Thinking and prospect about base construction of general practice
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摘要: 目的 发展全科医学,培养全科医生是建立符合国情的分级诊疗制度,加快医疗卫生事业发展,深化医疗卫生事业改革的重要部分。 方法 总结了中山大学附属第一医院全科医学基地多年以来在全科住院医师规范化培训和全科师资培训中的经验。首先在全科住院医师规范化培训中采用“医教协同”“三环式管理”“上下联动”的培训管理模式、对人文教育的重视、积极借助社会资源,提升区域全科医生诊疗水平以及采用“导师负责制”培养全科医生高水平、专业化的科研能力,达到“五证合一”。其次通过临床带教师资课程的系统培训,丰富带教师资的临床教学方法,提高带教师资的临床教学技能,包括与英国伯明翰大学签署合作协议,成立“广州-伯明翰医联体”,进行个性化教学,传达“自我导向型学习”的教育理念。另外五年制临床医学本科生开设《全科医学概论》课程,以理论授课与社区医院见习相结合的形式,使医学生对全科医学的概念、工作性质、实际运用有感性和理性的认识。 结果 建立了有特色的全科医师规培基地;为华南地区构建了一支高素质全科医师带教师资队伍;引发医学本科生的兴趣,为社会培养未来的全科医生。 结论 通过努力,我们将建设高质量的全科医学基地,为国家培养更多的全科医学人才。
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关键词:
- 全科医学基地 /
- 全科住院医师规范化培训 /
- 全科医学师资培养
Abstract: Objective To develop general practice and train general practitioners is an important part of establishing a hierarchical medical system in line with China's national conditions, accelerating the development of medical and health services, and deepening the reform of medical and health services. Methods This paper summarizes the experience of general practice resident standardized training and general practice trainner training in general practice base of the first affiliated hospital of Sun Yat-sen university First, We adopted the training management mode of "coordination between medical and education" "three-ring management" and "linkage up and down" in the standardized training of general residents, emphasized on humanistic education, actively used social resources to improve the level of diagnosis and treatment of regional general practitioners and adopted the tutor responsibility system to train the high level professional scientific research ability of general practitioners to achieve the unity of five certificates. Secondly, we enriched clinical teaching methods and improved clinical teaching skills through the clinical teacher-funded curriculum training system, and signed a cooperation agreement with the university of Birmingham to set up the "Guangzhou-Birmingham medical consortium" to conduct personalized teaching and convey the educational concept of "self-oriented learning". In addition, 5-year clinical medicine undergraduates were offered the course to introduce the general medicine. The combination of theoretical teaching and community hospital internship enables medical students to have a perceptual and rational understanding of the concept, work nature and practical application of general practice. Results We have set up a special training base for general practitioners and built a team of high-quality general practitioners with teacher resources for south China and aroused the interest of medical undergraduates to train future general practitioners for society. Conclusion Through our efforts, we shall build high-quality general practice bases and train more general practice talents for the country.
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