目的:探讨影响执业医师资格考试成绩的院校教育因素.方法:对广西医科大学2011-2015年参加执业医师资格考试的1847名考生的执业医师资格考试成绩与其在校时相关课程的考试成绩进行相关分析.结果:考生在校期间的学习成绩与执业医师资格考试成绩有不同程度的相关,内科学、外科学、免疫学、病理学及生物化学与执业医师资格考试成绩的相关程度比较高.结论:医学生在校期间的学习效果是影响执业医师资格考试成绩的重要因素.
目的 了解大学生手机成瘾状况是否与年级和专业有关.方法:采取整群抽样法在广西某高校抽得700名大学生作为调查对象,发放问卷后回收得有效问卷671份.问卷采用手机成瘾指数表(MPAI),被调查对象对MPAI共17个条目中的8个条目做出肯定回答即被称为手机依赖者.结果 手机成瘾人数为202人,成瘾率为30.10% ;不同年级的大学生手机成瘾差异具有统计学意义(P<0.05);大二、大三年级学生的成瘾得分均高于大一年级和大四年级学生,差异具有统计学意义(P<0.05);不同专业大学生手机成瘾差异具有统计学意义(P<0.05);临床专业大学生手机成瘾得分上均低于口腔、预防和卫生管 理专业大学生,差异具有统计学意义(P<0.05).结论 该高校大学生手机成瘾率较高.大二、大三年级大学生成瘾率高于大一年级和大四年级大学生,大一、大四年级学生的较低手机成因率可能与新生刚入学的特性及大四生临近毕业有关.临床专业大学生手机成瘾率低于口腔、预防和卫生管理专业大学生,可能与临床专业课程繁多、考试频繁有关,该专业学生无太多时间分配在手机上.手机成瘾预防应重点着手大二、大三、口腔、预防和卫生管理专业的学生.
目的 探讨某医学院校毕业生临床执业医师考试成绩和通过率情况,为加强医学教育和深化改革提供参考.方法 回顾性分析2011年9月—2015年9月某医学院校1847名五年制临床医学毕业生的成绩和通过率情况,并与全国平均水平进行比较分析.结果 2011年9月—2015年9月,该医学院校临床执业医师资格考试总通过率分别高出全国26.07%、24.64%、28.59%、19.60%、17.69%;5年内我校实践技能考试通过率均在98.00%,笔试通过率从2011年的85.00% 提高到2015年的92.90%.结论 该院校考生执业医师资格考试成绩较好,临床医学掌握率最高,其次为医学人文,再次为预防医学,最后为基础医学.建议医学院校从教学理念、课程设置、教学内容和教学方法 、考核形式等方面进行改革,不断提高学校的教学质量.
Objective To investigate the rate of satisfaction of teachers from 7 national resident standardized training based hospitals of Guangxi to student's comprehensive vocational abilities,to find out the possible problems and discuss feasible countermeasures.Methods With a self-designed questionnaire,we conducted a survey in 533 teachers from 7 of the first national standardized residency training bases.The questionnaire includes two parts:general situation (gender,age,education,etc.) and evaluation content (professional ethics,interpersonal communication and teamwork ability,clinical professional ability,teaching and research capacity,etc.).With 5 Likert scale method,the responses to the questions were given 5 to 1 score points from positive to negative.The data were collected using Epidata 3.1 to establish the database,and using SPSS 20.0 statistical software for statistical description,t test and variance analysis.Results A total of 560 questionnaires were distributed,and we recovered 535,with a recovery rate of 95.5%.The number of valid questionnaire was 533 with an effective rate 99.6%.The survey indicated that 533 teachers thought highly of the comprehensive occupation ability of residents,and the average was 4.17 points.Professional ethics scored 4.44 points.Communication skills scored 4.15 points.Clinical ability scored 4.04 points.Scientific research ability scored 3.64 points.Different gender,age,education,professional title,hospital and department of the overall satisfaction score were different,and P values were 0.474,0.328,0.872,0.945,0.466,0.123 via t test and analysis of variance,and the difference was not statistically significant.Conclusion The overall satisfaction of professional ethics of Guangxi hospital training physicians is high.Interpersonal communication and coordination ability is relatively strong,clinical professional ability is passable,while teaching and scientific research ability is weak.
This study aimed at exploring the economic operation and developing trend of county-level public TCM hospitals in Guangxi Province,promoting the comprehensive reform of county-level public hospitals with feasible countermeasures and suggestions.In this study,forty-seven county-level public TCM hospitals were involved in the analysis of their economic operations and benefits by constituent ratio analysis,ratio analysis and trend analysis.As a result,the average gross income of the hospitals exceeded the total expenditure with a slight surplus.Drug income contributed the biggest share of the medical income,while the ratio of Chinese drug income to the medical income was increasing year by year.The debt ratio increased from 38.7% in 2009 up to 44.6% in 2013,being over 30% in this period.In conclusion,it was demonstrated that problems were found in the lack of financial assistance,the low efficiency of economic management and the increasing average medical charges,which should be addressed by increasing investments to TCM hospitals,strengthening the performance appraisal and adjusting the charges of TCM medical services.
Objective To study the demand of general doctors'professional skill in Guangxi Zhuang autonomaus region,and to enhance the professional skills and overall quality of general practitioners in Guangxi,thus to improve grassroots'health service capacity.Methods Through self -designed questionnaires and personal interviews,the author investigated the professional skills of general practitioners in rural township hospitals and urban community health service centers in Guangxi.Results The characteristics of the general practitioners in Guangxi were junior college degree,junior titles,youth and middle -aged.Part of the general practitioners thought that "working with the guide of community health information""teaching ability"and "the corresponding scientific research capabilities"did not belong to the scope of the general practitioners'professional skills demand,the percentage of these were 2%, 22%,26%.The teaching ability and the corresponding scientific ability of the general practitioner who were greater than 30 years,junior college degree and middle grade title and above,were better than the practitioners who were 20 -30 years,technical secondary degree,primary title(χ2 =12.886,1.945,57.473,53.276,30.458,29.141,all P <0.05).The general practitioners in Guangxi had a light awareness of teaching,scientific researching and other aspects.Conclusion We must emphasis on continuous medical education;establish and improve the system of general practitioners;establish and improve the two -way referral system.General practitioners must pay more attention on teaching and scientific researching.
Objective:To provide reference for promoting development of Chinese medicine by evaluating efficiency of county-level Chinese Medicine hospitals in Guangxi from 2009 to 2013 and analyzing its influencing factors. Methods:DEA was used to measure the efficiency of 64 county-level Chinese Medicine hospitals. Tobit model was used to measure the influencing factors of hospitals' efficiency. Results:43.8% hospi ̄tals were more concentrated in the 0.0≤Tecrs≤0.5 group-a low score group. Scale decreasing hospitals accounted for a high percentage of the to ̄tal number of hospital from 46.9% in 2009 increased to 71.9% in 2013. Financial subsidy revenue, health workers and other factors negatively correlated with hospital efficiency. Chinese medicine income,hospital compensation ratio of New Rural Cooperative Medical and other factors posi ̄tively correlated with hospital efficiency. Conclusion:The health authorities must establish and improve input-output evaluation mechanisms,op ̄timize regional health resources,and improve hospital management level.