临床思维与决策能力培养在住院医师规范化培训中的实践
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摘要
住院医师规范化培训(住培)是培养高水平专业人才的重要手段,是毕业后医学教育的重要组成部分。住院医师临床思维与决策能力的培养在住培阶段至关重要。我国部分住培基地仍采纳源自院校教育阶段以知识点传授作为教学活动目标的教学方法。目前亟需提高临床带教老师临床思维及决策能力的教学水平。文章将着重介绍住培阶段临床思维与决策能力的教学模式,旨在提高我国住培医师的临床诊疗水平。
The standardized resident training is an important step for training high-level professionals in clinical medicine and it is an important part of medical education after graduation. The training of residents' clinical thinking and clinical judgement should be emphasized in all resident training programs. Some resident programs in China still focus on the teaching of important knowledge that are originated from the medical colleges. Therefore,it is urgent for faculty to adopt new teaching methods aiming at the training of clinical thinking and clinical judgement. The paper introduces a mode for teaching clinical thinking and clinical judgement in the resident training programs. The goal is to improve the level of resident physicians in clinical diagnosis and treatment in China.
The standardized resident training is an important step for training high-level professionals in clinical medicine and it is an important part of medical education after graduation. The training of residents' clinical thinking and clinical judgement should be emphasized in all resident training programs. Some resident programs in China still focus on the teaching of important knowledge that are originated from the medical colleges. Therefore,it is urgent for faculty to adopt new teaching methods aiming at the training of clinical thinking and clinical judgement. The paper introduces a mode for teaching clinical thinking and clinical judgement in the resident training programs. The goal is to improve the level of resident physicians in clinical diagnosis and treatment in China.
引文
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[3]杨志寅.临床思维与临床决策[J].中华诊断学电子杂志,2015,3(2):1-5.
[4]张锦英,金鑫,沈途.临床思维与决策能力是医学教育的重要组成部分[J].医学与哲学,2013,34(14):3-6.
[5]Delany C,Golding C.Teaching clinical reasoning by making thinking visible:an action research project with allied health clinical educators[J].Bmc Medical Education,2014,14(1):20.
[2]耿景海,文民刚,周增桓.医学教育改革热点及发展趋势[J].医学研究与教育,2012,29(4):86-91.
[3]杨志寅.临床思维与临床决策[J].中华诊断学电子杂志,2015,3(2):1-5.
[4]张锦英,金鑫,沈途.临床思维与决策能力是医学教育的重要组成部分[J].医学与哲学,2013,34(14):3-6.
[5]Delany C,Golding C.Teaching clinical reasoning by making thinking visible:an action research project with allied health clinical educators[J].Bmc Medical Education,2014,14(1):20.