Homogeneity of standardized training for psychiatry residents in Jiangsu Province

doi:10.3877/cma.j.issn.1674-0785.2019.12.013

Abstract

Abstract:

Objective

To investigate the homogenization of standardized training for psychiatrists in Jiangsu Province.

Methods

One hundred and six trained psychiatry residents from seven mental training bases in Jiangsu Province were selected as the subjects. A questionnaire was designed for field investigation.

Results

There was no significant difference in sex, age, source, working time, or medical practising certificate among the psychiatry residents from different hospitals (P>0.05), but there was a significant difference in educational background and training time (P<0.01). In terms of clinical ability, there were significant differences in psychiatry knowledge, general clinical knowledge, and clinical basic skills among hospital students (P<0.05). Compared with the hospitals with the highest score, the scores of three psychotic hospitals and one general hospital were lower (P<0.05), and the scores of general clinical knowledge and basic skills were lower (P<0.05). The scores of psychiatry knowledge, general clinical knowledge, and basic skills in each hospital were then compared. There were significant differences between the two general hospitals and three psychotic hospitals (P<0.05). When the scores of psychiatry knowledge, general clinical knowledge, and basic skills in each hospital were compared with those with the highest score, one general hospital had a lower score of psychiatry knowledge (P<0.05), and all hospitals had a lower score of general clinical knowledge (P<0.05). In terms of comprehensive ability, there were significant differences in clinical ability, scientific research ability, and humanistic quality psychiatry residents from different hospitals (P<0.05), but there was no significant difference in health or psychology (P>0.05). Compared with the hospitals with the highest score, all four psychotic hospitals and one general hospital had lower scores of clinical ability (P<0.05), two psychotic hospitals and one general hospital had lower scores of scientific research ability (P<0.05), and the scores of scientific research ability of two psychotic hospitals and one general hospital were significantly lower (P<0.05).

Conclusion

The homogenization level of mental education in Jiangsu Province needs to be further improved.

Key words: Standardized training, Training effect, Homogeneity, Psychiatry

Yuanhong Shi, Shasha Cui, Ping Tong, Liping Dong, Xia Gao. Homogeneity of standardized training for psychiatry residents in Jiangsu Province[J]. Chinese Journal of Clinicians(Electronic Edition), 2019, 13(12): 938-942.

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Figures/Tables 3

References 16

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住培基地	总例数	性别（例）			年龄（岁，（±s）		来源（例）
住培基地	总例数	男	女		年龄（岁，（±s）		委托培养		本院职工		社会招生		研究生
综合1	14	5	9		26.4±2.3		7		2		2		3
综合2	14	6	8		27.2±1.7		9		4		0		1
综合3	6	4	2		26.0±1.4		6		0		0		0
专科1	41	14	27		27.5±2.0		23		13		5		0
专科2	10	8	2		28.0±1.9		3		7		0		0
专科3	9	3	6		27.4±2.4		3		5		1		0
专科4	12	3	9		27.3±2.5		4		5		0		3
统计值	?	χ²=-0.578			F=1.169		F=3.210
P值	?	0.620			0.329		0.782
住培基地	总例数	学历（例）				工作时间（年，±s）		有无医师执业证书（例）				住培时间（个月，±s）
住培基地	总例数	本科		硕士研究生		工作时间（年，±s）		有		无		住培时间（个月，±s）
综合1	14	10		4		0.5（0~3.3）^a		9		5		8.0（6.0~18.0）^a
综合2	14	14		0		1.75（0.5~3.3）		7		7		18.0（18.0~18.0）^a
综合3	6	5		1		0.5（0~1.3）^a		3		3		31.0（21.0~31.3）
专科1	41	35		6		2.0（0~4.0）		31		10		17.0（8.0~31.0）^a
专科2	10	10		0		3.5（1.0~5.3）		7		3		6.5（6.0~7.5）^a
专科3	9	4		5		2.0（0~2.5）^a		7		2		7.0（5.5~13.0）^a
专科4	12	12		0		0.5（0~4.5）		9		3		19.5（17.3~25.5）
统计值	?	F=-2.640				Z=1.573		F=-1.766				Z=6.305
P值	?	0.007				0.163		0.097				<0.001

住培基地	总例数	性别（例）			年龄（岁，（±s）		来源（例）
住培基地	总例数	男	女		年龄（岁，（±s）		委托培养		本院职工		社会招生		研究生
综合1	14	5	9		26.4±2.3		7		2		2		3
综合2	14	6	8		27.2±1.7		9		4		0		1
综合3	6	4	2		26.0±1.4		6		0		0		0
专科1	41	14	27		27.5±2.0		23		13		5		0
专科2	10	8	2		28.0±1.9		3		7		0		0
专科3	9	3	6		27.4±2.4		3		5		1		0
专科4	12	3	9		27.3±2.5		4		5		0		3
统计值	?	χ²=-0.578			F=1.169		F=3.210
P值	?	0.620			0.329		0.782
住培基地	总例数	学历（例）				工作时间（年，±s）		有无医师执业证书（例）				住培时间（个月，±s）
住培基地	总例数	本科		硕士研究生		工作时间（年，±s）		有		无		住培时间（个月，±s）
综合1	14	10		4		0.5（0~3.3）^a		9		5		8.0（6.0~18.0）^a
综合2	14	14		0		1.75（0.5~3.3）		7		7		18.0（18.0~18.0）^a
综合3	6	5		1		0.5（0~1.3）^a		3		3		31.0（21.0~31.3）
专科1	41	35		6		2.0（0~4.0）		31		10		17.0（8.0~31.0）^a
专科2	10	10		0		3.5（1.0~5.3）		7		3		6.5（6.0~7.5）^a
专科3	9	4		5		2.0（0~2.5）^a		7		2		7.0（5.5~13.0）^a
专科4	12	12		0		0.5（0~4.5）		9		3		19.5（17.3~25.5）
统计值	?	F=-2.640				Z=1.573		F=-1.766				Z=6.305
P值	?	0.007				0.163		0.097				<0.001

住培基地	精神科知识	一般临床知识	基本技能	F值	P值
综合1	82.4±8.5	73.8±13.1^b	79.3±4.8	2.939	0.065
综合2	69.5±8.1^ab	69.8±9.7^b	78.1±5.9	5.162	0.010
综合3	86.7±7.3	73.2±4.2^b	81.5±3.0	10.486	0.001
专科1	71.4±10.7^a	62.2±11.5^ab	73.9±7.0^a	15.712	<0.001
专科2	76.3±10.0	58.9±8.7^ab	73.6±6.8^a	11.839	<0.001
专科3	75.5±12.5^a	65.4±15.2^b	76.1±7.8	2.183	0.135
专科4	71.7±12.1^a	62.5±10.9^ab	73.4±9.5^a	3.482	0.042
F值	4.186	3.343	2.518	?	?
P值	0.001	0.005	0.026	?	?

住培基地	精神科知识	一般临床知识	基本技能	F值	P值
综合1	82.4±8.5	73.8±13.1^b	79.3±4.8	2.939	0.065
综合2	69.5±8.1^ab	69.8±9.7^b	78.1±5.9	5.162	0.010
综合3	86.7±7.3	73.2±4.2^b	81.5±3.0	10.486	0.001
专科1	71.4±10.7^a	62.2±11.5^ab	73.9±7.0^a	15.712	<0.001
专科2	76.3±10.0	58.9±8.7^ab	73.6±6.8^a	11.839	<0.001
专科3	75.5±12.5^a	65.4±15.2^b	76.1±7.8	2.183	0.135
专科4	71.7±12.1^a	62.5±10.9^ab	73.4±9.5^a	3.482	0.042
F值	4.186	3.343	2.518	?	?
P值	0.001	0.005	0.026	?	?

住培基地	临床能力	科研能力	人文素质	健康和心理	综合能力
综合1	235.5±22.8	69.3±18.8	92.6±4.6	75.2±23.9	472.6±43.6
综合2	217.5±11.5^a	55.2±16.9^a	85.9±5.2^a	64.5±18.3	423.1±27.6^a
综合3	241.3±9.8	56.7±13.7	74.7±7.1^a	88.8±12.4	461.5±32.2
专科1	207.5±23.1^a	54.4±15.7^a	90.6±5.0	75.9±18.3	428.4±40.4^a
专科2	208.8±17.9^a	47.4±9.5^a	90.9±4.5	79.1±18.3	426.2±24.5^a
专科3	217.1±29.7^a	67.7±17.4	89.3±3.6	67.1±12.2	441.2±42.6
专科4	207.6±26.9^a	59.9±18.7	88.7±7.2	75.1±18.9	431.3±27.6^a
F值	4.623	2.781	10.155	1.659	3.423
P值	<0.001	0.015	<0.001	0.139	0.004

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