上海市助理全科医生培训（3＋2模式）试点学员的培训需求及评价调查

目的调查上海市助理全科医生培训（3＋2模式）试点学员的培训需求和对培训的评价，为完善和推广3＋2模式培训提供依据。方法2012年9至10月采用问卷调查和深入访谈相结合的方法，对上海市嘉定区3＋2模式培训试点30名学员的培训需求和对培训的评价进行定量和定性研究。结果30名学员完成调查问卷，其中男性5人、女性25人，平均年龄（22．6±0．7）岁。学员对3＋2模式培训的总体态度均为“支持”，其中50．0％（15／30）认为“非常有必要”。在自愿参加3＋2模式培训的意愿上，40．0％（12／30）表示“非常愿意”，无人“不愿意”或“完全不愿意”。在推荐同事参加3＋2模式培训的意愿上，46．7％（14／30）表示“非常愿意”，6．7％（2／30）表示“不愿意”。在培训内容上，对“全科医学基本理论”表示“非常需要”比例最高（63．3％），对“其他项目”表示“非常需要”比例最低（41．1％）。学员对3＋2模式培训的整体评价中，26．7％（8／30）表示“非常满意”，50．0％（15／30）为“满意”，23．3％（7／30）为“一般”。其中对师资带教能力表示“非常满意”比例最高，为46．7％（14／30）；对培训内容表示“非常满意”比例最低，为26．7％（8／30）。5人完成深入访谈，“培训内容应与村卫生室的13常工作相匹配”、“全科医学基本理论的学习缺少实践机会”、“带教师资对全科医学不够了解”、“培训期间收入较低”是主要观点，同时学员对3＋2模式培训和专升本的选择存在分歧。结论上海市3＋2模式培训试点学员对培训的态度积极，参加意愿较为强烈；但培训的内容、培训方式、师资和配套政策方面均有待改进。

Training needs and assessment of pilot training program for assistant general practioner (3 + 2mode) in Shanghai:questionnaire survey and in-depth interview

Objective To survey the training needs and assessment of a pilop training program for assistant general practioner （3 ＋ 2 mode） in Shanghai.Methods A qustionnaire survey and in-depth interview were conducted among 30 trainees of the pilot assistant general practitioner training program of 3 ＋2 mode in Jiading District of Shanghai from September to October 2012.Results Thirty trainees aged （22.6 ± 0.7） y （5 males and 25 females） received the questionnaire survey.All trainees were in favor of the 3 ＋2 mode,of whom 50.0% （15/30） showed ＂completely willing＂.In the intension of attending 3 ＋ 2mode,40.0% （12/30） expressed ＂completely willing＂ and no one showed ＂unwilling＂ or ＂completely unwilling＂.In the intension of recommending colleagues to attend 3 ＋ 2 mode,46.7% （14/30） were completely willing and 6.7% （2/30） were unwilling.The basic theory of family medicine was the most needed for trainging contents and 63.3% showed ＂very need＂; the ＂other item＂ was the least needed and 41.1% showed ＂very need＂.In overall assessment of 3 ＋ 2 mode,26.7% （8/30） showed ＂very satisfied＂,50.0% （15/30） showed ＂ satisfied＂ and 23.3% （7/30） showed ＂ so-so＂.The highest proportion （46.7%,14/30） scored the ablities of mentors as ＂very satisfied＂ and the lowest proportion（26.7%,8/30） thought the trainging contents was very satistied.Five trainees received in-depth interview,their main points included ＂the training content should meet the needs of routine work of village clinics＂,＂the study of basic theory of family medicine lacks of practice＂,＂teachers did not have enough knowledge about general practice＂ and ＂income was low during training＂.There were different views on the choice of 3 ＋ 2 mode or diploma-upgrading courses among intervewees.Conclusions The trainees have positive attitudes and strong willingness for 3 ＋ 2 mode.But it should be improved in training content,training method,teacher training and supporting policies.