Volume 21 Issue 7
Jul.  2023
Turn off MathJax
Article Contents
MENG Jia, GUO Meng, WANG Junying, JIANG Lihong. Exploration the optimization of the special interests training program for general practitioners based on grounded theory[J]. Chinese Journal of General Practice, 2023, 21(7): 1224-1228. doi: 10.16766/j.cnki.issn.1674-4152.003089
Citation: MENG Jia, GUO Meng, WANG Junying, JIANG Lihong. Exploration the optimization of the special interests training program for general practitioners based on grounded theory[J]. Chinese Journal of General Practice, 2023, 21(7): 1224-1228. doi: 10.16766/j.cnki.issn.1674-4152.003089

Exploration the optimization of the special interests training program for general practitioners based on grounded theory

doi: 10.16766/j.cnki.issn.1674-4152.003089
Funds:

 B-YXGP20210201-04

 GJB1422775

  • Received Date: 2022-08-23
    Available Online: 2023-08-28
  •   Objective  To comprehensively explore the factors influencing the special interests training program for general practitioners from a grounded theory perspective, and to provide empirical support for optimizing the implementation of the special interests training program.  Methods  The semi-structured interviews were conducted with 14 students who had completed the special interests training program at the standardized training base for general practice residents of the Second Affiliated Hospital of Harbin Medical University, Based on the procedural grounded theory research method, the open coding, axial coding, and selective coding were conducted on the raw interview data, and the relevant theoretical model was finally constructed.  Results  In the open coding process, 171 coding numbers, 17 initial concepts and 6 categories were formed. Three primary categories were summarized by axial coding. The final selection coding resulted in the core category "the optimization of the special interests training program for general practitioners" and the theoretical model was constructed from three dimensions.  Conclusion  To enhance the internal driving force of special interest straining of general practitioners, to meet the rigid demand for comprehensive quality improvement of "full" and " specialisation", and to focus on the interest-driven elements in the training process, so as to provide a solid foundation for optimizing the implementation of the program. A collaborative management mode should be established with specialized teachers as the leaders, general practice teachers as the bridge, and active cooperation from all departments. Strict assessment criteria should be formulated so as to provide a strong guarantee for the efficient implementation of the special interests training program. The core factors for the implementation of the program optimization are to constantly improve the teaching consciousness of teachers, pay attention to the selection of teachers and staff, and gradually improve the teaching level.

     

  • loading
  • [1]
    于晓松. 新中国成立70年以来中国全科医学发展与展望[J]. 中华全科医学, 2019, 17(11): 1797-1799. doi: 10.16766/j.cnki.issn.1674-4152.001058

    YU X S. The development and prospect of chinese general practice since the founding of new China 70 years ago[J]. Chinese Journal of General Practice, 2019, 17(11): 1797-1799. doi: 10.16766/j.cnki.issn.1674-4152.001058
    [2]
    王永晨. 全科医生专长化: 我国全科医生继续教育的新理念[J]. 中华医学教育探索杂志, 2018, 17(5): 433-438. doi: 10.3760/cma.j.issn.2095-1485.2018.05.001

    WANG Y C. General Practitioners Specialization: new concept of general practitioner's continuing education in China[J]. Chinese Journal of Medical Education Research, 2018, 17(5): 433-438. doi: 10.3760/cma.j.issn.2095-1485.2018.05.001
    [3]
    TURNER C, ASTIN F. Grounded theory: what makes a grounded theory study?[J]. Eur J Cardiovasc Nurs, 2021, 20(3): 285-289. doi: 10.1093/eurjcn/zvaa034
    [4]
    WANG G L, ZHANG L Y, GUO J. Driving factors and mechanisms of AMT application levels for equipment manufacturing enterprises: based on programmatic grounded theory[J]. Sustainability, 2022, 14(14): 8415. doi: 10.3390/su14148415
    [5]
    ZHANG J X, CHENG J W, PHILBIN S P, et al. Influencing factors of urban innovation and development: a grounded theory analysis[J]. Environ Dev Sustain, 2023, 25(3): 2079-2104. doi: 10.1007/s10668-022-02151-7
    [6]
    曹茹, 王锦帆. 基于扎根理论与核心文献的医患关系影响因素模型分析[J]. 中国卫生事业管理, 2021, 38(9): 664-667, 671. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG202109009.htm

    CAO R, WANG J F. Model Analysis of the factors to influence doctor-patient relationship based on grounded theory and core documents[J]. The Chinese Health Service Management, 2021, 38(9): 664-667, 671. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG202109009.htm
    [7]
    衡甜甜. 我国全科医学发展现状与问题分析[J]. 中医药管理杂志, 2020, 28(8): 8-9. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG202008006.htm

    HENG T T. Analysis on the current situation and problems of general practice in China[J]. Journal of Traditional Chinese Medicine Management, 2020, 28(8): 8-9. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG202008006.htm
    [8]
    路孝琴, 杜娟, 武艳, 等. 构建我国长期可持续发展的全科医生培养体系[J]. 医学教育管理, 2020, 6(3): 231-238. doi: 10.3969/j.issn.2096-045X.2020.03.010

    LU X Q, DU J, WU Y, et al. To establish the long-term sustainable development of the general practitioner training system[J]. Med Edu Mgt, 2020, 6(3): 231-238. doi: 10.3969/j.issn.2096-045X.2020.03.010
    [9]
    YELLAMATY V, BALL L, CROSSLAND L, et al. General practitioners with special interests: an integrative review of their role, impact and potential for the future[J]. Aust J Gen Pract, 2019, 48(9): 639-643. doi: 10.31128/AJGP-02-19-4849
    [10]
    田有功. 基层医疗机构公共卫生服务管理现状与发展策略探讨[J]. 甘肃科技, 2021, 37(19): 5-7. doi: 10.3969/j.issn.1000-0952.2021.19.003

    TIAN Y G. Discussion on present situation and development strategy of public health service management in primary health care institutions[J]. Gansu Science and Technology, 2021, 37(19): 5-7. doi: 10.3969/j.issn.1000-0952.2021.19.003
    [11]
    胥娇, 方明, 董靖竹, 等. 以能力为导向的全科住院医师培训创新模式探索与实践[J]. 中华医学教育探索杂志, 2022, 21(1): 78-81.

    XU J, FANG M, DONG J Z, et al. Exploration and practice of innovative model of ability-oriented training for general practitioners[J]. Chinese Journal of Medical Education Research, 2022, 21(1): 78-81.
    [12]
    李帅, 刘颖, 刘娟娟, 等. 综合医院全科医学科住培基地开展全科医师三部曲培养模式的应用[J]. 中国毕业后医学教育, 2021, 5(4): 360-363. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202104018.htm

    LI S, LIU Y, LIU J J, et al. Application of trilogy training mode for general practitioners in standardized training base of general hospital residents[J]. Chinese Journal of Graduate Medical Education, 2021, 5(4): 360-363. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202104018.htm
    [13]
    考验, 张庆, 蒋红双, 等. 我国专长全科医生培养的现状分析与发展建议[J]. 全科医学临床与教育, 2019, 17(5): 385-387. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYL201905001.htm

    KAO Y, ZHANG Q, JIANG H S, et al. Current situation analysis and development suggestion of training specialized general practitioners in China[J]. Clinical Education of General Practice, 2019, 17(5): 385-387. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYL201905001.htm
    [14]
    张峰. 某三级综合医院临床科室目标管理考核指标体系的构建与应用研究[J]. 中国医疗管理科学, 2023, 13(1): 92-97. https://www.cnki.com.cn/Article/CJFDTOTAL-YLGL202301017.htm

    ZHANG F. Construction and application of an MBO assessment index system in clinical departments of a tertiary general hospital[J]. Chinese Journal of Medical Management Sciences, 2023, 13(1): 92-97. https://www.cnki.com.cn/Article/CJFDTOTAL-YLGL202301017.htm
    [15]
    唐皓, 陈淑英, 吴敬国, 等. 全科医学基地建设的思考与展望[J]. 中华全科医学, 2019, 17(10): 1753-1757. doi: 10.16766/j.cnki.issn.1674-4152.001048

    TANG H, CHEN S Y, WU J G, et al. Thinking and prospect about base construction of general practice[J]. Chinese Journal of General Practice, 2019, 17(10): 1753-1757. doi: 10.16766/j.cnki.issn.1674-4152.001048
    [16]
    吴松婷, 黄霍明, 吴绪瑶, 等. 我国全科医学人才培养的国际经验与优化建议: 兼论江苏省农村定向医学人才培养模式[J]. 卫生职业教育, 2021, 39(18): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX202118001.htm

    WU S T, HUANG H M, WU X Y, et al. International experience and optimization suggestions on the training of general practitioners in China: also on the training mode of rural oriented medical talents in Jiangsu Province[J]. Health Vocational Education, 2021, 39(18): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX202118001.htm
    [17]
    刘颖, 陈韶华, 邱艳, 等. 中国亚专长全科医师培养现状及建议[J]. 中国全科医学, 2018, 21(22): 2664-2667. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201822008.htm

    LIU Y, CHEN S H, QIU Y, et al. GPs with Special Interests Training in China and Relevant Recommendations[J]. Chinese General Practice, 2018, 21(22): 2664-2667. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201822008.htm
    [18]
    祝丽琼, 张建平, 林仲秋, 等. 探讨影响临床教师带教积极性的因素及其对策[J]. 岭南急诊医学杂志, 2020, 25(2): 193-194, 207. https://www.cnki.com.cn/Article/CJFDTOTAL-LNJZ202002035.htm

    ZHU L Q, ZHANG J P, LIN Z Q, et al. To explore the factors affecting the enthusiasm of clinical teachers and its countermeasures[J]. Lingnan Journal of Emergency Medicine, 2020, 25(2): 193-194, 207. https://www.cnki.com.cn/Article/CJFDTOTAL-LNJZ202002035.htm
    [19]
    王岚, 尤耀东, 蒋菁蓉, 等. 以岗位胜任力为导向的中医住院医师规范化培训高质量建设实践与思考[J]. 中国毕业后医学教育, 2022, 6(3): 227-230. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202203010.htm

    WANG L, YOU Y D, JIANG J R, et al. Effective and standardized Traditional Chinese Medicine resident physician training guided by specialty qualification[J]. Chinese Journal of Graduate Medical Education, 2022, 6(3): 227-230. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202203010.htm
    [20]
    杨金文. 全科医疗在基层医疗单位推广成果中的临床研究[J]. 中国现代药物应用, 2018, 12(24): 212-213. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY201824125.htm

    YANG J W. Clinical study on the promotion of general practice in primary health care units[J]. Chinese journal of modern drug application, 2018, 12(24): 212-213. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY201824125.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(2)

    Article Metrics

    Article views (129) PDF downloads(10) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return