全科医师规范化培训中全科医学理念的培养
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摘要
全科医师规范化培训在我国已广泛开展,但无论带教老师还是全科医师对全科医学理念认识不足,导致类似专科医师的培训模式。针对全科工作特点,在培训过程中需将全科医学理念始终贯穿于培训中,本文对全科医师的任务、角色和能力进行总结,强调全科医师要培养预防和诊疗慢病能力,加强急诊的处理和转诊的判断,培养良好的沟通能力,在培训过程中运用形成性评价进行培训考核,同时需加强师资队伍建设,以进一步完善全科医师规范化培训工作。
The standardized training of general practitioners in China has been developed widely. But many teachers and practitioners are lack of the concept of general medicine science, which leads to a similar training model of specialist. According to the working characteristics of general practitioners, the concept of general medical science must always run through training. This paper summarized the general practitioner's tasks, roles and capabilities, stresses that general practitioners should be cultivated the ability of chronic diseases in prevention and treatment, the emergency treatment and referral assessment, good communication ability, applying formation evaluation in training and examination, at the same time strengthening the construction of teachers staffs is important, which are in order to consummate the work of general practitioners standardized training.
The standardized training of general practitioners in China has been developed widely. But many teachers and practitioners are lack of the concept of general medicine science, which leads to a similar training model of specialist. According to the working characteristics of general practitioners, the concept of general medical science must always run through training. This paper summarized the general practitioner's tasks, roles and capabilities, stresses that general practitioners should be cultivated the ability of chronic diseases in prevention and treatment, the emergency treatment and referral assessment, good communication ability, applying formation evaluation in training and examination, at the same time strengthening the construction of teachers staffs is important, which are in order to consummate the work of general practitioners standardized training.
引文
[1]乔巧华,陈丽英,方力争.综合性医院全科医学培训考核模式的探讨[J].全科医学临床与教育,2013,11(4):417-419.
[2]谢波,陈力,缪李丽.论大型综合医院全科医学带教方法[J].重庆医学,2009,38(12):1549-1550.
[3]梁万年,路孝琴,李士雪,等.全科医学[M].北京:人民卫生出版社,2015:25-38.
[4]王玥,徐勇勇,谭志军,等.我国慢性病与疾病负担的国际比较[J].中华健康管理学杂志,2014,8(02):124-127.
[5]李小鹰,樊瑾.老年医学进展2014[M].北京:人民卫生出版社,2014:3-6,187-189.
[6]王旭东,刘丽娜.老年重症肺炎132例临床分析[J].中国医刊,2012,47(5):54-56.
[7]顾杰,祝增珠,杨华.小型临床演练评量[J].中华全科医师杂志,2011,10(6):406-408.
[8]Norcini JJ,Blank LL,Duffy FD,et al.The mini-CEX:a method for assessing clinical skills[J].Ann Intern Med,2003,138(6):476-481.
[9]Durning SJ,Cation LJ,Markert RJ,et al.Assessing the reliability and validity of the mini-clinical evaluation exercise for internal medicine residency training[J].Acad Med,2002,77(9):900-904.
[10]Kogan JR,Holmboe ES,Hauer KE.Tools for direct observation and assessment of clinical skills of medical trainees:a systematic review[J].JAMA,2009,302(12):1316-1326.
[11]边琪,宋彬,郭志勇,等.浅谈Mini-CEX在住院医师规范化培训中的应用[J].中国高等医学教育,2010,(6):100-101.
[12]李剑,高继明,吕珏,等.Mini-CEX在内科医生培养中的使用[J].中国高等医学教育,2011,25(9):71-72.
[13]陈倩,潘志刚,祝堵珠,等.小型临床演练评量在社区全科师资培训中的效果评价[J].中华全科医师杂志,2013,12(11):870-873.
[14]门寒隽,韩建军.当前我国全科医学师资队伍建设中的问题及对策[J].中国全科医学,2006,9(3):185-187.
[15]李瑛,纪红,穆兰,等.我国现阶段全科医师规范化培训相关问题及建议[J].中国医药导报,2013,10(17):159-162.
[16]顾国煜.我国全科医师规范化培训的现状和分析[J].中国全科医学,2007,5(4):317-318.
[17]迟宓宓,郭爱民,路孝琴,等.中国全科医学师资准入要素研究[J].中国全科医学,2005,8(1):9-11.
[18]刘小平,路孝琴,黄亚芳,等.我国全科医学教育培训中的问题与建议[J].继续医学教育,2010,24(6):4-6.
[2]谢波,陈力,缪李丽.论大型综合医院全科医学带教方法[J].重庆医学,2009,38(12):1549-1550.
[3]梁万年,路孝琴,李士雪,等.全科医学[M].北京:人民卫生出版社,2015:25-38.
[4]王玥,徐勇勇,谭志军,等.我国慢性病与疾病负担的国际比较[J].中华健康管理学杂志,2014,8(02):124-127.
[5]李小鹰,樊瑾.老年医学进展2014[M].北京:人民卫生出版社,2014:3-6,187-189.
[6]王旭东,刘丽娜.老年重症肺炎132例临床分析[J].中国医刊,2012,47(5):54-56.
[7]顾杰,祝增珠,杨华.小型临床演练评量[J].中华全科医师杂志,2011,10(6):406-408.
[8]Norcini JJ,Blank LL,Duffy FD,et al.The mini-CEX:a method for assessing clinical skills[J].Ann Intern Med,2003,138(6):476-481.
[9]Durning SJ,Cation LJ,Markert RJ,et al.Assessing the reliability and validity of the mini-clinical evaluation exercise for internal medicine residency training[J].Acad Med,2002,77(9):900-904.
[10]Kogan JR,Holmboe ES,Hauer KE.Tools for direct observation and assessment of clinical skills of medical trainees:a systematic review[J].JAMA,2009,302(12):1316-1326.
[11]边琪,宋彬,郭志勇,等.浅谈Mini-CEX在住院医师规范化培训中的应用[J].中国高等医学教育,2010,(6):100-101.
[12]李剑,高继明,吕珏,等.Mini-CEX在内科医生培养中的使用[J].中国高等医学教育,2011,25(9):71-72.
[13]陈倩,潘志刚,祝堵珠,等.小型临床演练评量在社区全科师资培训中的效果评价[J].中华全科医师杂志,2013,12(11):870-873.
[14]门寒隽,韩建军.当前我国全科医学师资队伍建设中的问题及对策[J].中国全科医学,2006,9(3):185-187.
[15]李瑛,纪红,穆兰,等.我国现阶段全科医师规范化培训相关问题及建议[J].中国医药导报,2013,10(17):159-162.
[16]顾国煜.我国全科医师规范化培训的现状和分析[J].中国全科医学,2007,5(4):317-318.
[17]迟宓宓,郭爱民,路孝琴,等.中国全科医学师资准入要素研究[J].中国全科医学,2005,8(1):9-11.
[18]刘小平,路孝琴,黄亚芳,等.我国全科医学教育培训中的问题与建议[J].继续医学教育,2010,24(6):4-6.