Investigation On Present Situation Of Resident Standardization Training In Chongqing And Analysis Of Influencing Factors

Objective:Through the questionnaire survey to understand the status of implementation of the standardized training of residents in Chongqing City, and analyze its influence factors. For the health administrative departments to develop specific training policy and promoting the development of homogenization the standardized training of residents in Chongqing city to provide reference.Methods:1, Literature analysis: read a lot and this topic related research and literature on this topic research background and practical significance to have the full understanding, understanding of hospital related concepts of the standardized training of residents, ideas, theories, and research focus, this study provides reference.2, Group discussion method\expert interview method, in the research process, according to the problems encountered, organization of Chongqing municipal public health administrative department of science and Technology Department of leadership and invited some of Chongqing city the clinical specialist committee expert group discussions, interviews, from the perspective of managers in the solution of Chongqing city hospital standardized training of residents in the implementation of the problems encountered in the process and the corresponding solution.3, Questionnaire investigation method: using stratified random sampling method of Chongqing city hospital physician trainees in standardized training, director of science and education and the base of the secretary were conducted a questionnaire survey, understand their attitude and status of the standardized training of residents in the hospital.4,Statistical analysis: using excell table on the questionnaire data of collation and entry, using SPSS17.0 software to describe the data statistics, variance analysis and logistic regression analysis, with P values less than or equal to 0.05, the difference was statistically significant.Result:1, The participants issued a total of 300 questionnaires of students, of which 286 valid questionnaires, the questionnaire was 98.6%. The base and its management team of 50 questionnaires, 46 copies of the questionnaire, the recovery rate of 92%, of which 42 valid questionnaires, the questionnaire was 84%.2, Students of demographic factors on compliance training policy system cognition and evaluation of the effect of difference has statistical significance(P < 0.05) and mathematics in favor of compliance training system, that compliance training is more advantages than disadvantages, through compliance training help them to consolidate the theoretical knowledge, enhance the ability of practice and medical patient communication level, and expect instructor base can improve their teaching level and the compliance training responsibility, roughly half of the students think compliance training is generally satisfactory(51.79%).3, Students in the "environment" of information, most of the students that participate in the standardized training has certain pressure or pressure, but the main reason is that the income is too low due to economic pressure(78.26%), individual marriage family planning difficult to implement(48.52%), it is difficult to adapt to the high load of work(39.73%).4, Hospital and compliance training status difference was statistically significant(P < 0.05), most hospitals of compliance training attaches great importance to(88.10%), and to develop a compliance training quality control measures(76.19%), the compliance training tutorial system(71.42%), for students with a unified dormitory(83.33%), but most hospitals to tutor training each year in the number of 1- 2 times(70.73%), most of the hospital midway through the students dropped out of proportion between 0-1%(52.5%) and most of the students in middle school is because the establishment of employment, and base hospital in recent years, enrollment is increasing year by year the have 16(40%).5, Chongqing city nearly 3 years Doctor graduation exam pass rate fluctuation, the graduation examination qualified rate and practicing physician examination qualified rate, whether planned rotation, whether to carry out the three basics training, departmental rotation examination organization and index difference was statistically significant(P < 0.05).Countermeasures and suggestions:1, To strengthen the ideological guidance, the development of personalized training program. 2, Pay attention to the economic pressure of the students, improve the implementation details of the remuneration package. 3,Strengthen personnel training, strengthen the construction of teaching staff. 4,To build multi interactive platform, learning advanced experience in the area. 5,Full-time staff, and effectively implement the regulatory responsibility system.6,To strengthen the management of the Department, to alleviate the contradiction between the rules and the students.