蘇艷華　潘濤　陳秋金

摘? 要：目的：調(diào)查醫(yī)學院校臨床醫(yī)學專業(yè)碩士研究生對導師指導的滿意度，探究影響因素并為優(yōu)化導師指導提供借鑒。方法：對在讀臨床醫(yī)學碩士研究生進行問卷調(diào)查和訪談，采用多元線性回歸進行數(shù)據(jù)分析。結(jié)果：臨床醫(yī)學研究生對導師科研和臨床實踐指導滿意度評價總分分別為（4.47±0.50）分和（4.76±0.47）分，導師的學術(shù)和道德修養(yǎng)、科研指導頻度、提供課題參與度和學術(shù)交流是科研指導滿意度的影響因素（P<0.01），導師的醫(yī)德醫(yī)風、專業(yè)知識指導模式、跟診專業(yè)講解程度、組織病案討論頻次是臨床實踐指導滿意度的影響因素（P<0.01）。結(jié)論：臨床醫(yī)學碩士研究生對導師指導總體比較滿意，但實際指導時效與研究生需求有差距，建議夯實導師道德教育的主體責任，強化崗位責任意識，優(yōu)化指導模式，注重平臺支持和加強研究生學術(shù)交流。

關(guān)鍵詞：臨床醫(yī)學;碩士研究生;導師指導;滿意度

中圖分類號：G643? ? ? 文獻標志碼：A? ? ? ? ? 文章編號：2096-000X（2021）25-0148-05

Abstract： Objective：To investigate the satisfaction of postgraduates majoring in clinical medicine in medical colleges with tutor guidance， explore the influencing factors， and provide reference for optimizing tutor guidance. Methods： Questionnaire survey and interview are carried out on the postgraduate students of clinical medicine， and the data were analyzed by multiple linear regression. Results： The total score of satisfaction evaluation of clinical medical postgraduates on tutor's scientific research and clinical practice guidance was （4.47±0.05） and （4.76±0.47）. The academic and moral cultivation of tutors， the frequency of scientific research guidance， the degree of providing subject participation and academic exchanges were the influencing factors of satisfaction with scientific research guidance （P<0.01）. The influencing factors of satisfaction with clinical practice guidance are the medical ethics， professional knowledge guidance mode， the degree of follow-up professional explanation and the frequency of organizing medical record discussion of tutors were （P<0.01）. Conclusion： Postgraduates of clinical medicine are generally satisfied with the tutor's guidance， but there is a gap between the actual guidance timeliness and the needs of postgraduates. The suggestion is that the main responsibility of moral education of tutors should be consolidated， the sense of post responsibility should be strengthened， the guidance mode should be optimized， and the platform support and academic exchange of graduate students should be strengthened.

Keywords： Clinical Medicine; postgraduates; tutor guidance; satisfaction

臨床醫(yī)學研究生教育是高等醫(yī)學教育的重要組成部分，擔負著為國家和社會培養(yǎng)高層次臨床醫(yī)學人才的重要任務，不斷提高的醫(yī)療水平促使醫(yī)學教育形成以提高培養(yǎng)質(zhì)量為目標的內(nèi)涵式發(fā)展模式。臨床醫(yī)學專業(yè)碩士研究生分為學術(shù)和專業(yè)學位兩種培養(yǎng)類型，學術(shù)型研究生培養(yǎng)以科研為主，同時要完成不少于六個月的?？婆R床實踐，專業(yè)學位型研究生培養(yǎng)以臨床實踐為主，也要完成臨床科研并撰寫論文。所以，兩者都要歷經(jīng)科研和?？婆R床的歷練。作為研究生培養(yǎng)的第一責任人，臨床導師既要對研究生進行科研指導，也要完成對其臨床能力的培養(yǎng)。因此，導師指導對臨床醫(yī)學研究生的培養(yǎng)質(zhì)量起到至關(guān)重要的作用，而作為培養(yǎng)主體，研究生對導師指導最能感同身受。為此，本研究基于研究生視角，從科研和臨床指導層面調(diào)查臨床醫(yī)學研究生對導師指導的滿意度情況，分析影響因素并提出優(yōu)化建議。