海军基层军医素质构成与规范化培训需求调查研究
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摘要
目的了解海军基层军医素质构成现状与规范化培训需求情况,为针对性开展基层军医规范化培训提供依据。方法选择海军某舰队基层军医为调查对象进行问卷调查,调查结果使用软件建立数据库并行统计学分析。结果海军基层军医以"医学专业操作技能"不能满足程度最高;工作能力、工作成绩、工作环境综合评分(7.97±1.55)处在中等水平;海军基层军医日常工作量较低,处置病种以上呼吸道感染、外伤和训练伤、皮肤病等为多见,心脑血管疾病、传染性疾病、消化系统疾病等规范诊治技术、海军基层部队配发仪器设备使用技能等亟待提高;71.13%海军基层军医认为非常有必要开展基层军医规范化培训,规范化培训适宜周期为1年,着重于临床分析和解决问题的能力培养(80.06%)、基本技能、动手能力的培养(67.56%)、综合知识面的拓展(56.55%)。结论海军基层军医素质能力相对薄弱,规范化培训现实需求迫切,建议科学设计其培养使用和管理机制,合理安排培训时间,优化规范化培训项目,逐步完善海军基层军医规范化培训体系建设,提高一线卫勤保障能力。
Objective To identify the medical qualities and requirements for standardized training of medical officers in basic naval units,so as to provide evidence for the implementation of targeted standardized medical training in basic naval units. Methods Medical officers in the basic units of a certain fleet were chosen as research subjects and a questionnaire survey was conducted accordingly. The results obtained were analyzed statistically by using the statistical software. Results The scores of insufficiency for " medical manipulating skills" were the highest,comprehensive scores of work ability,work performance and work environment were moderate( 7. 97 ± 1. 55). The daily workload of medical officers in naval basic units was relatively lower and the diseases they commonly encountered were upper respiratory tract infection,trauma,training injury and dermatosis,etc. The skills for the diagnosis and treatment of cardiovascular-cerebrovascular diseases,infectious diseases,gastrointestinal diseases,as well as manipulating skills of medical equipment demanded further improvement. 71. 13% of medical officers were in the opinion that it was absolutely necessary for them to receive standardized training,with a training duration of one year as the most desirable. Training focuses should be directed at the following: the training of clinical analysis and solution of medical problems( 80. 06%),the training of basic skills and manipulating skills( 67. 56%) and extension of comprehensive knowledge( 56. 55%). Conclusion The professional qualities of navy medical officers were relatively weak,for this reason,there was an urgent requirement for them to have standardized medical training. It was recommended that the mechanism of training,employment and management be developed in accordance with the practical conditions of basic units,the time for training be properly arranged,standardized training subjects be optimized,and most importantly,the system for the training of medical officers in basic naval units be perfected step by step,so as to promote medical support capability of front-line units.
Objective To identify the medical qualities and requirements for standardized training of medical officers in basic naval units,so as to provide evidence for the implementation of targeted standardized medical training in basic naval units. Methods Medical officers in the basic units of a certain fleet were chosen as research subjects and a questionnaire survey was conducted accordingly. The results obtained were analyzed statistically by using the statistical software. Results The scores of insufficiency for " medical manipulating skills" were the highest,comprehensive scores of work ability,work performance and work environment were moderate( 7. 97 ± 1. 55). The daily workload of medical officers in naval basic units was relatively lower and the diseases they commonly encountered were upper respiratory tract infection,trauma,training injury and dermatosis,etc. The skills for the diagnosis and treatment of cardiovascular-cerebrovascular diseases,infectious diseases,gastrointestinal diseases,as well as manipulating skills of medical equipment demanded further improvement. 71. 13% of medical officers were in the opinion that it was absolutely necessary for them to receive standardized training,with a training duration of one year as the most desirable. Training focuses should be directed at the following: the training of clinical analysis and solution of medical problems( 80. 06%),the training of basic skills and manipulating skills( 67. 56%) and extension of comprehensive knowledge( 56. 55%). Conclusion The professional qualities of navy medical officers were relatively weak,for this reason,there was an urgent requirement for them to have standardized medical training. It was recommended that the mechanism of training,employment and management be developed in accordance with the practical conditions of basic units,the time for training be properly arranged,standardized training subjects be optimized,and most importantly,the system for the training of medical officers in basic naval units be perfected step by step,so as to promote medical support capability of front-line units.
引文
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[6]顾杰,陆璇,潘志刚,等.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[J].中华全科医师杂志,2013,12(7):516-520.
[7]邹鹿鸣,鲍勇.上海市全科住院医师规范化培训学员的培训情况调查[J].中国全科医学,2011,14(11A):3605-3607.
[8]于玲莉,孙桐,康殿民,等.2008年山东省部分城乡居民慢性病防治知识水平调查[J].预防医学杂志,2011,17(2):116-119.
[2]姜秉瑞,郭强,刘丽娟,等.基层军医全科转岗培训课程体系构建[J].解放军医院管理杂志,2011,18(11):1034-1036.
[3]姜秉瑞,汤明新,郭强.基层军医全科转岗培训现状剖析[J].解放军医院管理杂志,2010,17(2):181-183.
[4]许劲松,陈卫东,贺祥,等.军队住院医师规范化培训的制度设计[J].解放军医院管理杂志,2012,19(9):845-847.
[5]陈礼潮,李卫东.军队医院住院医师规范化培训管理做法[J].解放军医院管理杂志,2013,20(3):277-280.
[6]顾杰,陆璇,潘志刚,等.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[J].中华全科医师杂志,2013,12(7):516-520.
[7]邹鹿鸣,鲍勇.上海市全科住院医师规范化培训学员的培训情况调查[J].中国全科医学,2011,14(11A):3605-3607.
[8]于玲莉,孙桐,康殿民,等.2008年山东省部分城乡居民慢性病防治知识水平调查[J].预防医学杂志,2011,17(2):116-119.