英国住院医师基础培训及对中国的启示
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摘要
英国住院医师基础培训是衔接院校教育和专科/全科医师培训的过渡阶段,以培训目标为导向,通过多样化、宽泛的轮转专科组合,结合督导式学习和自主学习,着重于培养受训医生的临床能力,同时重视自主学习和教学等方面能力的培养。借鉴英国经验,中国应该借助社会组织力量加强住院医师规范化培训管理机构建设;实行住院医师分级注册制度,规避注册前住院医师行医的法律问题;拓宽轮转专科,培养基础宽泛扎实的医师;制订住院医师规范化培训目标,加强住院医师自主学习与教学能力的培养。
Foundation training in the United Kingdom is a transitional stage that connects medical school education and specialty/general-practice training.UK foundation programmes orientate towards training objectives and attach importance to the training of trainee physicians' diagnosis and therapy competencies as well as self-learning and teaching competencies through varied rotation combinations, supervised learning, and self-learning. In refereeing to the UK experiences, China should rely on nongovernment organizations to strengthen the construction of management entities for resident standardized training, introduce a classified resident registration system in order to avoid the issue of illegal practice by non-registered residents, expand clinical units in rotations to facilitate the training of physicians with comprehensive and solid clinical knowledge and skills, and issue strict and detailed training objectives and facilitate the cultivation of residents' self-learning and teaching competencies.
Foundation training in the United Kingdom is a transitional stage that connects medical school education and specialty/general-practice training.UK foundation programmes orientate towards training objectives and attach importance to the training of trainee physicians' diagnosis and therapy competencies as well as self-learning and teaching competencies through varied rotation combinations, supervised learning, and self-learning. In refereeing to the UK experiences, China should rely on nongovernment organizations to strengthen the construction of management entities for resident standardized training, introduce a classified resident registration system in order to avoid the issue of illegal practice by non-registered residents, expand clinical units in rotations to facilitate the training of physicians with comprehensive and solid clinical knowledge and skills, and issue strict and detailed training objectives and facilitate the cultivation of residents' self-learning and teaching competencies.
引文
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[2] General Medical Council.The Foundation Programme[EB/OL].[2017-10-24].http://www.gmc-uk.org/education/postgraduate/foundation_programme.asp.
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[4] UK Foundation Programme Office.Foundation schools [EB/OL].[2018-02-28].http://www.foundationprogramme.nhs.uk/pages/home/deaneries-foundation-schools.
[5] UK Foundation Programme Office.The Foundation Programme [EB/OL].[2018-02-28].http://www.foundationprogramme.nhs.uk/pages/home/about-the-foundation-pro-gramme.
[6] UK Foundation Programme Office.Foundation Programme Reference Guide [EB/OL].[2018-02-28].http://www.foundationprogramme.nhs.uk/pages/curriculum-eportfolio/e-portfolio/reference-guide.
[7] UK Foundation Programme Office.Rough Guide to the Foundation Programme [EB/OL].[2018-02-28].http://www.foundationprogramme.nhs.uk/pages/resource-bank/curriculum-eportfolio.
[8] Health Education England.Foundation training programmes [EB/OL].[2018-02-28].https://www.nwpgmd.nhs.uk/f1-f2-training-programmes-2014-2016.
[2] General Medical Council.The Foundation Programme[EB/OL].[2017-10-24].http://www.gmc-uk.org/education/postgraduate/foundation_programme.asp.
[3] UK Foundation Programme Office.Freedom of information and data protection[EB/OL].[2018-02-28].http://www.foundationprogramme.nhs.uk/pages/home/foi-dpa/pub-scheme.
[4] UK Foundation Programme Office.Foundation schools [EB/OL].[2018-02-28].http://www.foundationprogramme.nhs.uk/pages/home/deaneries-foundation-schools.
[5] UK Foundation Programme Office.The Foundation Programme [EB/OL].[2018-02-28].http://www.foundationprogramme.nhs.uk/pages/home/about-the-foundation-pro-gramme.
[6] UK Foundation Programme Office.Foundation Programme Reference Guide [EB/OL].[2018-02-28].http://www.foundationprogramme.nhs.uk/pages/curriculum-eportfolio/e-portfolio/reference-guide.
[7] UK Foundation Programme Office.Rough Guide to the Foundation Programme [EB/OL].[2018-02-28].http://www.foundationprogramme.nhs.uk/pages/resource-bank/curriculum-eportfolio.
[8] Health Education England.Foundation training programmes [EB/OL].[2018-02-28].https://www.nwpgmd.nhs.uk/f1-f2-training-programmes-2014-2016.