CAJ | 학술논문

自2006年开始，为提高年轻全科医生的专业能力、训练其全科思维方法，首都医科大学附属复兴医院月坛社区卫生服务中心创建了一种新的培训方法---全科医生与专科医生联合教学查房，方法是在临床培训基地---复兴医院某一专科住院患者中选择典型患者，所患疾病一般为该科常见病、多发病，而全科医生能够在这些疾病的预防、早期发现和初步处理、转诊及专科治疗后的长期社区管理等问题上发挥主要作用，由该专科主任医师与社区全科主任医师联合查房，就该患者的相关问题展开讨论。这种模式开展6年以来，先后进行了33次，查房科室包括心内科、内分泌科、呼吸科、消化科、神经内科、肿瘤科、妇产科等，随着全科医生工作内容的丰富，查房科室也将逐步向其他科室如普外科、骨科等扩展，培训效果显著。
자2006년개시，위제고년경전과의생적전업능력、훈련기전과사유방법，수도의과대학부속복흥의원월단사구위생복무중심창건료일충신적배훈방법---전과의생여전과의생연합교학사방，방법시재림상배훈기지---복흥의원모일전과주원환자중선택전형환자，소환질병일반위해과상견병、다발병，이전과의생능구재저사질병적예방、조기발현화초보처리、전진급전과치료후적장기사구관리등문제상발휘주요작용，유해전과주임의사여사구전과주임의사연합사방，취해환자적상관문제전개토론。저충모식개전6년이래，선후진행료33차，사방과실포괄심내과、내분비과、호흡과、소화과、신경내과、종류과、부산과등，수착전과의생공작내용적봉부，사방과실야장축보향기타과실여보외과、골과등확전，배훈효과현저。
Since 2006,in order to improve the young general practitioners′s professional ability and help them develop a way of general thinking method,Yuetan Community Health Service Center of Fuxing Hospital affiliated to Capital Medical Uni-versity created a new training method - teaching together with ward - inspection by general practitioners and specialists. The meth-od was as follows:the in - patients who were typical of the common and frequently occurring diseases in the clinical training base of Fuxing Hospital were chosen from the in - patients of special departments,of which general practitioners could play a major role in the early detection of the prevention,preliminary treatment and referral as well as long - term community management after treatment in the special department hospital and so on,then jointing rounds were held by the specialist physician and general practitioner to open discussions on the related problems of the patients. This model has been carried out for 6 years,during which we have made 33 rounds,including departments of cardiology,endocrinology,respiration,gastroenterology,neurological,on-cology,obstetrics and gynecology,and with the perfection of general practitioners′s work,we held joint rounds in other depart-ments such as general surgery,orthopedics and extension. Research result shows that this training mode has significant effects.