重庆市渝东北地区全科医生转岗培训效果研究

目的 了解重庆市渝东北地区全科医生转岗培训的效果，探讨培训中存在的问题及原因。方法 选取渝东北地区参加转岗培训的学员总计326名及其所属单位领导总计150人进行问卷调查（其中回收学员问卷307份，回收学员所属单位领导问卷150份），采用柯氏模型从“反应、学习、行为、结果”四个层级进行分析，结果 用百分比进行描述。结果反应层：42．02％（129／307）的学员不满意临床培训阶段培训时间安排。学习层：参训学员三门实践类课程不及格率较高，分别为19．54％（60／307）、22．8％（70／307）和17．92％（55／307）。行为层：81．43％（250／307）的参训学员认为培训有效果。结果层：94．00％（141／150）的单位认为培训对实际工作产生了积极影响。结论 参训学员对临床培训阶段培训时间安排的不满意率较高，对体格检查以及辅助检查的仪器使用和结果判读能力欠佳。多数调查对象认为全科医生转岗培训有实际效果。

A study on the position transition training effect of general practitioner of Northeast District of Chongqing

Objective To research the position transition training effect of general practitioner of northeast district of Chongqing, and find out the problems and their reasons. Methods 326 students and 150 unit leaders were chosen to make a questionnaire survey（recycled 307, 150）. The Kirkpatrick model was also used for data analysis from 4 levels. The result was described in percentage. Results Reaction Level： 42.02% （129/307） of the trainees were not satisfied with the time arrangement of clinical medicine training; Study Level： 3 courses were at high failure rate 19.54%（60/ 307）, 22.8%（70/307）, 17.92%（55/307） ; Behavior Level： 81.43%（250/307） of the trainees consid- ered the training effective; Result Level： 94.00%（141/150）unit leaders considered the training had a positive impact. Conclusion The time arrangement of clinical medicine training is mostly unsatisfied and the ability of instrument using and result interpretation is weak. Most people consider the position transition training is effective.