关键词: 社区卫生中心, 社区卫生工作者, 进修, 专业, 再培训, 课程, 北京

Abstract: Background　Further clinical training for medical workers is a way to improve the quality of medical treatment. Further study in primary care community helps to provide targeted training and guidance for medical workers working at the community health center. Moreover，drawing lessons from the statistical analysis of the study results facilitates the hosted healthcare settings to improve the study program. Objective　To perform a statistical analysis of the overall status of further clinical training for medical workers from 2016 to 2019 conducted by Yuetan Community Health Center，Fuxing Hospital，Capital Medical University，to provide evidence for improving the design of study procedure in a reasonable way，and enhancing the overall as well as individual effectiveness of training in physicians. Methods　Data were collected from Yuetan Community Health Center，Fuxing Hospital，Capital Medical University，during March 2016 to July 2019，mainly including further clinical training status（number of each batch of trainees，training duration，source region，work unit，training cost），demographic information of trainees（n=67）（gender，age，title，department，position），and training arrangements（planned and actual training departments，and number of actual training departments）. A group interview was conducted with 7 trainees who participated in the training in July 2019 for investigating their satisfaction with the training in training course arrangement necessity, course content and so on. Results　Statistics showed that during this period from March 2016 to July 2019，this community center launched 33 batches of trainings lasting for at least 5 days in total. In 21 batches of trainings（63. 6%），there was only one trainee. 15 batches of trainings lasted for less than 30 days，accounting for a major proportion of the total（45.4%）. The trainees participating in 20 batches of trainings（60.6%） came from regions except Beijing or from other countries. The trainees mainly worked at community health centers（stations） 〔16 batches（48.5%）〕. 24 batches of trainings（72.7%） were free. Most of the trainees were female 〔39（56.5%）〕，aged between 30 and 40 years old〔37（53.6%）〕，had intermediate title〔31（44.9%）〕，worked at general practice department 〔21（30.4%）〕 and administrative department 〔16（23.2%）〕，and had no administrative position〔43（62.3%）〕. The top 3 planned training departments were general practice department 〔30 trainees（46.4%）〕，administrative department〔14 trainees（20.3%）〕，nursing department tied with rehabilitation department 〔9 trainees（13.0%），respectively〕. The top 3 actual training departments were general practice department 〔41 trainees（59.4%）〕，preventive health care department〔27 trainees（39.1%）〕，and administrative department〔25 trainees（36.2%）〕. The trainees were trained in 1-4 departments actually，and the largest and the second largest portions of them were 1 department〔32（46.4%）〕and 2 departments〔17（24.6%）〕，respectively. In terms of the necessity of curriculum arrangement，six trainees held the attitude of "very need"，one of them held the attitude of "need"，and seven people rated the satisfaction of the lecturer as "very satisfied". Seven trainees were interested in the content of the course. Conclusion　Yuetan Community Health Center holds many batches of further clinical trainings for medical workers to satisfy the high demand of medical workers. These trainees mainly have intermediate titles with no administrative position，and mainly choose to be trained in 1-4 departments，and the largest proportion of them are trained in one department. Moreover，they are highly satisfied with the training. However，there are also problems such as delays in the update of the training process，so further optimization of the process is required to ensure scientific training，standardized management，and high-quality teaching.

Key words: Community health centers；Community health workers；Education, professional, retraining；Curriculum；Beijing