上海市全科医生继续医学教育现状与需求探讨

目的调查上海市全科医生继续医学教育现状，探寻需求重点。为今后培训教学计划的制定、培训实施及教材的编写提供合理有益的依据。方法采取整群随机抽样，在上海市五个区共抽取10家社区卫生服务中心作为样本单位，对其全科医师220人进行问卷调查。整理数据资料，采用卡方检验，对继续医学教育的现状及需求进行分析。结果回收有效问卷212份，有效回收率为96．4％。87．3％的被调查者觉得参加继续医学教育对工作有帮助，但是仅有55．2％的被调查者对继续教育的现状感到满意。不满意的原因、再次参加继续医学教育的意愿、希望的部分培训方式及内容与职称和年龄相关。96．7％的被调查者认为检验在职培训水平的考核方式应包括临床能力考核。结论目前上海的继续医学教育与全科医生的实际情况和需求存在一定差距。继续医学教育应兼顾不同层次全科医生的需求，有针对性的多渠道培养合格的全科医生；努力提升全科医生的学历职称层次，并重视临床实践应用能力的培养与考核。

Current status and demand of continous general practice education in Shanghai

Objective To investigate current status and demand of continous general practice （GP） education in Shanghai. Methods Two hundred and twenty general practitioners from 10 community health service centers of Shanghai underwent a questionnaire survey. Chi-square test was used for data analysis. Results The effective response rate was 96. 57% （212/220）. About 87 percent of the participants considered continous GP education was helpful. Nearly 55 percent of the participants were satisfied with current eontinous GP education. Unsatisfaction with continuing GP education, wish to rcparticipate continous GP education, expected method and content of training were partly related to professional title and age. Ninety-seven percent of the participants thought the assessment of continuous GP education should include clinical practical capability evaluation. Conclusion The present continous GP education in Shanghai is not matched with GP＇s demand. Continous GP education should meet different needs of general praetioners in different ways.