees(96,48.73%)thought that the training effect was good.The ordered multinomial logistic regression analysis showed that the nature of the base,sex,attitude towards policy,psychological state,teaching competency of teachers,perfection of the fund guarantee system,consistency of training plan with requirements,consistency of training process with requirements,and consistency of teaching activities with requirements were influencing factors for the training effect of"5+3"order-oriented medical students in residency training bases of Yunnan Province(P<0.05).Conclusions The training effect of"5+3"order-oriented medical students in residency training bases of Yunnan Province was between generally good and good.The training effect of bases can be improved by strengthening the construction of infrastructure,giving full play to the role of base linkage,perfecting the training plan,improving implementation and execution,building up a perfect fund guarantee system,enhancing the construction of general teaching team,emphasizing skill practice training,and implementing diversified training activities.

Standardized residency trainingOrder-oriented medical studentsGeneral practitionerEffectInfluencing factor analysis

刘莹钰睿、黄巧云、雷安业、李亚丽、王星、李伟明

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昆明医科大学公共卫生学院,昆明 650500

云南省全科医学培训中心,昆明 650500

昆明医科大学海源学院,昆明 651700

住院医师规范化培训 订单定向医学生 全科医生 效果 影响因素分析

云南省卫生健康委员会2021年度资助项目2023年昆明医科大学研究生创新基金

202101012023S152

2024

中华医学教育探索杂志
中华医学会

中华医学教育探索杂志

CSTPCD
影响因子:0.641
ISSN:2095-1485
年,卷(期):2024.23(7)