全科医师在内分泌科的培训体会
|
摘要
目前全科医师规范化培训是北京市住院医师规范化培训中的重要组成部分。但现今培训中内分泌科带教老师及全科医师可能存在全科医学理念认识不足,对全科工作特点不明确,导致类似内分泌专科医师的培训模式。针对上述问题,全科医师在内分泌科培训过程中带教老师需将全科医学理念贯穿于培训中,明确全科医师培训的任务,注重全科医师的能力培养,使全科医师增强内分泌科常见病急症的识别能力及内分泌常见病老年人群的管理意识。同时应用巴林特小组进行医患沟通训练,并运用合理的方法进行内分泌科出科考核评价。加强内分泌科师资队伍建设,可以进一步完善全科医师规范化培训工作。
Nowadays the general practitioners standardized training is an important part of the training of resident doctors in Beijing. But the training teachers in endocrinology and general practitioners may lack of general medical science theory and they are unfamiliar with general medical work features, it leads to the general training models are similar to the training of endocrine specialist. Therefore, the teachers should put general medical science theory into the whole training, be clear with the tasks and pay more attention to the trainings of general practitioner abilities. Though the training the general practitioners could strengthen the emergency treatment and recognition, provide guidance for common endocrine diseases management in the elderly people. At the same time, the application of "Balint group" is benefit to improve doctor-patient communication, and reasonable evaluation method should be used in general practitioner training assessment. Lastly the construction of the endocrinology teacher staff should be strengthen, which can further improve the standardized general practitioner training.
Nowadays the general practitioners standardized training is an important part of the training of resident doctors in Beijing. But the training teachers in endocrinology and general practitioners may lack of general medical science theory and they are unfamiliar with general medical work features, it leads to the general training models are similar to the training of endocrine specialist. Therefore, the teachers should put general medical science theory into the whole training, be clear with the tasks and pay more attention to the trainings of general practitioner abilities. Though the training the general practitioners could strengthen the emergency treatment and recognition, provide guidance for common endocrine diseases management in the elderly people. At the same time, the application of "Balint group" is benefit to improve doctor-patient communication, and reasonable evaluation method should be used in general practitioner training assessment. Lastly the construction of the endocrinology teacher staff should be strengthen, which can further improve the standardized general practitioner 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]方力争.综合性医院全科医学科建设与全科医师培训探讨[J].中国卫生人才,2016(8):58-59.
[3]朱静芬,冯易,袁婷婷,等.上海市全科医师规范化培训理论培训情况及学员就业意向调查[J].中国全科医学,2015,18(34):4226-4229.
[4]王庆,冯妍,王以新,等.北京市全科医师培训基地培训及发展情况调查[J].中国继续教育,2017,9(11):20-22.
[5]徐静,周亚夫,葛运运,等.国内外全科医生的覆盖范围及待遇和相应支付方式[J].中国全科医学,2013,16(24):2787-2789.
[6]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
[7]Xu Y,Wang L,He J,et al.Prevalence and control of diabetes in Chinese adults[J].JAMA,2013,310(9):948-59.
[8]王丽敏,王临虹.加强慢性病健康管理有效改善血压和血糖控制效果[J].中华流行病学杂志,2016,37(9):1187-1190.
[9]王文一,陈璐璐,王小飞,等.2型糖尿病中胰岛β细胞的表观遗传研究进展[J].中国糖尿病杂志,2016,24(9):854-857.
[10]王庆,冯妍,王以新.北京市全科医师培训基地培训及发展情况调查[J].中国继续医学教育,2017,11(9):20-22.
[11]北京市卫生局.北京地区住院医师规范化培训细则(2013版)[M].北京:中国协和医科大学出版社,2013.
[12]赵凤龙,聂鹏,康林,等.基层医院全科医师规范化培训“导师制”与科室指导教师结合模式探索[J].医学信息,2016,29(8):229-230.
[13]Bar-Sela G,Lulav-Grinwald D,Mitnik I.“Balint group”meetings for oncology residents as a tool to improve therapeutic communication skills and reduce burnout level[J].J Cancer Educ,2012,27(4):786-789.
[14]陈华.“巴林特小组”在继续医学教育中的应用[J].中华医学教育杂志,2010,30(3):457-458.
[15]ANON.Chinese doctors are under threat[J].Lancet,2010,376(9742):657.
[16]Diaz VA,Chessman A,Johnson AH,et al.Balint groups in family medicine residency programs:a follow-up study from 1990-2010[J].Fam Med,2015;47(5):367-72.
[17]刘薇薇,王媛媛,陈君逸,等.北京市社区糖尿病患者自我管理现况调查[J].中国全科医学,2013,16(10),1167-1168.
[18]谷士贤,曾辉.构建住院医师规范化培训人员出科考核体系[J].中国医院管理,2011,31(10):66-67.
[19]许茗越,吕琳,尹芳,等.角色扮演教学法在全科医师师资培训中的应用效果研究[J].中国全科医学,2015,18(4),433-435,439.
[20]李菲卡,赵雅洁,崔佩菁,等.全科医师临床能力Dx R Clinician评估结果分析[J].中华全科医师杂志,2015,14(6):462-464.
[2]方力争.综合性医院全科医学科建设与全科医师培训探讨[J].中国卫生人才,2016(8):58-59.
[3]朱静芬,冯易,袁婷婷,等.上海市全科医师规范化培训理论培训情况及学员就业意向调查[J].中国全科医学,2015,18(34):4226-4229.
[4]王庆,冯妍,王以新,等.北京市全科医师培训基地培训及发展情况调查[J].中国继续教育,2017,9(11):20-22.
[5]徐静,周亚夫,葛运运,等.国内外全科医生的覆盖范围及待遇和相应支付方式[J].中国全科医学,2013,16(24):2787-2789.
[6]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
[7]Xu Y,Wang L,He J,et al.Prevalence and control of diabetes in Chinese adults[J].JAMA,2013,310(9):948-59.
[8]王丽敏,王临虹.加强慢性病健康管理有效改善血压和血糖控制效果[J].中华流行病学杂志,2016,37(9):1187-1190.
[9]王文一,陈璐璐,王小飞,等.2型糖尿病中胰岛β细胞的表观遗传研究进展[J].中国糖尿病杂志,2016,24(9):854-857.
[10]王庆,冯妍,王以新.北京市全科医师培训基地培训及发展情况调查[J].中国继续医学教育,2017,11(9):20-22.
[11]北京市卫生局.北京地区住院医师规范化培训细则(2013版)[M].北京:中国协和医科大学出版社,2013.
[12]赵凤龙,聂鹏,康林,等.基层医院全科医师规范化培训“导师制”与科室指导教师结合模式探索[J].医学信息,2016,29(8):229-230.
[13]Bar-Sela G,Lulav-Grinwald D,Mitnik I.“Balint group”meetings for oncology residents as a tool to improve therapeutic communication skills and reduce burnout level[J].J Cancer Educ,2012,27(4):786-789.
[14]陈华.“巴林特小组”在继续医学教育中的应用[J].中华医学教育杂志,2010,30(3):457-458.
[15]ANON.Chinese doctors are under threat[J].Lancet,2010,376(9742):657.
[16]Diaz VA,Chessman A,Johnson AH,et al.Balint groups in family medicine residency programs:a follow-up study from 1990-2010[J].Fam Med,2015;47(5):367-72.
[17]刘薇薇,王媛媛,陈君逸,等.北京市社区糖尿病患者自我管理现况调查[J].中国全科医学,2013,16(10),1167-1168.
[18]谷士贤,曾辉.构建住院医师规范化培训人员出科考核体系[J].中国医院管理,2011,31(10):66-67.
[19]许茗越,吕琳,尹芳,等.角色扮演教学法在全科医师师资培训中的应用效果研究[J].中国全科医学,2015,18(4),433-435,439.
[20]李菲卡,赵雅洁,崔佩菁,等.全科医师临床能力Dx R Clinician评估结果分析[J].中华全科医师杂志,2015,14(6):462-464.