九省市县级医疗机构儿科医师继续医学教育需求调查

目的了解我国县级医疗机构儿科医师在继续医学教育(continuing medical education,CME)授课内容方面的需求,以及参加CME的影响因素,为提升县级医疗机构儿科医师诊疗能力提供参考。方法对参加"全国儿科医师培训项目"的九省市县级医疗机构儿科医师进行问卷调查。调查内容包括:一般资料、CME授课内容需求及参加CME的影响因素。采用SPSS 22.0软件进行卡方检验。结果共收回调查问卷465份,其中合格问卷463份,合格率99.6%。研究结果显示:①能力培训需求方面,县级医疗机构儿科医师对儿童疾病诊疗、儿科相关基本技能及儿童保健相关技能有较高需求。初中级职称儿科医师对自主学习和获得学习资源能力培训需求更高(P<0.01);高级职称儿科医师对教学能力培训需求更高(P<0.05)。②儿童专科培训需求方面,需求较高的依次是:新生儿、感染、呼吸、重症、发育行为、消化。③参加CME的影响因素方面,机会少、没时间、课程安排缺陷是影响县级医疗机构儿科医师参加CME的主要因素。结论不同职称的儿科医师对于CME授课内容需求存在差异。CME资源缺乏、工学矛盾和课程缺陷可能是影响县级医疗机构儿科医师参加CME的主要因素。

Survey on continuing medical education needs of pediatricians working at county-level medical institutions in nine provinces of China

Objective To investigate the pediatricians'needs in the contents of continuing medical education(CME),and the influencing factors of participating in CME,so as to provide references for improving their vocational ability.Methods Questionnaire survey was carried out for the pediatricians from county-level medical institutions in the nine provinces of China.The questionnaire contents included:basic information,CME contents needs,and influencing factors of participating in CME.SPSS 22.0 was used for chi-square test.Results A total of 465 questionnaires was recovered,among which 463 were qualified,with a pass rate of 99.6%.Research showed that①In terms of competency training needs,pediatricians had higher training demand for ability of diagnosis and treatment of children's diseases,pediatrics basic skills and skills related to children's health care,etc.Pediatricians with junior or intermediate title had higher training demand for ability of self-learning and access to learning resources(P<0.01);and pediatricians with senior title had higher training demand for teaching ability(P<0.05).②In terms of pediatrics specialty content training needs,pediatricians had higher demand for neonatology,infectious,respiratory,critical medicine,developmental behavior and digestion in order.③Regarding the influencing factors of CME,too few opportunities to participate in training,too busy to have time to participate,and defects in curriculum arrangement were the main factors affecting the CME participation of pediatricians.Conclusion Pediatricians with different professional title had different training needs for CME contents.Lack of CME resources,contradiction between work and study,and curriculum arrangement deficiencies might be the main influencing factors affecting the CME participation of pediatricians working at county-level medical institutions.