法国院前急救体系和全科人才培养对我国全科医生急诊教育的启示
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摘要
随着我国全科医学体系的发展,作为院前急救不可缺少的重要部分,全科医生必然需要更多地参与急诊和院前急救工作。通过考察法国院前急救体系及全科医生急诊临床教育现状,对加强我国全科医生急诊教育提出一些建议。针对性地打造全科医学急诊临床教学,发挥案例教学和反思教学的作用,强化模拟教学,建立实时双向多维评价制度,是培养高质量的胜任全科医学急诊和院前急救医疗实践的全科医学人才的关键。
With the development of general medicine in China, general practitioners will inevitably undertake increasing pre-hospital emergency care. Based on surveying the status of pre-hospital first aid system and emergency clinic education on general practitioners in France, some suggestions were put forward, such as playing the role of case teaching, reinforcing the simulation teaching, and establishing a real-time, two-way and multi-dimensional teaching evaluation system, which were the key to training high quality general practitioners competent for first aid and pre-hospital emergency care duty.
With the development of general medicine in China, general practitioners will inevitably undertake increasing pre-hospital emergency care. Based on surveying the status of pre-hospital first aid system and emergency clinic education on general practitioners in France, some suggestions were put forward, such as playing the role of case teaching, reinforcing the simulation teaching, and establishing a real-time, two-way and multi-dimensional teaching evaluation system, which were the key to training high quality general practitioners competent for first aid and pre-hospital emergency care duty.
引文
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[2] 伍宝玲,龚韩湘,罗桢妮.我国全科医生数量和分布现状及需要量预测研究[J].中国全科医学,2018,21(1):13-17.
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[4] 宗文红,王斌,李哲,等.中法全科医生培训项目对我国全科医生培养的启示[J].中国全科医学,2011,14(13):1456-1458.
[5] 王云轩,王蕾,王仲.北京市东小口社区卫生服务中心急诊医疗服务现状分析[J].临床急诊杂志,2018,19(09):638-640.
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[19] Krupat E,Richards J B,Sullivan A M,et al.Assessing the Effectiveness of Case-Based Collaborative Learning via Randomized Controlled Trial[J].Academic Medicine Journal of the Association of American Medical Colleges,2016,91(5):723.
[20] Saperstein A K,Lilje T,Seibert D.A model for teaching reflective practice[J].Military Medicine,2015,180(4S):142-6.
[21] Diemers A D ,Van d W M W J ,Scherpbier A J J A ,et al.Diagnostic reasoning and underlying knowledge of students with preclinical patient contacts in PBL[J].Medical Education,2015,49(12):1229-1238.
[22] 封怀安.情景模拟实验教学在急诊医学教学中的应用[J].继续医学教育,2016,(2):61-62.
[2] 伍宝玲,龚韩湘,罗桢妮.我国全科医生数量和分布现状及需要量预测研究[J].中国全科医学,2018,21(1):13-17.
[3] 穆琼,李海冰,郝晟赟,等.全科医学和急诊医学的共性与区别[J].中国急救医学,2018,38(6):553-556.
[4] 宗文红,王斌,李哲,等.中法全科医生培训项目对我国全科医生培养的启示[J].中国全科医学,2011,14(13):1456-1458.
[5] 王云轩,王蕾,王仲.北京市东小口社区卫生服务中心急诊医疗服务现状分析[J].临床急诊杂志,2018,19(09):638-640.
[6] 柳俊.以社区卫生机构为依托的城市院前急救体系研究[D].华中科技大学,2011.
[7] Carli P,Pons F,Levraut J,et al.The French emergency medical services after the Paris and Nice terrorist attacks:what have we learnt?[J].Lancet,2017,390(10113).
[8] 刘侃,刘钰晨.法国全科医学现状、教育制度及对我国的启示[J].中国全科医学,2017,20(1):6-9.
[9] 武宁,程明羕,闫丽娜,等.中国全科医生培养发展报告(2018)[J].中国全科医学,2018,21(10):1135-1142.
[10] 刘燕,江丽华.培养全科医师社区急救能力重要性的思考[J].中国美容学,2010,19(z2):400-400.
[11] 王荣华,李云涛,赵玲,等.基层全科医生在医联体内的角色定位研究[J].中国全科医学,2019,22(1):5-9.
[12] 郭爱民,解江林,迟宓宓,等.全国全科医学培训工作调查及分析[J].中国全科医学,2004(1):14-16.
[13] 陈淑玲.全科医生现状调查与培训需求分析[D].青岛大学,2015.
[14] 徐静,周亚夫,葛运运,等.国外全科医学教育和全科医生培训情况分析及启示[J].中国全科医学,2013(33):3155-3158+7.
[15] 刘钢,吴浩,李宁燕,等.分级诊疗制度主题研讨[J].中国全科医学,2016,19(16):1917-1923.
[16] 王斌,郑亚安.全科医学生急诊实习的教学实践研究[J].中华医学教育探索杂志,2017,16(1):79-82.
[17] 彭卓,潘龙飞,党晓燕,等.MOOC在急诊医学临床见习教学中的应用[J].医学教育研究与实践,2017,25(2):301-303.
[18] 丁娴,周彬,何建.建立具有急诊特色的全科医学实践教学模式[J].中国中医药咨讯,2010,02(16):240-241.
[19] Krupat E,Richards J B,Sullivan A M,et al.Assessing the Effectiveness of Case-Based Collaborative Learning via Randomized Controlled Trial[J].Academic Medicine Journal of the Association of American Medical Colleges,2016,91(5):723.
[20] Saperstein A K,Lilje T,Seibert D.A model for teaching reflective practice[J].Military Medicine,2015,180(4S):142-6.
[21] Diemers A D ,Van d W M W J ,Scherpbier A J J A ,et al.Diagnostic reasoning and underlying knowledge of students with preclinical patient contacts in PBL[J].Medical Education,2015,49(12):1229-1238.
[22] 封怀安.情景模拟实验教学在急诊医学教学中的应用[J].继续医学教育,2016,(2):61-62.