摘要
目的分析重庆市农村订单定向免费医学生培养工作现存问题并提出对策。方法对重庆市已毕业的2015届、2016届定向免费医学生共计22人，承担定向生培养的学院和基层医疗卫生单位相关教学、管理人员及定向生代表共53人开展访谈，并对访谈过程中获取的信息进行汇总分析。结果75名受访者中，67人（89．3％）对定向生培养现状比较满意，37人（49．3％）认为存在需改进的问题。学生普遍认为目前的专业课设置比较合理，对授课效果比较满意。实践技能得到用人单位的普遍认可：但定向生的职业生涯规划与就业单位对其就职期望存在较大落差。结论重庆市农村订单定向医学生免费培养现状整体较好，但在课程教学、实践技能、基层岗位胜任力培养、“留在基层”、职业生涯规划等方面仍存在问题。学院应特别加强定向生服务基层的综合素质、临床技能、社会责任感和职业自豪感的培养，加强政策宣传和职业生涯规划教育。地方管理部门应进一步加强配套政策建设．统一管理缩减基层单位待遇差距。基层医疗单位应重视人文关怀和团队文化建设。国家层面应开展宣传。提高全科医生的社会地位和专业影响力。
Objective To analysis the existing problems of targeted admission medical education program in rural areas, and make a suggestion： Methods Interviewing 22 targeted admission medical grad- uates of the Class of 2015 and 2016 in Chongqing and 53 interviewees including clinical college leaders, teaching managers, teacher representatives and leadership and managers of township health and medical institutions. All interviews were recorded for further analysis. Results Of the 75 interviewees, 67 （89.3%） were＇satisfied with the status, and 37 （49.3%） believed that there was a need for improvement. Students generally think that the current curriculum is reasonable and satisfactory to the teaching effect. Practical skills are generally recognized by employers; However, there is a big gap between career planning and employment expectation. Conclusions Interview results showed that targeted admission medical education program in rural areas is generally progressing well. However, problems remain in some areas including curriculum and teaching conditions, practical skills teaching, training of post competency, ＂stay in rural areas＂ issue and career planning. The college should specially strengthen the training of the comprehensive quality, clinical skills, social responsibility and professional pride of serving the gross-roots unit, and strengthenthe policy publicity and career planning education. The local management department should further sup- port the policy construction and carry out unified management to reduce the gap of treatment between different township hospitals. Rural medical units should pay attention to humanistic care and team culture construction. The state should publicize and enhance the social status and professional influence of general practitioners to enhance their professional identity and self-confidence.
作者
蔡莹
刘北忠
周勇
张绍群
cai Ying;Liu Beizhong;Zhou Yong;Zhang Shaoqun(Department of Educational Administration,Yongchuan Hospital of Chongqing Medical University,Chongqing 401260,China;Graduate School of Chongqing Medical University,Chongqing 400016,Chin)
出处
《中华医学教育探索杂志》
2018年第7期753-756,共4页
Chinese Journal of Medical Education Research
基金
2015年重庆市高等教育教学改革研究重大项目（151008）
关键词
农村订单定向医学生培养
访谈法
问题及对策
Targeted admission medical education program
Iinterviewing method
Problems and solutions
作者简介
通信作者：刘北忠，Email：lbz2753@qq．com
