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[西部跨地区1990年至2000年毕业班级的儿科住院医师培训项目中医学专业学生的培训质量与职业成果:调查]

[Quality of training and professional outcomes of medical students in pediatric residency programs: survey of graduating classes between 1990 and 2000, in the western interregion].

作者信息

Anne C, Naud J, Bonnemains C, Hoppé A, Giniès J-L

机构信息

Département de pédiatrie, CHU, rue Larrey, 49933 Angers cedex 09, France.

出版信息

Arch Pediatr. 2007 Oct;14(10):1259-63. doi: 10.1016/j.arcped.2007.06.007. Epub 2007 Jun 26.

Abstract

OBJECTIVES

Little information is available to incoming students in pediatrics residency programs on the experiences of past residents. The objective of this study was to investigate the pediatrics training programs and determine the professional outcomes of graduating residents between 1990 and 2000 in the Western Interregion.

POPULATION AND METHODS

Questionnaires were distributed to the 187 medical students enrolled in pediatrics residency programs between 1990 and 2000 in the six university hospital centers of the Western Interregion. The questions concerned the details of training, the modes of residency positions, and current professional and personal situations. One hundred and sixty-five (88%) individuals responded.

RESULTS

Seventy-seven percent of the practicing pediatricians stated that the training they had received during residency was adapted to their current practice. This percentage was higher for hospital staff physicians (82%) than for the physicians in private practice (50%) or those with salaried positions outside the hospital system (58%). One hundred and twenty-four had either completed post-residency training (97) or were doing so (27) at the time of the survey. All but one were professionally active, three quarters of them in hospitals and, of these, most were in the hospitals where they had trained. Eighty-six percent of the practicing pediatricians said they were satisfied with their professional work and 73% said they were satisfied with their personal lives.

CONCLUSION

These results support the current reflection on reforming the residency training program in pediatrics, especially with regard to its prolongation and the diversification of the training options to take into account the individual student's professional orientation.

摘要

目的

儿科住院医师培训项目的新生对往届住院医师的经历了解甚少。本研究的目的是调查西部地区1990年至2000年间的儿科培训项目,并确定毕业住院医师的职业发展成果。

研究对象与方法

向西部地区六所大学医院中心1990年至2000年间参加儿科住院医师培训项目的187名医学生发放问卷。问题涉及培训细节、住院医师职位模式以及当前的职业和个人情况。165人(88%)回复。

结果

77%的执业儿科医生表示,他们在住院医师培训期间接受的培训与当前的临床实践相适应。医院工作人员医生的这一比例(82%)高于私人执业医生(50%)或医院系统外有薪职位的医生(58%)。124人在调查时要么已经完成了住院医师后培训(97人),要么正在接受培训(27人)。除一人外,其他人都在积极从事专业工作,其中四分之三在医院工作,而且他们中的大多数人在自己接受培训的医院工作。86%的执业儿科医生表示对自己的专业工作感到满意,73%的人表示对自己的个人生活感到满意。

结论

这些结果支持了目前对儿科住院医师培训项目改革的思考,特别是在延长培训时间和使培训选择多样化方面,以考虑到学生个人的职业取向。

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