基础医学与临床 ›› 2026, Vol. 46 ›› Issue (8): 1159-1162.doi: 10.16352/j.issn.1001-6325.2026.08.1159

• 医学教育 • 上一篇    下一篇

全科医师外科技能培训现状调查

乔逸1, 朱炳臣2, 沙悦2, 林雪3, 黄程锦2, 徐娜2, 曾学军2*   

  1. 中国医学科学院北京协和医学院 北京协和医院 1.泌尿外科;2.全科医学科;3.心内科,北京 100730
  • 收稿日期:2025-12-18 修回日期:2026-05-06 发布日期:2026-07-22
  • 通讯作者: *zengxj@pumch.cn
  • 基金资助:
    北京市住院医师规范化培训质量提高项目(住培2022063)

Survey on the current status of surgical skills training for general practitioners

QIAO Yi1, ZHU Bingchen2, SHA Yue2, LIN Xue3, HUANG Chengjin2, XU Na2, ZENG Xuejun2*   

  1. 1. Department of Urology; 2. Department of General Medicine; 3. Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2025-12-18 Revised:2026-05-06 Published:2026-07-22
  • Contact: *zengxj@pumch.cn

摘要: 目的 探索外科技能培训在全科医师教育中的意义、现存问题及解决措施。方法 本研究以问卷形式调查了北京协和医院全科医学科2014年8月至2022年5月正在接受住院医师规范化培训和已完成住院医师规范化培训的全科医师30名,以及指导教师4名。问卷内容包括被调查者基本情况、对外科培训重要性的认知程度评价、医师认为外科培训目前存在的问题以及针对上述问题可能采取的解决方法等问题。问卷利用“问卷星”软件进行发放和填写。结果 外科技能培训是全科医学教育的重要组成部分,基本外科、骨科是全科医师认为的需要重点培训科室;另外在外科技能中,换药、拆线等操作对于全科医师来说需重点掌握。但目前的外科培训模式存在临床实践少、缺乏实践机会等问题。结论 外科技能培训是全科医学教育的重要组成部分,有助于培养全科医师的外科临床实践能力。外科技能培训方法仍存在许多缺陷和不足。了解全科医师对外科培训的认知情况,有助于教育管理者有针对性地设计和实施外科技能培训。

关键词: 全科医学教育, 外科技能培训

Abstract: Objective To explore the significance of surgical skills training in general practitioner education, the existing problems, and solutions. Methods A questionnaire survey was conducted among general practitioners undergoing and those who had completed standardized residency training at the Department of General Medicine, Peking Union Medical College Hospital from August 2014 to May 2022, as well as their instructors. The questionnaire included the respondents′ basic information, evaluation of the importance of surgical training, perceived current problems in surgical training, and potential solutions to these problems. The questionnaire was distributed and completed using the “Questionnaire Star” software. Results Surgical skills training was an essential part of general medical education. General practitioners identified general surgery and orthopedics as key departments requiring focused training. Additionally, specific surgical skills, such as wound dressing and suture removal, were crucial for general practitioners. However, the current surgical training model faced issues such as limited clinical practice and lack of practical opportunities. Conclusions Surgical skills training is a vital component of general medical education, contributing to the development of general practitioners′ surgical clinical practice capabilities. Nonetheless, the current methods of surgical skills training have many deficiencies. Understanding general practitioners′ perceptions of surgical training can help educational administrators design and implement targeted surgical skills training programs.

Key words: general practitioner education, surgical skills training

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