Department of General Practice, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
Zhejiang University, Hangzhou, 310003, China.
BMC Med Educ. 2023 Mar 24;23(1):182. doi: 10.1186/s12909-023-04151-1.
Position transition training for general practitioners in Zhejiang Province started in 2017 and has since been held once a year. By the beginning of 2022, four training sessions were completed. The purpose of this survey was to establish the current situation of trainees after their graduation and provide reference for the evaluation of the training effect.
Of the 738 trainees who completed the training, 253 were contacted and followed up. A self-designed questionnaire was used to conduct the survey through online filling in. The content included questions to elucidate the following information: whereabouts after the training, registration as a general practitioner, undertaken general practice teaching and scientific research work, current occupational environment, improvement of post competence after receiving position transition training, willingness to complete survey, willingness to participate in future training programs, etc. RESULTS: A number of 253 valid questionnaires were collected with a recovery rate of 100%. Notably, 93.68% of the participants successfully completed their training and obtained the Training Certificate of General Practitioners. Further, 83.4% were registered as general practitioners, 82.94% of which added on the basis of the original registered scope of practice. Currently, most of them work in primary health care institutions, primarily occupied with medical treatment, chronic disease management, COVID-19 prevention and control, health education, and prevention and health care. Of them, 27.01% were currently undertaking teaching work, and only 3.32% of them were conducting scientific research work related to general practice. The overall satisfaction of the trainees in the three theoretical training bases was above 90%, with no statistically significant difference among them (P > 0.05). Importantly, 84.11% of the followed-up personnel hoped to continue to participate in similar training in the future to improve their general practitioner core competences.
The position transition training in Zhejiang Province has achieved good results, but the details of training and the implementation of policies in individual regions need to be improved. Most of the graduates were willing to continue their education, especially in general practitioners with special interests.
浙江省基层医生岗位转换培训于 2017 年启动,每年举办一次,截至 2022 年初已完成四期培训。本调查旨在了解培训学员毕业后的现状,为培训效果评价提供参考。
对完成培训的 738 名学员进行联系和随访,共联系到 253 名学员,采用自行设计的问卷,通过在线填写的方式进行调查。内容包括培训后去向、是否注册为全科医生、是否开展全科医学教学和科研工作、目前工作环境、接受岗位转换培训后岗位胜任能力提升情况、完成调查意愿、是否愿意参加未来培训项目等。
共回收有效问卷 253 份,回收率为 100%。其中,93.68%的学员完成培训并获得《全科医生岗位培训合格证书》,83.4%的学员注册为全科医生,其中 82.94%在原注册执业范围基础上增加了全科医学专业。目前,他们主要在基层医疗卫生机构工作,工作内容主要为医疗、慢性病管理、新冠肺炎疫情防控、健康教育、预防保健等。27.01%的人目前从事教学工作,仅有 3.32%的人从事与全科医学相关的科研工作。3 家理论培训基地的学员总体满意度均在 90%以上,组间差异无统计学意义(P>0.05)。84.11%的随访人员希望在未来继续参加类似培训,以提高自身全科医生核心能力。
浙江省基层医生岗位转换培训取得了良好效果,但培训细节和个别地区政策落实有待完善。大部分毕业生愿意继续接受教育,尤其是对有特殊兴趣的全科医生。