全科医师规范化培训教学改革对学员满意度和培训质量的影响

摘要

目的：探讨全科医师规范化培训教学改革对学员满意度和培训质量的影响。方法选取2009至2013年在无锡市人民医院培训的全科医师114人（教改前52人，教改后62人）为研究对象，教学改革包括课程设置、理论教学、学习形式及技能培训等方面，采用文献法和小组讨论法确定满意度指标和理论技能考核要点。发放满意度调查问卷和进行理论考试及技能考核优秀率与合格率的比较，采用SPSS 16.0软件进行统计分析，行字2检验。结果教改前后两组全科医师的基本特征、入学理论考试及技能考核成绩差异无统计学意义（P>0.05）。但教改后全科医师对课程设置、理论教学、学习形式和技能培训的满意度均较教改前有明显增加[（95.1%vs.73.1%）（90.3%vs.76.9%）（87.1%vs.61.5%）（95.2%vs.67.3%），P<0.05]；结业考试中理论成绩和技能成绩优秀率[（53.2%vs.34.6%）（67.7%vs.44.3%），P<0.05]与合格率[（100% vs.88.5%）（100% vs.94.2%），P<0.05]的差异均有统计学意义。结论通过教学创新性改革，全科医师对规范化培训的满意度、其结业理论考试及技能考核成绩均有提高，由此整体提升了全科医师的培训质量。%Objective To investigate the effects of a novel standardized training program on the satisfaction and training quality of general practitioners (GPs). Methods 114 GPs trained in Wuxi People's Hospital between 2009 and 2013 were included, 52 GPs and 62 GPs were trained before and after the reform respectively. The measures of teaching reform included improvements in curriculum provision, theory teaching, learning modality and skills training. The evaluation indexes of satisfaction questionnaire and examination were confirmed by literature method and small-group discussion. Self-report satisfaction ques-tionnaire were distributed to graduate GPs and valid questionnaires were collected, while the results of entrance examination and graduation examination of GPs were recorded before and after the teaching reform. The research data were analyzed by chi-square test using SPSS 16.0 software. Results The basic characteristics of GPs and results of entrance examination before and after the teaching reform were compa-rable (P>0.05), however, GPs' satisfaction with curriculum, theoretical education, study form and skill training were increased significantly after teaching reform (P<0.05). Besides that,the results of graduation examination of GPs after the teaching reform, both the theory and skill examination, were improved signifi-cantly (P<0.05). Conclusion The study showed that GPs satisfaction with training modality and the results of graduation examination were improved greatly through our innovative teaching reform.