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中国初级卫生保健:2025,39(4):5-8
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广东省助理全科医生培训基地建设现状及思考
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中文摘要: 摘 要:目的:总结广东省助理全科医生培训基地建设现状并提出改进建议。方法:收集 2020 年广东省 15 个地市 91 家 助理全科医生培训基地自评表,自评表内容包括基本条件、培训管理、师资队伍、过程管理、质量控制及保障措施 6 项一级 指标、17 项二级指标、46 项三级指标。针对三级指标计算得分率,得分率⫺80%为合格,65%≤得分率<80%为基本合格, 得分率<65%为不合格。结果:91 家备案助理全科医生培训基地三级指标中不合格率在 30%以上共有 9 个三级指标,分别为 带教活动考核、临床培训基地全科医学科设置要求、激励制度、临床培训基地师资条件、助理全科医生培训结业考核通过 率、综合考核、师资评价、助理执业医师资格考试通过率、专业基地负责人条件。不合格率在 20%~30%之间共有 10 个三级 指标,分别为师资培训、基层实践基地师资条件、设立全科教研室与教学小组、管理床位数、沟通反馈、临床培训基地与基 层实践基地联系紧密、培训基地条件、临床技能操作种类及数量、师资队伍组成、病例讨论。结论:大多数助理全科医生培 训基地存在师资队伍、基地建设薄弱的问题。建议优化师资培训模式,以进一步提高培训质量。
Abstract:Abstract:OBJECTIVE To summarize the current situation of the construction of the training base for registered assistant gener⁃ al practitioners in Guangdong Province and put forward suggestions for improvement. METHODS The self-evaluation form of some registered assistant general practice training bases in Guangdong Province in 2020 was collected, which included 6 first-level indica⁃ tors of basic conditions, training management, teaching staff, process management, quality control and safeguard measures, which were refined into 17 second-level indicators and 46 third-level indicators, and the scoring rate was calculated for the third-level in⁃ dicators. The scoring rate of 80% or more was qualified, and the scoring rate was 65% and above to 80% for basic qualification, the score rate below 65% is regarded as unqualified. RESULTS A total of 91 training bases for registered assistant general practitioners were involved in this study. There are 9 third-level indicators with a failure rate of more than 30% in the third-level indicators, namely:“assessment of teaching activities” ,“requirements for the setting of general medicine departments in clinical training bas⁃ es” ,“incentive system”,“conditions for teachers in clinical training bases”,“pass rate of assistant general practitioner training com⁃pletion assessment” , “ comprehensive assessment”, “ teacher evaluation”, “ pass rate of qualification examination for assistant practitio⁃ners” , and“conditions for persons in charge of professional bases”. Between 20% and 30%, there are 10 third-level indicators, namely:“teacher training”,“teacher conditions of grassroots practice bases”,“establishment of general practice teaching and research depart⁃ments and teaching groups” ,“number of beds management”“communication and feedback”,“close connection between clinical train⁃ing bases and grassroots practice bases”,“conditions of training bases”,“types and quantities of clinical skills operations”,“composition of teaching staff”, and“case discussion” . CONCLUSION Most of the training bases can meet the training conditions, but there are still problems such as weak teaching staff, base construction, and low pass rate of the first assistant practitioner examination and completion assessment, so it is recommended to optimize the teacher training mode to further improve the quality of training.
文章编号:3202410002     中图分类号:R-4;C975    文献标志码:
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