关键词: 青年医师, 临床教学, 毕业后医学教育

Abstract: Objective To investigate the current situation, motivation, difficulties and needs of young physicians participating in teaching activities in internal medicine department at PUMCH. Methods We surveyed young attendings and residents who worked at internal medicine wards of Peking Union Medical College Hospital from November 2018 to October 2019 about their current tasks, motivation, difficulties and needs in terms of teaching. Results Based on visual Analog Scale, the mean score of attendings'interest in teaching is 8.0±1.8, and teaching work accounted for 25.3%±14.1% of all working hours. The most important motivation for teaching is self-improvement via teaching. The biggest difficulty faced by attendings is high pressure on clinical and research work (72.4%, 42/58). The most voted need is to increase the impact of teaching on promotion (48.3%, 28/58). The mean score of residents'interest in teaching is 7.5±1.8,and teaching work accounted for 24.8%±15.2% of all working hours. The most important motivation for teaching is self-improvement via teaching. The biggest difficulties faced by residents include high pressure on clinical and research work (50.6%, 41/81) and lack of teaching skills (25.9%, 21/81), etc. The most voted need is teaching skill trainings (42%, 34/81). Conclusions Young physicians are highly motivated to teaching with self-improvement as the main driving force. Measures should be taken to support young physicians to better balance clinical, research and teaching, and to improve their teaching results.

Key words: young physician, clinical teaching, post-graduate medical education