Status Of Position Transition Training For General Practice In Chongqing

Objective:To know the status of position transition training for general practitioner in Chongqing, and put forward corresponding views and suggestion for problems, in order to formulate the scientific development planning of position transition training for general practitioner, and promote the development of this career.Methods:Iterature analysis, questionnaire and form, qualitative interviews, et al were used.1. Literature analysis:The related literature about position transition training for general practitioner was retrieved through the data base of CNKI,CQVIP, WanFang and PubMed, to understand the developing status at home and abroad and collect relative data.2. Questionnaire and Form:Cluster sampling was used for surveying the status of training at the bases responsible for position transition training, by means of questionnaire. As effectiveness evaluation after training, cluster sampling was first used for choosing 5 districts according to the development of community health service institution and actual training of staff. Cluster sampling was secondly used in medical staff and their agency leaders according to the list of position transition training for general practitioner in 2011 and 2012. The trained staff and non-trained staff were sampled based on the ratio 1:2. At last, purposive sampling of non-probability sampling was used for choosing 1-2 patients served by above medical staff.3. Qualitative interviews:A scene cross-sectional survey and qualitative interviews were mad for evaluation of training status in trained staff, trainer and train managerial personnel.Results:1.With relatively low educational level and too great gap of professional standards, the title and qualifications of trained staff need be improved.2.Because of lots of teaching methods, trained staff had a high satisfaction on trainer who specialized in theory, while they had less satisfaction on trainer who specialized in practice.3. Most trained staff were improved and advanced by good effect of training.4.Trained staff could grasp the relative clinical and community health skill well; and they would participate in the relative training in the future.5. The degree, titles and earnings of general practitioner surveyed were not ideal. After getting general qualifications, they didn’t desire to professional registration of general medical positively, so condition of registration was very poor.6. Leaders of trained staff supported training implementation because they knew about training more generally. Still some leaders opposed training because they thought that training would have a negative impact, such as contradiction between working and learning, increasing departure rate of trained doctors.7. Actual application situation of knowledge and skills was better after the training. However, there were levels of inequality, which had great relationship with the specialty level of staff own. Faced with many influence factors, application situation was vulnerable to be impacted by knowledge grasp and work environment.8. After the training, trained staff was recognized by their leaders and colleagues in working behavior ability, but there was no significant difference in evaluation of patient service.Suggestions:1. Enforce selection criteria of training general practitioner strictly.2. Raise the construction level of clinical practice bases, and strengthen the construction of practical training teaching staff.3. Strengthen the discipline inspection of clinical practice.4. Enhance the training to improve treatment level and to protect the interests of general practitioner.5. Pay more attention to lead and implement the professional registration of general medical.6. Develop continuing education actively, clear general professional positioning, and perform general diagnosis mode.