中华医学教育探索杂志
中華醫學教育探索雜誌
중화의학교육탐색잡지
Chinese Journal of Medical Education Research
2015年
1期
10-13,14
,共5页
英国%骨科%医师培养制度%借鉴
英國%骨科%醫師培養製度%藉鑒
영국%골과%의사배양제도%차감
Britain%Orthopedics%Surgeons training system%Lessons
英国的骨科医师培养体制较为完备与成熟。医学生在完成医学院校教育后,先进行为期2年的基地培养(FY1、FY2),主要学习和巩固基础知识和基本临床技能。之后,将开始为期约6年的专科培训(ST1-6),专科细分为足踝、手、肩、肘、骨盆、膝、脊柱及小儿外科。专科轮转在各外围医院进行,定期回到总院参与创伤复习、教学查房、病例讨论等。相对于我国目前基于医院“单位人”的专科医师培养制度,英国骨科医师在培训阶段“社会人”的角色,更便于在大的教学区内各医疗机构中流动,从而使培训更为全面而专业。此外,我国缺乏专科医师资格的统一考核和准入制度,各医疗机构和医师自身也缺乏进行专科培训的意识。因此,我国应该逐步形成单一的学制,统一专科医师培训规范和考核标准,使各地培训的骨科医师能够更好地流动,以保证医学教育与医疗资源在全社会范围内公平共享。
英國的骨科醫師培養體製較為完備與成熟。醫學生在完成醫學院校教育後,先進行為期2年的基地培養(FY1、FY2),主要學習和鞏固基礎知識和基本臨床技能。之後,將開始為期約6年的專科培訓(ST1-6),專科細分為足踝、手、肩、肘、骨盆、膝、脊柱及小兒外科。專科輪轉在各外圍醫院進行,定期迴到總院參與創傷複習、教學查房、病例討論等。相對于我國目前基于醫院“單位人”的專科醫師培養製度,英國骨科醫師在培訓階段“社會人”的角色,更便于在大的教學區內各醫療機構中流動,從而使培訓更為全麵而專業。此外,我國缺乏專科醫師資格的統一攷覈和準入製度,各醫療機構和醫師自身也缺乏進行專科培訓的意識。因此,我國應該逐步形成單一的學製,統一專科醫師培訓規範和攷覈標準,使各地培訓的骨科醫師能夠更好地流動,以保證醫學教育與醫療資源在全社會範圍內公平共享。
영국적골과의사배양체제교위완비여성숙。의학생재완성의학원교교육후,선진행위기2년적기지배양(FY1、FY2),주요학습화공고기출지식화기본림상기능。지후,장개시위기약6년적전과배훈(ST1-6),전과세분위족과、수、견、주、골분、슬、척주급소인외과。전과륜전재각외위의원진행,정기회도총원삼여창상복습、교학사방、병례토론등。상대우아국목전기우의원“단위인”적전과의사배양제도,영국골과의사재배훈계단“사회인”적각색,경편우재대적교학구내각의료궤구중류동,종이사배훈경위전면이전업。차외,아국결핍전과의사자격적통일고핵화준입제도,각의료궤구화의사자신야결핍진행전과배훈적의식。인차,아국응해축보형성단일적학제,통일전과의사배훈규범화고핵표준,사각지배훈적골과의사능구경호지류동,이보증의학교육여의료자원재전사회범위내공평공향。
The tralning system for orthopedic surgeon in Britaln is mature and complete. After completing education in medical college, medical students receive a 2-year base tralning (FY1, FY2), which focus on learning and consolidating basic medical knowledge and clinical skill, followed by a 6-year specialist tralning, which subdivides into tralning of ankle and foot, hand, should and elbow, hip, knee, spine, and pediatric surgery, provided by several district hospital (Peripheral hospitals). Students are required to return to teaching center for review, ward inspection, case discussion at regular inter-vals. Compared with the specialist tralning system based on the hospital "staffs" in chi-na, the role of"social workers"in British during the period of tralning makes better mobility of tralnee among medical institutions and medical treatments, which makes the tralning more comprehensive and professional. In addition, there is no consistent system for examination and admittance of specialist, and awareness of specialist tralning among medical institutions and doctors is weak. Therefore, it should be done to form a single tralning system and unify the tralning specification and assessment standard.