上海市5所三甲医院住院医师突发公共卫生事件应急能力培训现况调查

李萍萍; 翁玲; 董璐

doi:10.3760/cma.j.cn116021-20240211-02076

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上海市5所三甲医院住院医师突发公共卫生事件应急能力培训现况调查

住院医师规范化培训 | 更新时间：2025-08-08

- 上海市5所三甲医院住院医师突发公共卫生事件应急能力培训现况调查
- A survey on the current situation of public health emergency response training for resident physicians at five tertiary hospitals in Shanghai, China
- 中华医学教育探索杂志 2025年24卷第7期页码：976-984
- 作者机构：
  
  1.上海交通大学医学院附属上海儿童医学中心儿科临床医学院，上海 200127
  2.福建省妇幼保健院科教科，福州 350000
- 作者简介：
  
  董璐，Email：donglu@scmc.com.cn
- 基金信息：
  
  2022年毕业后医学教育项目(BYH20220412);上海交通大学医学院关于2022年度科技创新项目（人文社科类）课题(WK2217);福建医科大学教改项目(J22021);Fujian Medical University Education Reform Project(J22021)
- DOI：10.3760/cma.j.cn116021-20240211-02076
  中图分类号： R-05
- 收稿日期：2024-02-11，
  
  纸质出版日期：2025-07-20
- 稿件说明：
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李萍萍, 翁玲, 董璐. 上海市5所三甲医院住院医师突发公共卫生事件应急能力培训现况调查[J]. 中华医学教育探索杂志, 2025, 24(7): 976-984.

Li Pingping, Weng Ling, Dong Lu. A survey on the current situation of public health emergency response training for resident physicians at five tertiary hospitals in Shanghai, China[J]. Chinese journal of medical education research, 2025, 24(7): 976-984.
李萍萍, 翁玲, 董璐. 上海市5所三甲医院住院医师突发公共卫生事件应急能力培训现况调查[J]. 中华医学教育探索杂志, 2025, 24(7): 976-984. DOI： 10.3760/cma.j.cn116021-20240211-02076.

Li Pingping, Weng Ling, Dong Lu. A survey on the current situation of public health emergency response training for resident physicians at five tertiary hospitals in Shanghai, China[J]. Chinese journal of medical education research, 2025, 24(7): 976-984. DOI： 10.3760/cma.j.cn116021-20240211-02076.

摘要

目的

为明确住院医师突发公共卫生事件应急能力培训现况、需求和培训效果，旨进一步完善住院医师突发公共卫生事件应急能力培训内容，提高住院医师应对突发公共卫生事件应急能力。

方法

采用问卷调查的方式，选取上海交通大学医学院附属5家在培的住院医师规范化培训学员作为调查对象，有794名住院医师接受了调查，问卷内容包括一般资料，应急培训现况和培训需求以及应急培训效果，采用卡方分析、方差分析以及LSD事后多重比较法对不同年级、不同专业的住院对突发公共卫生事件知晓情况、培训需求以及培训效果进行比较分析。

结果

目前住院医师对突发公共事件的知晓程度较高，但是不同年资的住院医师的知晓率有差异，在对“群体性不明原因疾病”和“群体性预防接种反应和群体性药物反应”，高年级的住院医师认知率要高于低年级的住院医师（

=9.41，

0.05；

=10.90，

0.05）；从培训现况和需求来看，住院医师更倾向于理论、技能和模拟演练相结合的应急能力培训，且希望增加例如风险沟通能力、冲突管理能力等培训内容。在培训效果方面，住院医师对行为层的培训效果自评分数最高为（8.32±1.52）分，各层的得分为8分以上，为“良好”水平，且不同专业的住院医师突发公共卫生事件应急能力培训效果有区别，且有统计学差异（

=4.44，

0.001），全科住院医师的应急处置能力培训效果要高于儿科、妇产科、麻醉科、内科学和外科学，儿外科要高于儿科和妇产科，急诊要高于儿科、妇产科。

结论

加强突发公共卫生事件应急能力培训的模拟演练培训，应急能力培养中除了关注医学相关能力的提升，也需要对相关法律法规知识、风险沟通能力和冲突管理等能力进行培训。不同临床专业的应急能力培养效果有差异，可能与临床专业背景的性质有关，在今后的课程设置中可以根据专业背景设置有针对性的应急课程培训。

Abstract

Objective

To clarify the current situation

needs

and effectiveness of public health emergency response training for resident physicians

further improve the training content

and enhance their ability to respond to public health emergencies.

Methods

A questionnaire survey was conducted among 794 resident physicians who were undergoing standardized residency training at 5 affiliated hospitals of Shanghai Jiao Tong University School of Medicine. The questionnaire included general information

emergency training status

training needs

and emergency training effectiveness. Chi-square test

analysis of variance

and least significant difference post hoc multiple comparisons were used to analyze the awareness

training needs

and training effectiveness of residents of different training years and specialties.

Results

Overall

resident physicians showed high levels of awareness about public health emergencies

but there were

differences in the awareness rate among resident physicians of different training years. In terms of "clusters of unexplained diseases" and "adverse reactions to mass immunizations and drug exposures"

the awareness rate of senior resident physicians was higher than that of junior resident physicians (

=9.41

0.05;

=10.90

0.05). In terms of training status and needs

resident physicians preferred emergency capability training that combines theory

skills

and simulation exercises. They also suggested to adding training content such as risk communication skills and conflict management skills. In terms of training effectiveness

the highest self-evaluation score for training effectiveness at the behavioral level was (8.32±1.52) points

with an average score of 8 points or above for each level

indicating a "good" level of effectiveness. Moreover

the training effectiveness of emergency response capabilities varied significantly for resident physicians with different specialties (

=4.44

0.001). The training effectiveness of emergency response capabilities was higher for general resident physicians than for residents in pediatrics

obstetrics and gynecology

anesthesia

internal medicine

and surgery; higher for pediatric surgery residents than for residents in pediatrics and obstetrics and gynecology; and higher for emergency medicine residents than for residents in pediatrics and obstetrics and gynecology.

Conclusions

The simulation training for public health emergency response should be strengthened. In addition to the improvement of medical abilities

it is necessary to provide training on relevant legal and regulatory knowledge

risk communication skills

and conflict management skills. The effectiveness of emergency response training varies among different clinical specialties

which may be related to the nature of the clinical professional background. In future course design

targeted emergency training courses can be set up based on professional background.

关键词

Keywords

references

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