浙江省全科医师转岗培训学员结业考核结果分析

目的分析浙江省全科医师转岗培训学员考核结果,为改进培训方法和制定培训策略提供依据。方法2020年3月,采用资料分析方法对2019年浙江省全科医师转岗培训159名学员的结业考核成绩进行回顾分析。结果全科医师转岗培训学员结业考核各考站中,病史采集、体格检查、临床思维与决策、专科技能操作考核通过率分别为95.0%(151/159)、88.7%(141/159)、78.6%(125/159)、92.5%(147/159),临床思维与决策通过率最低,其差异具有统计学意义(P<0.01)。专科技能操作中,气管插管、胸腔穿刺、腹腔穿刺、导尿、心电图操作通过率分别为93.8%(149/159)、90.6%(144/159)、100.0%(159/159)、81.3%(129/159)、96.9%(154/159),导尿操作的通过率最低,其差异具有统计学意义(P<0.01)。来自基层学员与来自综合性医院学员的结业考核通过率分别为75.0%(66/88)、76.1%(54/71),其差异无统计学意义(P=0.878)。浙江大学医学院、温州医科大学、杭州医学院3所医学院校培训学员通过率分别为75.4%(46/61)、76.0%(38/50)、75.0%(36/48),其差异无统计学意义(P=0.993)。结论浙江省全科医师转岗培训学员经过严格选拔和同质化管理与培训,取得了良好的培训效果;同时,全科医师转岗培训学员的临床思维与决策能力有待进一步加强。

Result analysis of graduation examinations for general practitioners receiving position transition training in Zhejiang Province

Objective To analyze the results of graduation examinations of position transition training for general practitioners in Zhejiang Province,and to provide scientific basis for improving the training quality.Methods The graduation examination results of 159 general practitioners in Zhejiang Province in 2019 were collected and analyzed in March 2020.Results The pass rates of case history collection,physical examination,clinical reasoning and decision-making and specialized skill operation were 95.0%(151/159),88.7%(141/159),78.6%(125/159)and 92.5%(147/159)respectively.The pass rate of clinical reasoning and decision-making was the lowest(P<0.01).The pass rates of tracheal intubation,thoracentesis,abdominal puncture,catheterization and ECG were 93.8%(149/159),90.6%(144/159),100.0%(159/159),81.3%(129/159),96.9%(154/159)respectively.The pass rate of catheterization was the lowest,and the difference was statistically significant(P<0.01).There was no significant difference in the pass rate of graduation examination between the trainees from community-level clinics and those from general hospitals(75.0%(66/88)vs.76.1%(54/71),P=0.878].The pass rates of trainees from Zhejiang University Medical College,Wenzhou Medical University and Hangzhou Medical College were 75.4%(46/61),76.0%(38/50)and 75.0%(36/48),respectively,and the difference was not statistically significant(P=0.993).Conclusions Through strict selection of trainees and systematic management training,the general practitioners'training for post transition in Zhejiang Province has achieved good results.The clinical reasoning and decision-making capacity of general practitioners should be further strengthened.