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1.陆军军医大学第一附属医院(西南医院)临床技能培训中心,重庆 400038
2.陆军军医大学第一附属医院全科医学科,重庆 400038
3.陆军军医大学卫生统计学教研室,重庆 400038
4.陆军军医大学第一附属医院临床教学管理中心,重庆 400038
邹丽琴,Email:lqzou2006@163.com
纸质出版日期:2023-09-20,
收稿日期:2022-01-17,
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王娟, 张倩, 宋秋月, 等. 基于基层部队“疾病谱”调查的全科军医胜任力培养分析与思考[J]. 中华医学教育探索杂志, 2023, 22(9): 1431-1435.
Wang Juan, Zhang Qian, Song Qiuyue, et al. Analysis and thoughts of competency training of military general practitioners in grass-root troops based on an investigation of disease spectrum[J]. Chinese Journal of Medical Education Research, 2023,22(9):1431-1435.
王娟, 张倩, 宋秋月, 等. 基于基层部队“疾病谱”调查的全科军医胜任力培养分析与思考[J]. 中华医学教育探索杂志, 2023, 22(9): 1431-1435. DOI: 10.3760/cma.j.cn116021.
Wang Juan, Zhang Qian, Song Qiuyue, et al. Analysis and thoughts of competency training of military general practitioners in grass-root troops based on an investigation of disease spectrum[J]. Chinese Journal of Medical Education Research, 2023,22(9):1431-1435. DOI: 10.3760/cma.j.cn116021‐20220117‐01435.
目的
2
调查分析基层部队的常见疾病谱,为满足官兵军事医学保障需求提供依据,提高基层部队全科军医能力培养的针对性。
方法
2
参照国际疾病分类标准,以基层部队基层军医为对象,针对146种疾病的常见程度评价进行问卷调查。采用SPSS 23.0进行分析,对疾病进行常见程度评分,将每个疾病的平均分进行排序。同时,采用Kendell一致性检验对不同海拔、不同部队医师评分进行比较。
结果
2
基层军医以20~39岁男性本科毕业生为主,109人(51.90%)未参加继续教育;所属卫生连140人(66.67%)、卫生排11人(5.24%)、卫生所35人(16.67%)、卫生队24人(11.42%);部队所属地域温带42人(20.00%)、亚热带56人(26.67%)、高寒地带57人(27.14%)、平原37人(17.62%)、海岛18人(8.57%);日均诊治病患年龄主要集中在20~29岁,占比173人(82.38%)。来自不同海拔的基层医师对146种疾病的评价具有一致性[Kendell’s
W
=0.968(
χ
2
=711.51,
P
<
0.001)]。
结论
2
结合“疾病谱”调查分析,制定特色化军队全科医生培养目标与内容,探索军队基层全科医生培养模式与方法,推动新军事变革时期军事医学全科人才建设,提高军医岗位胜任力。
Objective
2
To investigate the common disease spectrum of grass-root troops
to provide a basis for meeting the needs for military medical support among officers and soldiers
and to improve targeted training of military general practitioners in grass-root troops.
Methods
2
With reference to International Classification of Diseases (9th edition)
a questionnaire survey was conducted to investigate 146 types of diseases among the military doctors in grass-root troops. SPSS 23.0 was used to determine the score of the common degree of each disease
and the mean score of each disease was ranked. At the same time
the Kendell consistency test was used to compare the scores of doctors between different altitudes and troops.
Results
2
Most grass-root military doctors were male graduates aged 20-39 years
among whom 109 (51.90%) did not receive continuing education
and there were 140 doctors (66.67%) belonging to the health company
11 (5.24%) belonging to the health platoon
35 (16.67%) belonging to the health clinic
and 24 (11.42%) belonging to the health team. As for the location of the troops
there were 42 doctors (20.00%) in the temperate zone
56 (26.67%) in the subtropical zone
57 (27.14%) in the alpine region
37 (17.62%) in the plains
and 18 (8.57%) on the islands. There were 173 patients with an age of 20-29 years
accounting for 82.38%. The Kendell consistency test showed Kendell's
W
=0.968 (
χ
2
=711.51
P
<
0.001)
suggesting a consistent evaluation of 146 diseases by grass-roots doctors from different altitudes.
Conclusion
2
With reference to the investigation of disease spectrum
it is necessary to formulate characteristic training objectives and contents for the training of military general practitioners
explore the training models and methods for military general practitioners in grass-root troops
promote the construction of military general practitioners during the new military reform
and improve the post competency of military doctors.
基层部队疾病谱全科军医胜任力培养
Grass-root troopDisease spectrumMilitary general practitionerCompetency training
黄俊龙, 江鹏亮, 沈志雷, 等. 海军基层军医职业发展存在的问题及对策[J]. 海军医学杂志, 2016, 37(1): 77-78. DOI: 10.3969/j.issn.1009-0754.2016.01.028http://dx.doi.org/10.3969/j.issn.1009-0754.2016.01.028.
王荣英, 贺振银, 支晓, 等. 综合性三级医院设置全科医学科的必要性[J]. 河北医科大学学报, 2016, 37(3): 351-354. DOI: 10.3969/j.issn.1007-3205.2016.03.030http://dx.doi.org/10.3969/j.issn.1007-3205.2016.03.030.
鲁娟, 王禹, 郭玉峰. 军医大学生岗位胜任力模型构建结果与分析[J]. 基础医学教育, 2020, 22(12): 940-943. DOI: 10.13754/j.issn2095-1450.2020.12.24http://dx.doi.org/10.13754/j.issn2095-1450.2020.12.24.
赵晋, 董自西, 张旭东, 等. 军队全科医学(边海防军医)专业的定位与思考[J]. 人民军医, 2015, 58(8): 867-869.
孔燕, 左延莉, 申颖, 等. 全科医学社区实践基地实践教学质量评价指标体系的构建研究[J]. 中国全科医学, 2020, 23(34): 4362-4371. DOI: 10.12114/j.issn.1007-9572.2020.00.456http://dx.doi.org/10.12114/j.issn.1007-9572.2020.00.456.
Zhao W, He L, Deng W, et al. The effectiveness of the combined problem-based learning (PBL) and case-based learning (CBL) teaching method in the clinical practical teaching of thyroid disease [J]. BMC Med Educ, 2020, 20(1): 381. DOI: 10.1186/s12909-020-02306-yhttp://dx.doi.org/10.1186/s12909-020-02306-y.
Torre DM, van der Vleuten C, Dolmans D. Theoretical perspectives and applications of group learning in PBL [J]. Med Teach, 2016, 38(2): 189-195. DOI: 10.3109/0142159X.2015.1009429http://dx.doi.org/10.3109/0142159X.2015.1009429.
Wang A, Xiao R, Zhang C, et al. Effectiveness of a combined problem-based learning and flipped classroom teaching method in ophthalmic clinical skill training [J]. BMC Med Educ, 2022, 22(1): 487. DOI: 10.1186/s12909-022-03538-whttp://dx.doi.org/10.1186/s12909-022-03538-w.
王炳坤, 王小霞, 张衍国. 基层军医继续医学教育现状与对策[J]. 人民军医, 2020, 63(10): 976-978, 992. DOI: 10.3969/j.issn.1000-9736.2020.10.015http://dx.doi.org/10.3969/j.issn.1000-9736.2020.10.015.
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