Department of General Practice, Research Center for General Practice, Yangpu Hospital, School of Medicine, Tongji University, 450 Tengyue Road, Yangpu District, Shanghai, 200090, PR China.
Department of General Practice, Lazi County Health Service Center, Xigatse, Tibet, 858100, PR China.
BMC Med Educ. 2024 Mar 8;24(1):265. doi: 10.1186/s12909-024-05143-5.
The Tibetan area is one of China's minority regions with a shortage of general practice personnel, which requires further training and staffing. This research helps to understand the current condition and demand for general practitioner (GP) training in Tibetan areas and to provide a reference for promoting GP education and training.
We conducted a cross-sectional survey using stratified sampling targeting 854 GPs in seven cities within the Tibetan Autonomous Region, utilizing an online questionnaire. Achieving a high response rate of 95.1%, 812 GPs provided invaluable insights. Our meticulously developed self-designed questionnaire, available in both Chinese and Tibetan versions, aimed to capture a wide array of data encompassing basic demographics, clinical skills, and specific training needs of GPs in the Tibetan areas. Prior to deployment, the questionnaire underwent rigorous development and refinement processes, including expert consultation and pilot testing, to ensure its content validity and reliability. In our analysis, we employed descriptive statistics to present the characteristics and current training needs of GPs in the Tibetan areas. Additionally, chi-square tests were utilized to examine discrepancies in training needs across various demographic groups, such as age, job positions, and educational backgrounds of the participating GPs.
The study was completed by 812 (812/854, 95.1%) GPs, of whom 62.4% (507/812) were female. The top three training needs were hypertension (81.4%, 661/812), pregnancy management (80.7%, 655/812), and treatment of related patient conditions and events (80.5%, 654/812). Further research shows that the training required by GPs of different ages in "puncturing, catheterization, and indwelling gastric tube use" (64.6% vs. 54.8%, p = 9.5 × 10) varies statistically. GPs in various positions have different training needs in "community-based chronic disease prevention and management" (76.6% vs. 63.9%, p = 0.009). The training needs of GPs with different educational backgrounds in "debridement, suturing, and fracture fixation" (65.6% vs. 73.2%, p = 0.027) were also statistically significant.
This study suggests the need for targeted continuing medical education activities and for updating training topics and content. Course developers must consider the needs of GPs, as well as the age, job positions, and educational backgrounds of GPs practicing in the Tibetan Plateau region.
Not applicable.
西藏地区是中国少数民族地区之一，全科医生人员短缺，需要进一步培训和配备人员。本研究有助于了解西藏地区全科医生培训的现状和需求，为促进全科医学教育和培训提供参考。
我们采用分层抽样方法，对西藏自治区 7 个城市的 854 名全科医生进行了横断面调查，使用在线问卷。我们获得了 95.1%的高应答率，812 名全科医生提供了宝贵的见解。我们精心设计的自设问卷有中文和藏文两个版本，旨在收集全科医生在西藏地区的基本人口统计学、临床技能和特定培训需求等广泛数据。在部署之前，问卷经过了严格的开发和完善过程，包括专家咨询和试点测试，以确保其内容有效性和可靠性。在我们的分析中，我们使用描述性统计方法来呈现西藏地区全科医生的特征和当前培训需求。此外，我们还使用卡方检验来检查不同年龄、职位和教育背景的全科医生在培训需求方面的差异。
共有 812 名（812/854，95.1%）全科医生完成了研究，其中 62.4%（507/812）为女性。排名前三的培训需求分别是高血压（81.4%，661/812）、妊娠管理（80.7%，655/812）和相关患者情况和事件的治疗（80.5%，654/812）。进一步的研究表明，不同年龄段的全科医生在“穿刺、置管和留置胃管使用”方面的培训需求存在统计学差异（64.6%比 54.8%，p=9.5×10）。不同职位的全科医生在“社区慢性病预防与管理”方面的培训需求也不同（76.6%比 63.9%，p=0.009）。不同教育背景的全科医生在“清创、缝合和骨折固定”方面的培训需求也存在统计学差异（65.6%比 73.2%，p=0.027）。
本研究表明需要开展有针对性的继续医学教育活动，并更新培训主题和内容。课程开发者必须考虑到全科医生的需求，以及在青藏高原地区工作的全科医生的年龄、职位和教育背景。
不适用。
