Present status analysis and strategies of general practitioners' professional training in Eastern Guangdong
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摘要: 目的 探讨广东省粤东地区全科医生现状及岗位培训需求,为落实全科医生培训制度及稳定基层卫生人才队伍提供科学的实证依据。 方法 整群抽取2014年广东省粤东地区第4期全科医生岗位培训学员110名,应用问卷调查法,了解该组全科医生的基本情况、工作现状、对岗位培训的认知以及目前执业环境和岗位培训需求等,并对调查结果进行统计和分析。 结果 本组学员的学历职称偏低:大专以下学历占72.73%;初级职称医生占90.90%,其中助理医生占55.45%。学员中95.45%没有接受过全科医学教育培训,37.27%认为培训是因为工作需要。对基层执业环境不满意主要包括:工作条件、工作环境、职称晋升和培训支持,分别占60.00%、42.70%、28.18%和20.90%。专业知识与技能掌握不足主要包括:健康档案管理、辅助检查、妇儿保健、心理治疗、营养健康、康复技术以及伦理和社会问题等,分别占82.73%、83.64%、80.00%、84.55%、85.45%、84.55%和82.73%。 结论 基层全科医生的学历职称偏低、执业环境较差、对岗位培训认知偏差以及专业能力不足等问题较为明显,提示政府部门需进一步加强政策导向,建立健全具有我国特色的全科医生培养长效机制,要合理优化全科医生的执业环境,为基层卫生人才提供获得成就感的职业发展空间,用激励政策留住人才、吸引人才。Abstract: Objective To investigate the status and demands of general practitioners(GPs) in Eastern Guangdong,and provide scientific evidences for the training system and methods of general practice. Methods A questionnaire survey was carried out among 110 trainees(cluster sampling) attended the 4th Job Training Course in Eastern Guangdong Province to investigate the cognition,practice environment and training demands of trainees. Results GPs in the group were normally short of education background and professional title,72.73% of them were with diploma courses and below,90.90% of them were with junior professional title,in which 55.45% were assistant doctors.95.45% of trainees had never received any education or training of general practice,and 37.27% of trainees agreed that the training necessary for the practice.The discontents of the practice status were resulted from working condition,working environment,promotion and career development opportunities and training supports,accounted for 60.0%,42.7%,28.18% and 20.9%,respectively.The defects of professionalism included health record management,medical examination and laboratory,maternal and children health care,psychotherapy,nutriology,rehabilitation medicine and medical ethics,for 82.73%,83.64%,80.00%,84.55%,85.45%,84.55% and 82.73%,respectively. Conclusion The obvious problems in GPs include short of education background and professional title,hard practice environment,lack of cognition on training,short of knowledge and skill.It reminds that the government should enhance the policies on General Practice to found a sustainable GPs training system in China,as well as optimize the practice environment of GPs reasonably to provide them career development opportunities with sense of accomplishment.The more incentive policies should be designed to retain and attract talent.
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Key words:
- General practitioners(GPs) /
- Job Training /
- Demands for training /
- Practice environment
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