探究神经内科住院医师继续教育中自媒体的应用现状及影响因素。

纳入2024年2月至2026年1月在北京大学第三医院和北京大学第六医院培训的32名神经内科住院医师进行匿名问卷调查，收集所有研究对象的人口学信息、继续教育相关信息（方式、时长和偏好）以及对于自媒体继续教育平台的评价。根据研究对象回答的继续教育的主要方式，将研究对象分为自媒体为主组12名和非自媒体为主组20名。采用独立样本t检验、Mann-Whitney U检验、χ²检验或Fisher精确概率法检验比较2组研究对象的特征差异。

在32名神经内科住院医师中，选择自媒体作为主要继续教育方式的人数最多（12名，37.50%），其中微信公众号是最常使用的自媒体继续教育平台（19名，59.38%）；图文类内容最受欢迎（22名，68.75%）；在评价方面，自媒体用于继续教育的优点包括获取方便（30名，93.75%）、内容有趣（17名，53.13%），其缺点主要为真假难辨（21名，65.63%）、重复内容多且不全面（21名，65.63%）和容易分心（15名，46.88%）。2组神经内科住院医师在性别、年龄、培训时长、培训身份、工作岗位分布、每周继续教育时长方面比较，差异均无统计学意义（P均＞0.05）。

自媒体已成为住院医师继续教育的重要形式，后续亟须注重质量审核机制的建立、系统化知识体系的构建、伦理审查，以及信息茧房效应的主动防范。

To investigate the current application status and influencing factors of we media in the continuing education of neurology residents.

An anonymous questionnaire survey was conducted among neurology residents training at Peking University Third Hospital and Peking University Sixth Hospital from February 2024 to January 2026. The survey collected demographic information, methods, duration, and preferences of continuing education, as well as evaluations of we media continuing education platforms from the study subjects. According to the primary continuing education modality reported by the study subjects, the study subjects were divided into the we-media-primary group (12 subjects) and the non-we-media-primary group (20 subjects). The independent samples t-test, Mann-Whitney U test, Chi-square test, or Fisher's exact test was used to compare the differences in characteristics between the group using we media as the primary continuing education method and the group not using we media as the primary method.

A total of 32 neurology residents participated in this study. We media was found to be the most frequently selected primary continuing education modality (12 people, 37.50%), and WeChat official accounts were the most commonly used we media platform (19 people, 59.38%). Graphic and text-based content was the most preferred form (22 people, 68.75%). In terms of evaluation, the advantages of using we media for continuing education included convenient access (30 people, 93.75%) and engaging content (17 people, 53.13%), while the main disadvantages were difficulty in distinguishing true from false information (21 people, 65.63%), highly repetitive and incomplete content (21 people, 65.63%), and easy distraction (15 people, 46.88%). There were no significant differences in gender, age, training duration, training status, job position distribution, or weekly continuing education hours between residents who primarily used we media and those who did not (all P＞0.05).

We media has become an important form of continuing education for residents. Future efforts urgently require the establishment of quality review mechanisms, the construction of systematic knowledge frameworks, ethical review, and proactive prevention of the information cocoon effect.