贵州省农村订单定向全科医生继续医学教育现状、问题及对策分析
urrent Situation，Problems，and Strategies of Continuing Medical Education for Rural Order-oriented General Practitioners in Guizhou Province
背景 ?完成全科住院医师规范化培训的农村订单定向医学毕业生（简称定向全科医生）基层履约岗位胜任情况受到广泛关注，加强继续医学教育是提升定向全科医生岗位胜任力的重要举措。目的 ?了解贵州省定向全科医生继续医学教育的现状、问题及需求，为完善定向全科医生继续医学教育提供依据。方法 ?于2021年11—12月，采用目的性抽样和滚雪球抽样相结合的方法，选取贵州省9个市（州）39家乡镇卫生院的42名定向全科医生为研究对象进行半结构化访谈，采用程序化扎根理论的研究方法对访谈结果进行编码分析，提取、归纳其继续医学教育的现状、问题及需求。结果 ?经过三级编码，最终梳理出定向全科医生继续医学教育相关的145个概念、23个范畴、5个主范畴，形成1条故事线：定向全科医生的继续医学教育受到多种因素的影响，现实状况是主要阻碍因素，能力素质是外在驱动力，政策制度是重要保障，自身需求是内在动力，完善培训过程管理是关键环节。结论 ?贵州省定向全科医生自身培训意愿有待加强，继续医学教育培训质量、培训内容与需求切结合度、基层医疗机构重视程度有待提高，加强对继续医学教育支持力度和信息化平台建设，完善适合定向全科医生的继续教育培训内容及培训形式，以提高继续医学教育培训质量和效果。
Background ?The competency in primary performance positions of rural order-oriented medical graduates of standardized general residency training programabbreviate for oriented general practitioners has attracted wide attention. Strengthening continuing medical education is an important measure to enhance the competency of oriented general practitioners. Objective ?To understand the current situationproblems and needs of continuing medical education for oriented general practitioners in Guizhou Provinceand to provide a basis for improving continuing medical education for oriented general practitioners. Methods ?From November to December 202142 oriented general practitioners from 39 township hospitals in 9 cities in Guizhou Province were selected as the research subjects for semi-structured interviews by the purposive sampling and snowball sampling methods. The interview results were coded and analyzed by the research method of procedural grounded theory to extract and summarize the current situationproblems and needs of their continuing medical education. Results ?After three-level coding145 concepts23 categories and 5 domains related to the continuing medical education of oriented general practitioners were finally sorted outand a story line was consequenty formedthe continuing medical education of oriented general practitioners is influenced by several factorsamong which actual situation is the obstaclecompetency requirement is the extrinsic driverpolicy system is important guaranteeself-demand is the intrinsic motivationand the improvement of the training process management is the key process. Conclusion ?The training intention of oriented general practitioners remains to be strengthened in Guizhou Province. The quality of continuing medical educationintegration degree of training content and demandand attention of primary care institutions need to be improved. The support for continuing medical education and the construction of information platform should be strengthenedand the content and form of continuing medical education suitable for oriented general practitioners should be improvedin order to improve the quality and effect of training in continuing medical education.
陈楚颖、肖雪、陈玲丽、余昌胤、朱纪明、张年、蒲海峰、王寅生
10.12114/j.issn.1007-9572.2023.0090
医药卫生理论教育
农村订单定向医学生全科医生继续医学教育基层医疗机构扎根理论
Rural order oriented medical studentsGeneral practitionersontinuing medical educationPrimary care facilitiesGrounded theory
陈楚颖,肖雪,陈玲丽,余昌胤,朱纪明,张年,蒲海峰,王寅生.贵州省农村订单定向全科医生继续医学教育现状、问题及对策分析[EB/OL].(2023-06-02)[2025-07-18].https://chinaxiv.org/abs/202306.00024.点此复制
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