| 四川省2017–2020年儿科医师转岗培训学员结业后转归特点分析 |
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| 引用本文： | 杨敏,熊英,王一斌,董丽群,广章,高晓琳,杨婷,乔莉娜.四川省2017–2020年儿科医师转岗培训学员结业后转归特点分析[J].四川大学学报(医学版),2022,53(4):597-601. |
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| 作者姓名： | 杨敏 熊英 王一斌 董丽群 广章 高晓琳 杨婷 乔莉娜 |
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| 作者单位： | 四川大学华西第二医院 儿科 出生缺陷与相关妇儿疾病教育部重点实验室 （成都 610041） |
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| 基金项目： | 四川省学术带头人培养基金[No.（2017）919-23]和四川省科技厅重点研发项目（No. 2019YFS0245）资助 |
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| 摘 要： | 目的 探讨四川省儿科医师转岗培训学员结业后转归特点，以期为缓解儿科医师缺乏提供对策。 方法 通过问卷调查收集四川省2017年2月–2020年9月完成儿科医师转岗培训学员结业后工作量、薪酬变化等资料，比较转岗成功与不成功的学员特点。 结果 208人完成转岗培训，其中178人（85.6%）完成了本次调查，120人（67.4%）来自非儿科专业。大部分（>90%）学员来自二级及以下等级医疗医院，遍布所有四川省辖市及自治州。本研究中近四年来四川省儿科医师转岗培训的转岗成功率为85.0%（102/120），转岗成功率2017年为88.2%（15/17）、2018年为72.7%（16/22）、2019年为86.7%（39/45）、2020年为94.0%（32/34）。儿科医师转岗结业后转岗成功与否在性别、年龄、医院等级、转岗前专业、单位设立儿科、重视儿科程度、单位变动、薪酬变化及新冠疫情期间工作变化方面的差异无统计学意义（P均>0.05）。转岗成功学员较失败学员培训后工作量的变化差异有统计学意义（χ2=9.037，P=0.003），78.4%的学员认为转岗后工作量较转岗前增加。转岗成功与否和转岗后工作量变化之间存在较高强度相关〔|Phi（ψ）|=0.729〕。 结论 政府支持下的转岗培训制度为快速解决儿科医师不足的问题发挥了积极与重要的作用，但从根源上解决儿科医师工作量太大等问题仍是一个挑战。
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| 关 键 词： | 儿科医师 转岗培训 转归 继续教育 |
| 收稿时间： | 2021-06-27 |
Analysis of the Characteristics of the Outcomes of Job-Transfer Subspecialty Training Program in Pediatrics in Sichuan |
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| YANG Min,XIONG Ying,WANG Yi-bin,DONG Li-qun,GUANG Zhang,GAO Xiao-lin,YANG Ting,QIAO Li-na.Analysis of the Characteristics of the Outcomes of Job-Transfer Subspecialty Training Program in Pediatrics in Sichuan[J].Journal of West China University of Medical Sciences,2022,53(4):597-601. |
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| Authors: | YANG Min XIONG Ying WANG Yi-bin DONG Li-qun GUANG Zhang GAO Xiao-lin YANG Ting QIAO Li-na |
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| Affiliation: | Department of Pediatrics and Key Laboratory of Birth Defects and Related Disease of Women and Children of the Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu 610041, China |
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| Abstract: | Objective To discuss the characteristics of physician trainee outcomes after completion of the job-transfer subspecialty training in pediatrics, a program designed to increase the number of pediatricians, in Sichuan Province and to provide countermeasures for alleviating the shortage of pediatricians. Methods We collected with questionnaire surveys information on changes in the workload and salaries experienced by physicians who completed the job-transfer subspecialty training program in pediatrics between February 2017 and May 2020 in Sichuan Province. Then, we compared the characteristics of physicians who successful became pediatricians and those who did no. Results A total of 208 physicians completed the job-transfer subspecialty training program in pediatrics. Among them, 178, accounting for 85.6%, completed the questionnaire survey, and 120, accounting for 67.4%, had a background in other subspecialties than pediatrics. The majority (>90%) of physicians who participated in the training program came from secondary or lower levels of hospitals from the cities and prefectures all over Sichuan Province. In this study, we found that the rate of successful job transfer from being a physician to being a pediatrician in Sichuan Province in the past four years was 85.0% (102/120), with the year-by-year results being 88.2% (15/17) in 2017, 72.7% (16/22) in 2018, 86.7% (39/45) in 2019, and 94.% (32/34) in 2020. There was no significant difference between physicians who had successful job transfer and became pediatricians and those who failed to do so in terms of gender, age, hospital level, specialization prior to the job transfer, whether or not the hospital had a pediatrics department, amount of support for the pediatrics department, whether or not the physician was working at a new hospital after the job transfer, salaries, and changes of responsibilities during COVID-19 (all P>0.05). There was significant difference in the change of workload after completion of the training program between physicians who had successful job transfer and became pediatricians and those who failed to do so (χ2=9.037, P=0.003), and 78.4% of the trainees stated that their workload had increased after the job transfer. There was a moderate correlation between successful job transfer and changes in workload after the transfer (|Phiψ] |=0.729). Conclusions The policy of government-supported job-transfer subspecialty training in pediatrics has played an active and important role in the swift resolution of the shortage of pediatricians. However, finding the root cause of and addressing the problem of the overwhelming workload of pediatricians remain challenging issues to be resolved. |
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