临床医学专业学位博士与专科医师规范化培训并轨培养模式初步探索——以脑血管病介入治疗方向为例 A Preliminary Exploration on the Integrated Training Model of Clinical Medicine Doctor Education and the Standardization Training of Specialists in Neurointervention

Abstract

摘要： 目的 以脑血管病介入治疗方向博士为例，对我国临床医学博士研究生教育和专科医师规范化培训并轨（以下简称专培并轨）培养模式进行初步探索，以期对专培并轨培养模式提供有益的见解。 方法 2018年1月—2022年10月，通过文献分析法，对相关文献进行检索，了解现阶段医学教育改革现状；向首都医科大学脑血管病介入方向在校的150名博士研究生发放调查问卷，并对其中33名进行访谈，对脑血管病介入治疗方向博士关于专培并轨培养模式的认同及认知情况进行调查。 结果 收回有效问卷125份（83.3%）。125名博士对专培并轨制度的整体了解情况，非常了解12名（9.6%），一般了解95名（76.0%），不了解18名（14.4%），不同类型的学生专培并轨的认知差异有统计学意义（P<0.001）。获取专培并轨制度的途径主要来自网络媒体（67.2%）、官方平台（49.6%）。调研对象对专培并轨制度的认同水平并不理想（40.8%），但是对专培并轨模式的接受度较高（90.4%）。专培并轨最大的优势是能够减少医学高级人才的培养时间，学生对于同工同酬的意愿较为强烈。 结论 神经外科博士对专培并轨培养模式的认知度需进一步增强，可通过互联网平台进一步拓宽宣传渠道。学生对培养的需求集中在临床操作能力的提升上，担忧主要来自待遇及培养质量等。 Abstract: Objective To explore the integrated training model of clinical medicine doctor education and the standardization training of specialists in neurointervention. Methods We investigated the satisfaction and cognition of integrated training model of professional degree education in clinical medicine and the standardization training of specialists, by conducting questionnaires and interviews with doctoral students in neuro-intervention in Capital Medical University from January 2018 to October 2022. Results The final analysis was based on 125 valid questionnaires and 33 interviews. The overall understanding of 125 students about the integrated training were as follows, 12 (9.6%) very well, 95 (76.0%) generally, 18 (14.4%) not well, and different types of students had different cognition of integrated training (P<0.001). The most common way to know about integrated training was network media (67.2%), followed by official website (49.6%). The recognition level of the integrated training system for interviewees was not ideal (40.8%), but the acceptance of the integrated training model was high (90.4%). The students had a strong desire for equal pay for equal work. The greatest advantage of the integrated training is that it can reduce the training time. Conclusions The understanding of the integrated training model of clinical medicine doctor training and specialist training should be strengthened. The online platform can be used approach for further publicity. The demand of students for training mainly focused on improving clinical practice ability, and the main concern was the income and quality of training.

Keywords

• 脑血管病
• 介入治疗
• 并轨培养
• 博士研究生
• cerebrovascular disease
• interventional therapy
• integrated training
• doctoral student