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[目的]评价重庆市对全科医师培训人文执业技能的效果,从而进一步优化培训、提高全科医师人文执业能力。[方法]2008年9月至2009年9月重庆医科大学人文医学执业技能培训基地对重庆市全科医师82人进行了培训,培训中采用SEGUE量表对参加培训的全科医师在未培训和培训结束2个阶段分别就其医患沟通能力进行测试,对测试分数使用SAS 9.0作统计分析,并进行配对设计的t检验或配对符号秩和检验。[结果]被测试的82名全科医师在医患沟通技能总体成绩和5个维度成绩方面均有差异,培训前平均得分9.82分,培训后为18.89分,培训后得分高于培训前,差异有统计学意义(P<0.01)。0～15分段的学员从培训前93%锐减至培训后5%,培训前达到“优秀”和“良好”的比例由零增至93%。[结论]全科医师参加培训后人文医学执业技能水平有大幅度提高,应当从教学内容、教学方式、考核方式、师资配备四方面进一步改进培训。
[Objective] To evaluate the effect of training humanistic practicing skills of general practitioners in Chongqing, so as to further optimize training and improve the humanistic practicing ability of general practitioners. [Methods] From September 2008 to September 2009, a total of 82 general practitioners of Chongqing Medical College were trained in Human Medical Practitioners Training Base of Chongqing Medical University. SEGUE scale was used to evaluate the training of GPs in untrained and At the end of the training, the doctor-patient communication ability was tested in two stages respectively. SAS 9.0 was used for statistical analysis of the test scores, and the paired t-test or paired-symbol rank sum test was conducted. [Results] The 82 general practitioners tested differed in overall achievement and 5 dimensions of doctor-patient communication skills, with an average of 9.82 points before training and 18.89 points after training. The scores after training were higher than those before training, and the differences There was statistical significance (P <0.01). The trainees from 0 to 15 dropped sharply from 93% before training to 5% after training, and the proportion of “good” and “good” before training increased from zero to 93%. [Conclusion] The general practitioner ’s practicing abilities in humanistic medicine have greatly increased after attending training. The training should be further improved from the aspects of teaching contents, teaching methods, examination methods and teacher’ s equipment.