强化儿童外科总住院医师培养的探讨  

Discussion on strengthening the training of chief resident in pediatric surgery

作　　者：吴宙光[1] 王斌[1] 陈子民[1] 冯奇[1] 郑佳辰 WU Zhouguang;WANG Bin;CHEN Zimin;FENG Qi;ZHENG Jiachen(Department of Pediatric Surgery,Shenzhen Children′s Hospital,Guangdong Province,Shenzhen518026,China)

机构地区：[1]深圳市儿童医院小儿外科

出　　处：《中国医药导报》2019年第24期169-172,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81770512);广东省深圳市卫计委高层次医学团队立项项目(SZSM201812055)

摘　　要：医疗资源的合理分配以及医院所需人才的培养是目前医疗体制改革的两项重要组成部分。在医院人才培养上,总住院医师的培训是高年住院医师向主治医师转变不可跨越的一个重要阶段,也是专科医师人才梯度培养的承接关键。儿童外科有别于成人外科,儿童外科疾病具有其特殊性,在儿童外科总住院医师的培养上,有一定的特点及难点。其主要表现在儿童外科总住院医师的培养要求高、周期长,总体投入较大。在实际工作中,要注重儿童外科总住院医师的临床思维、强化操作技巧、心理素质、教学与沟通能力、科研能力和管理等方面的培养,以提高儿童外科总住院医师的专业水平。目前,我国小儿外科人才培养体系不完善,缺乏儿童外科总住院医师阶段的专业基础知识和儿科临床技能训练,进而造成儿童外科专科医生相对缺乏,是导致儿童专科医院人满为患的原因之一。因此,小儿外科总住院医师培训应需要进一步完善及强化,并需继续加大投入,推动小儿外科专业的整体发展。The rational allocation of medical resources and the cultivation of talents needed by hospitals are two important components of the current medical system reform.In terms of talent cultivation in hospitals,the training of chief resident physicians is an important stage that cannot be leap-forward from senior resident physicians to attending physicians,and it is also the key to the gradient cultivation of specialized physicians.Pediatric surgery is different from adult surgery,and pediatric surgery diseases have their own particularity,there are some characteristics and difficulties in the training of chief resident of pediatric surgery.It is mainly manifested in the high training requirements,long period and large overall investment of the chief resident of pediatric surgery.In practical work,we should pay attention to the training of clinical thinking,strengthening operation skills,psychological quality,teaching and communication ability,scientific research ability and management of chief resident of pediatric surgery,so as to improve the professional level of chief resident of pediatric surgery.At present,our country′s pediatric surgery personnel training system is not perfect,lack of children′s surgery general resident stage of professional basic knowledge and pediatric clinical skills training,resulting in the relative shortage of children′s surgery specialist doctors,which is one of the reasons for the overcrowding of children′s specialized hospitals.Therefore,the training of chief resident of pediatric surgery should be further improved and strengthened,and more investment should be made to promote the overall development of pediatric surgery.

关 键 词：儿童 小儿外科 总住院医师 教育 临床思维 管理 

分 类 号：R197.3[医药卫生—卫生事业管理]