| ObjectiveFind out the gap between national rural health talent team construction through the analysis of the present situation of rural doctors in Jilin province. Through the investigation of graduated rural doctors from village health technology training program in Jilin province (hereinafter referred to as "training project"), understand the needs of degree education for these rural doctors, find out the existing problems and the related factors in rural doctors degree education, propose relevant strategies and suggestion to degree education of rural doctors at the present stage and provide relevant departments in government with the scientific basis to formulated relevant policies on rural doctors degree education.MethodsAdopt the quantitative research method primarily, combining with qualitative research method, including:1.Questionnaire: With convenient sampling, choose all the graduated rural doctors from our school in "training project" of Jilin province easily as research samples. There are altogether 718 rural doctors in 3 periods, who come from 42 cities and towns in 9 districts. The questionnaire survey was carried out with the self-made investigation forms.2. Literature: Collect data by means of the network and undertook a systematic retrieval on literature material, knowing about the village doctor degree education laws, regulations, policies and the present research situation.ResultsWith the Total 713 questionnaires collected, there were 709 effective copies, the qualified rate being 99%.1.In 2010, The present situation of rural doctors in Jilin province: the total number of rural doctors and health workers is19774. Among them, there were 2523 doctors having the practice (assistant) qualifications. and 2.16 rural doctors on average for each village. In 2009, the number of rural doctors and health workers was up to 0.97 per day. Rural doctors with college or above degree accounting for 11.95% 2.Basic situations of the objects: (1) Male accounted for 65.02%. (2) Doctors of 31-40 aged for 67.98%. (3) Those practicing medicine for over five years accounted for 90.9%. (4) those specializing in western medicine accounted for 64.46%,(1)The participants who had acquired system medical education hold the percent of 94.78%. This includes education system is the percent of 55.95% of general education. The major which is clinical medicine hold the percent of 76.94%(.2)The participants who had received on-the–job training hold the percent of 95.06%, among of them; the time of training with at least four times is the percent of 74.63%.3. Participant's education requirements: All the participants considered that it is necessary to train curricular education toward country doctors.(1)Acquired curricular education aim to update their knowledge, are able to enhance their theory level. Meanwhile, the times of improving clinical competence(2)There is the percentage of 29.06% of respondents considered that the best class hours of the curricular education sabbatical study over 201 to 300. and nearly over 301 to 400 study hours rank the percentage of 45.56%.(3)There is the percentage of 72.21% of people considered that the higher medical college should be the best location of curricular education training.(4)There is the percentage of 62.06% of participants believed that semi-sabbatical regular intensive training should be the best type.(5)There is the percentage of 26.52% of participants considered that the main reason which caused missing the curricular education is the exorbitant tuition, and some of participants drowned themselves in work hold 55.71%(.6)Nearly 55.43% of the respondents considered that the teaching material they chose is adequate.(7)the diagnosis and treatment of the common diseases and frequently occurring illness are very important teaching materials.4.(1) 87.59% lacks the practicing (assistant) physician. The people who never take the practicing (assistant) physician exam accounts for 52.82%.(2) Those people accounts for 50.17% who failed the exam believed that written test is much more complex and difficult. And aimless in training accounts for 41.98%.(3) Those people accounts for 56.71% who without higher education is the primary cause of absent from professional qualification of exam of physician.Conclusions1. The numbers of the rural doctors of Jilin Province has already basically met the requirement of the village-scale health organization. However, because of the low academic level and the practical capacity, Jilin Province cries for further carry on the academic-degree education towards the rural doctors, in order to construct of a group of valid educational structure and high-quality for rural doctors, and lays a solid foundation to the transformation of licensed assistant doctors.2. The sources of the rural doctors in Jilin Province have three characteristics: First, a large proportion of males, the age structure are reasonable; the second is long-life practice, concentrated in the professional; Third, more education and experience, medical base is relatively weak.3. The academic education towards the rural doctors in Jilin Province should be reformed. (1)Appropriately increase the teaching hours in training program of academic-degree education to rural doctors. (Adjust to 300-350 credit-hours per year). On the one hand, the increasing hours can be used to open General Medicine Outline and Interpersonal Communication Courses. On other hand, to increase the major teaching contents in the Emergency medicine course and the nursing practice technique training courses. (2)Higher medical colleges are still the best place to accept the academic education. Academic-degree education is still the best training method towards semi-sabbatical and training on a regularly. And adjust the teaching schedule (April in spring and June in summer). (3) The academic education of the teaching content should focus on the common disease diagnosis and treatment technology. Should abide by the principle of"necessary, common and practical''. (4) The health department should build up practice-training base and draw up practice criterion on the origin of rural doctors.(5) Revised the training program of academic-degree education to the rural doctors in Jilin Province(Attachment 3). |
