社区卫生服务机构儿科医生继续医学教育现状与需求调查分析

  目的  评价社区卫生服务机构儿科医生的继续医学教育培训现状和需求，为提高存量社区儿科医生的服务能力提供参考。  方法  抽取全国11个城市社区卫生服务机构作为样本单位，采用自行设计的调查问卷，由样本机构儿科医生(含能看儿科疾病的全科医生)自愿匿名在线填写，共成功调查378人。采用EXCEL进行数据整理，SAS 9.1统计学软件进行描述性统计分析处理。  结果  从现状来看，19.05%的调查对象表示接受过继续医学教育相关需求调查，55.82%的调查对象对培训内容的适用性表示“非常好或好”，培训师资满意度为66.67%，高于培训内容(61.38%)、培训形式(59.26%)的满意度。继续医学教育内容以“合理用药”的比例最大(82.01%)，继续医学教育形式以“网络学习”占比最高(80.16%)。从需求来看，“疾病诊疗”“合理用药”和“急诊急救”是社区儿科医生培训需求最大的，占比分别为85.45%、87.83%和85.19%。“培训班”“学术讲座会议”和“网络学习”3种形式是基层儿科医生最希望的培训形式，占比分别为66.14%、60.85%和61.90%。  结论  目前社区儿科医生培训需求评估不足，培训内容、形式以及培训效果有进一步提升空间；社区儿科医生培训内容和形式需求有其独特性和差异性，应关注其个性化培训需求。 

Investigation and analysis on the current situation and demand of continuing medical education for paediatricians in community health service institutions

  Objective  To evaluate the current situation and demand of continuing medical education (CME) and training for paediatricians in community health service institutions and to provide reference for improving the serviceability of existing community paediatricians.  Methods  A total of 378 cases were successfully investigated by using a self-designed questionnaire, which was filled in by paediatricians (including general practitioners who can see paediatric diseases) voluntarily and anonymously online. Excel was used for data processing, and SAS 9.1 statistical software was used for data processing.  Results  From the current situation, 19.05% of the respondents said that they had received the needs of CME, and 55.82% said that the applicability of training content was ' very good or good'. The satisfaction of training teachers was 66.67%, which was higher than that of training content (61.38%) and training form (59.26%). The proportion of ' common drug use ' in CME was the largest (82.01%), and that of ' online learning' in CME was the highest (80.16%). From the perspective of demand, ' diagnosis and treatment of diseases', ' common use of drugs' and 'emergency treatment' had the highest demand for training community paediatricians, accounting for 85.45%, 87.83% and 85.19%, respectively. 'Training course', 'academic lecture meeting' and ' E-Learning' were the three most desirable forms of training for grassroots paediatricians, accounting for 66.14%, 60.85% and 61.90%, respectively.  Conclusion  At present, the evaluation of the training needs of community paediatricians was insufficient. Thus, the training content, training form and training effect need to be further improved. The training content and form needs of community paediatricians had their uniqueness and differences, so we should pay attention to their personalised training needs.