中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
4期
353-355
,共3页
全科医师%培训
全科醫師%培訓
전과의사%배훈
General practitioners%Training
目的 对我院全科医师规范化培训的实践工作进行回顾,分析培训计划的实施效果和学员反馈意见,提出培训中存在的突出问题和可行的改进措施.方法 依照<上海市全科专科医师规范化培养细则>标准,制定和实施培训计划,对学员成绩和反馈意见进行分析.结果 新华医院9名2006级学员经过3年培训,全部通过国家执业医师资格考试和上海市卫生局统一组织的毕业考核,合格率为100%.28名2006、2007级学员中,认为在临床基地实践中能接触到更多病种26人(92.9%)、获得更多临床操作机会21人(75.0%)、培养良好诊疗思路20人(71.4%);认为在社区实习基地实践中有利于医患沟通能力的培养19人(67.9%)、更贴近全科医师的实际工作17人(60.7%).认为对社区工作帮助最大的理论学习内容是:社区常见病多发病的诊断与鉴别诊断23人(82.1%)、急诊医学及双向转诊23人(82.1%)、社区合理用药21人(75.0%).20人(71.4%)认同临床基地带教老师有必要在带教前接受全科师资培训或短期下社区熟悉工作.78.6%的学员愿意向他人推荐全科医师规范化培训.结论 制定和实施适合全科医学教育特点的培训计划是行之有效的.随着受训学员的逐年增加,加快师资队伍建设尤为重要,特别是在社区实习基地显得更加迫切.
目的 對我院全科醫師規範化培訓的實踐工作進行迴顧,分析培訓計劃的實施效果和學員反饋意見,提齣培訓中存在的突齣問題和可行的改進措施.方法 依照<上海市全科專科醫師規範化培養細則>標準,製定和實施培訓計劃,對學員成績和反饋意見進行分析.結果 新華醫院9名2006級學員經過3年培訓,全部通過國傢執業醫師資格攷試和上海市衛生跼統一組織的畢業攷覈,閤格率為100%.28名2006、2007級學員中,認為在臨床基地實踐中能接觸到更多病種26人(92.9%)、穫得更多臨床操作機會21人(75.0%)、培養良好診療思路20人(71.4%);認為在社區實習基地實踐中有利于醫患溝通能力的培養19人(67.9%)、更貼近全科醫師的實際工作17人(60.7%).認為對社區工作幫助最大的理論學習內容是:社區常見病多髮病的診斷與鑒彆診斷23人(82.1%)、急診醫學及雙嚮轉診23人(82.1%)、社區閤理用藥21人(75.0%).20人(71.4%)認同臨床基地帶教老師有必要在帶教前接受全科師資培訓或短期下社區熟悉工作.78.6%的學員願意嚮他人推薦全科醫師規範化培訓.結論 製定和實施適閤全科醫學教育特點的培訓計劃是行之有效的.隨著受訓學員的逐年增加,加快師資隊伍建設尤為重要,特彆是在社區實習基地顯得更加迫切.
목적 대아원전과의사규범화배훈적실천공작진행회고,분석배훈계화적실시효과화학원반궤의견,제출배훈중존재적돌출문제화가행적개진조시.방법 의조<상해시전과전과의사규범화배양세칙>표준,제정화실시배훈계화,대학원성적화반궤의견진행분석.결과 신화의원9명2006급학원경과3년배훈,전부통과국가집업의사자격고시화상해시위생국통일조직적필업고핵,합격솔위100%.28명2006、2007급학원중,인위재림상기지실천중능접촉도경다병충26인(92.9%)、획득경다림상조작궤회21인(75.0%)、배양량호진료사로20인(71.4%);인위재사구실습기지실천중유리우의환구통능력적배양19인(67.9%)、경첩근전과의사적실제공작17인(60.7%).인위대사구공작방조최대적이론학습내용시:사구상견병다발병적진단여감별진단23인(82.1%)、급진의학급쌍향전진23인(82.1%)、사구합리용약21인(75.0%).20인(71.4%)인동림상기지대교로사유필요재대교전접수전과사자배훈혹단기하사구숙실공작.78.6%적학원원의향타인추천전과의사규범화배훈.결론 제정화실시괄합전과의학교육특점적배훈계화시행지유효적.수착수훈학원적축년증가,가쾌사자대오건설우위중요,특별시재사구실습기지현득경가박절.
Objective To retrospectively analyze the implementing results of training plan for general practitioners in our hospital and the feedback of the trainees,so as to find the major problems in practice and put forth some feasible measures of improvement. Methods According to "Regulations on standardized training for general practitioners,Shanghai" the training plan was set up and conducted,and then the trainees' school marks and their opinions were analyzed.Results Through 3-years training in Xinhua hospital,all of the 9 trainees of grade 2006 passed the examination of national medical license and graduation examination of Shanghai Municipality Bureau of Health,with a pass rate of 100%. Among the 28 trainees of grade 2006 and 2007 there 26(92.9%) who held that more kinds of diseases can be encountered in the practice at the clinical base,21 (75.0%) who got more chances of clinical operation,20 (71.4%) who trained to have good thinking on diagnosis and treatment,19 (67.9%) who believed that the ability of communication with the patients could be raised through practice in the community base,17 (60.7%) held that the practice was more consistent with real work of general practitioner. There were 23 who held that the most useful theoretical knowledge were diagnosis and differentiating diagnosis of common and frequently-encountered disease (82.1%),23 (82.1%) who believed that the knowledge of emergency medicine and dual transfer were most helpful.20 (71.4%) held that the coaching doctors needed to be trained on general practice or working shortly at community health care centers,and 78.6% who were willing to recommend the standardized training to others. Conclusion It is feasible and effective to set up and implement the training plan suitable for general medical education. To speed up the construction of trainers is very important with the increase of trainees year by year,especially at the practice base in community.
