CAJ | 학술논문

美国老年医学专科医生必须经过一整套正规和系统的培训,包括4年大学本科和4年医学院的医学教育及3年内科(或家庭医学科)住院医生培训和1～3年老年医学专科培训.老年医学专科医生的资格认证和水平考核也很严格,除了全美统一的医师执照考试(3步)和各州政府医师执照的审批外,还有非政府性的老年医学专科医生的资格认证和水平考核.后者是一个很专业化的过程,包括自学、书面考试和患者调查等,其证书需要每10年更新1次.这一整套正规和系统的培训和专科资格认证考核确保了老年医学专科医生的高专业水平,同时,也避免各地老年医学专科医生专业水平参差不齐.希望通过我们的介绍能促进我国老年医学专科医生培训以及资格认证和水平考核正规化、系统化.
미국노년의학전과의생필수경과일정투정규화계통적배훈,포괄4년대학본과화4년의학원적의학교육급3년내과(혹가정의학과)주원의생배훈화1～3년노년의학전과배훈.노년의학전과의생적자격인증화수평고핵야흔엄격,제료전미통일적의사집조고시(3보)화각주정부의사집조적심비외,환유비정부성적노년의학전과의생적자격인증화수평고핵.후자시일개흔전업화적과정,포괄자학、서면고시화환자조사등,기증서수요매10년경신1차.저일정투정규화계통적배훈화전과자격인증고핵학보료노년의학전과의생적고전업수평,동시,야피면각지노년의학전과의생전업수평삼차불제.희망통과아문적개소능촉진아국노년의학전과의생배훈이급자격인증화수평고핵정규화、계통화.
This article briefly describes the American geriatrics professional training and qualification system,aiming to introduce such system and develop standardized vigorous professional training and qualification that is tailored to the Chinese needs for physicians who are specialized in geriatric medicine in China. In the United States,one needs to complete standardized vigorous graduate and post-graduate medical training in order to be specialized in geriatric medicine.Typical medical graduate education includes 4-year medical school after a 4-year undergraduate education.The required post-graduate education includes 3-year residency training either in internal medicine or family medicine followed by 1-3 year geriatrics fellowship.All physicians including geriatricians need to have a valid medical license issued by individual States. Medical licensure requires the above graduate medical education,passing the United States Medical Licensing Examinations (USMLE,3 steps),and satisfactory residency training. Board certifications are added qualification including American Board of Internal Medicine (ABIM) in which board certifications for geriatrics and other medical subspecialties are also offered or American Board of Family Medicine (ABFM).Board certifications need to be renewed every 10 years.The initial board certification and its renewal require self-study and examination,a written exam,and reports from patient survey,among other things. The above vigorous and standardized geriatrics training as well as certification and recertification help to ensure the high and uniform quality of geriatricians across the United States.