目的：了解中国农村医生岗位工作职业能力现状，为专科层次临床医学教育改革提供科学参考建议。方法从全国7个省（直辖市）分层抽取86个农村基层卫生机构，采用自制问卷调查被抽取机构中的1245名农村医生。结果被调查医生熟悉工作环境，与同事之间协调沟通较好，基本能胜任目前工作岗位；但临床诊疗技术水平和医疗仪器的使用操作能力不强，医患关系不理想。结论不能正确使用诊疗设备和诊疗技术薄弱严重影响其服务质量，不理想的医患关系影响其服务效果。提示专科层次临床医学专业教育中应加强对学生临床诊疗技术、基本操作技能和医患关系的沟通技巧的培养。%Objective To learn the professional ability of rural doctors in our country ,to provide scientific reference for educa-tional reform of junior-college clinical medicine .Methods A self-made questionnaire was performed in 1 245 rural doctors from 86 rural grassroots health institutions in 7 provinces(municipalities) of our country .Results The rural doctors were familiar with working environment ,coordinated and communicated well with colleagues ,basic competence at work .But their clinical diagnosis-treatment technology and operational capability of medical equipments were not strong .The doctor-patient relationship was not so good .Conclusion Not the proper use of medical equipment and treatment technology of weak seriously affected the quality of serv-ice .Not ideal doctor-patient relationship influenced the service effect .It was suggested that college of clinical medical professional education should enhance the cultivation of students′clinical diagnosis technology ,basic operational skills and communication skills between doctors and patients .
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