对中国全科医师规范化培训基地和培训大纲的研究和建议  

Perspectives on China's Development in General Practice (Family Medicine) Residency Programs and Curriculum

作　　者：徐国平[1] 牛丽娟[2] 王家骥[3] 

机构地区：[1]约翰霍普金斯大学社区医学服务集团,美国马里兰州巴尔的摩市21211 [2]安徽高等医学专科学校 [3]广州医科大学

出　　处：《中国全科医学》2014年第19期2171-2178,共8页Chinese General Practice

摘　　要：近年来我国全科医生制度的建立已经取得明显的进展。一系列关于全科医学住院医生培训基地建设的方针政策和培训大纲指南的制定和完善,促进了在岗/转岗全科医生、骨干全科医生的培养和师资队伍从无到有的发展。同时也显示出这些大纲存在着一些不足和缺陷。主要表现在没有完全抓住全科医学培训的核心内容,即全科医学自身的重点培训,造成全科医学病房训练和长期连续的社区门诊服务培训缺失,过度重视临床专科轮转培训。随着全国应急性在岗/转岗全科医生及骨干全科医生培训逐渐过渡到规范化全科医生的长远培训上来,尽快修订现行大纲纠正这些重大缺陷十分迫切,从而为保障高水平的全科医学人才培训打下长远的坚实基础。Establishment of family physician（ General Practice,GP） system in China has made some noticeable progress. A series of government policies and training curriculums on ＆quot; residency programs＆quot; promoted growth of GP work force and teaching/education power through on-job training and job-switch training in GP. It has been also noted,however,some major flaws exist in the current national residency program curriculum,as it misses the core training components：the training in GP itself,thanks to lack of GP department inpatient training and longitutive outpatient clinic training. The training program has been wrongly focused on various specialty rotation training. As current emergency models of on-job/job switch GP training are gradually transitioned into long term formal residency programs,those major flaws in the current curriculum must be recognized and amended as soon as possible,in order to lay down a solid foundation for effective training of high quality GP（ future family physicians）and for achieving healthcare reform goal in 2020 to provide better primary care for all people.

关 键 词：全科医学 住院医生 培训大纲 培训基地 

分 类 号：R197[医药卫生—卫生事业管理]