多站式考核在上海市社区教学基地全科师资综合能力评估中的应用

目的 采用多站式考核对上海市社区教学基地全科师资进行综合能力评估.方法 2013年8月对上海市4个社区教学基地的41名全科师资进行为期半天的多站式考核,内容包括综合知识、体格检查、辅检判读、临床操作和教学知识5项.结果 综合知识项目的平均分、合格率最高,分别为（80.4±6.8）分和97.6％;教学知识项目的平均分、合格率最低,分别为（44.5±15.1）分和14.6％.社区带教年限≥5年的社区全科师资在临床操作项目中的得分高于＜5年的师资（72.1±12.3）分比（54.9±21.5）分,t=2.974,P=0.007],不同工作年限、职称的师资各项得分差异均无统计学意义.4家社区教学基地在全科基本理论部分（F=4.550,P=0.008）、X线片部分（F=5.438,P=0.003）、临床操作项目（F =3.503,P=0.025）、教学知识项目（F=12.607,P＜0.001）及其教学基本理论和方法部分（F=11.558,P＜0.001）、规范化培训细则和要求部分（F=7.281,P=0.001）的得分差异均有统计学意义.结论 社区全科师资教学能力薄弱,应加强相关内容的师资培训.多站式考核可作为全科师资遴选与评估的重要手段.

Multi-station evaluation of comprehensive ability of Shanghai community general practitioner trainers

Objective To assess the comprehensive ability of community general practitioner （GP） trainers in Shanghai by multi-station evaluation.Methods Forty one GP trainers from 4 community teaching base in Shanghai were assessed in a half-day multi-station evaluation including comprehensive knowledge,physical examination,auxiliary investigation,clinical skills and teaching knowledge.Results The mean score and pass rate of comprehensive knowledge were highest （80.4 ± 6.8 and 97.6%）,and those of teaching knowledge were lowest （44.5 ± 15.1 and 14.6%）.The mean score of clinical skills of GP trainers whose duration of community teaching was more than or equal to 5 years was higher than those less than 5 years （72.1 ± 12.3 vs.54.9 ± 21.5,t =2.974,P =0.007）.There was no significant difference in mean score of 5 items between GP trainers with different working seniority and professional titles.The mean score of basic medical theories （F =4.550,P =0.008）,X-ray （F =5.438,P =0.003）,clinical skills （F =3.503,P =0.025）,teaching knowledge （F =12.607,P 〈 0.001）,basic teaching theories and methods （F =11.558,P 〈 0.001）,regulations and demands of training （F =7.281,P =0.001） were statistical different among 4 community teaching bases.Conclusions The teaching ability of community GP trainers is relatively weak and need relevant special training.Multi-station evaluation can be applied in selection and assessment of GP trainers.