谈“双心医学”模块在心血管专业住院医师规范化培训体系内的构建
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摘要
住院医师规范化培训制度现已成为我国医学人才培养的一项基本制度,但许多培训内容仍有待完善。目前在临床上,虽然"双心共病"现象已为人们所了解,但在心血管住院医师的规范化培训体系内,"双心医学"的培训模块却仍处于缺失状态。本研究结合工作实践,探索将"双心医学"模块整合于目前的心血管专业住院医师规范化培训体系内,这对于从根本上提高我国心血管专科医师的"双心"诊治水平,减少医疗浪费和医患矛盾都具有重要的意义。
Standardized residency training system(SRTS) has become an basic part of present medical education after graduation,while is far from perfection due to the deficiency of certain skills training.For example,the comorbidity of psychiatric and mental diseases is common among patients with cardiac diseases,but the psycho-cardiologic training remains vacant in present standardized residency training system.In this study,we attempt to initiate a psycho-cardiologic training module and integrate it into current standardized training system for residents in cardiac-related fields.We assume that the psycho-cardiologic training module might supply a beneficial complement to present SRTS and improve the diagnostic and therapeutic level of medical workers in our country.The improvement,we believe,would significantly decrease the unnecessary expense and relieve the medical-patient conflict.
Standardized residency training system(SRTS) has become an basic part of present medical education after graduation,while is far from perfection due to the deficiency of certain skills training.For example,the comorbidity of psychiatric and mental diseases is common among patients with cardiac diseases,but the psycho-cardiologic training remains vacant in present standardized residency training system.In this study,we attempt to initiate a psycho-cardiologic training module and integrate it into current standardized training system for residents in cardiac-related fields.We assume that the psycho-cardiologic training module might supply a beneficial complement to present SRTS and improve the diagnostic and therapeutic level of medical workers in our country.The improvement,we believe,would significantly decrease the unnecessary expense and relieve the medical-patient conflict.
引文
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[2]王莹,曹丹,黄智慧,等.中美住院医师培训制度的比较及借鉴[J].浙江医学教育,2016,15(1):1-4.
[3]国家卫生和计划生育委员会.国家卫生计生委关于印发住院医师规范化培训管理办法(试行)的通知:国卫科教发[2014]49号[A/OL].(2014-08-22)[2014-08-26].http://www.nhfpc.gov.cn/qjjys/s3593/201408/6281beb3830c42c4a0d2319a2668050e.shtml.
[4]石卫晨,吴蓉,蔡利红.浅谈“双心”疾病的研究现状及方向[J].现代临床医学,2015,41(3):230-232.
[5]陈晓虎,朱贤慧,陈建东,等.双心疾病中西医结合诊治专家共识[J].中国全科医学,2017,20(14):1659-1662.
[6]中国康复学会心血管病专业委员会,中国老年学学会心脑血管病专业委员会.在心血管科就诊患者的心理处方中国专家共识[J].中华心血管病杂志,2014,42(1):6-13.
[7]康凯,曲辉,谢宝栋,等.“双心”医学模式下心外科医师培养的思考[J].中国继续医学教育,2 0 1 6,8(1 3):4-6.
[8]刘芳君,刘雨琦.从身心医学的视角看消化性溃疡的发病机制[J].社会心理科学,2012,27(3):24-26.
[2]王莹,曹丹,黄智慧,等.中美住院医师培训制度的比较及借鉴[J].浙江医学教育,2016,15(1):1-4.
[3]国家卫生和计划生育委员会.国家卫生计生委关于印发住院医师规范化培训管理办法(试行)的通知:国卫科教发[2014]49号[A/OL].(2014-08-22)[2014-08-26].http://www.nhfpc.gov.cn/qjjys/s3593/201408/6281beb3830c42c4a0d2319a2668050e.shtml.
[4]石卫晨,吴蓉,蔡利红.浅谈“双心”疾病的研究现状及方向[J].现代临床医学,2015,41(3):230-232.
[5]陈晓虎,朱贤慧,陈建东,等.双心疾病中西医结合诊治专家共识[J].中国全科医学,2017,20(14):1659-1662.
[6]中国康复学会心血管病专业委员会,中国老年学学会心脑血管病专业委员会.在心血管科就诊患者的心理处方中国专家共识[J].中华心血管病杂志,2014,42(1):6-13.
[7]康凯,曲辉,谢宝栋,等.“双心”医学模式下心外科医师培养的思考[J].中国继续医学教育,2 0 1 6,8(1 3):4-6.
[8]刘芳君,刘雨琦.从身心医学的视角看消化性溃疡的发病机制[J].社会心理科学,2012,27(3):24-26.