从消化疾病特点评价住院医师内科临床思维训练  

Resident training of reasoning capacity in internal medicine:a gastroenterological perspective

作　　者：陈国榕 熊洋洋[1] 陈丹[1] 吴东[1] CHEN Guorong;XIONG Yangyang;CHEN Dan;WU Dong(Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院消化科,北京100730

出　　处：《中国毕业后医学教育》2019年第6期525-528,共4页Chinese Journal of Graduate Medical Education

基　　金：北京协和医学院医学教育改革基金资助项目(2019zlgc0133)。

摘　　要：探讨住院医师在消化科培训期间训练内科临床思维的重要性。通过探讨消化系统疾病的诊疗要求和内科临床思维特征,辩证分析二者相关性。消化系统疾病与其他器官有密切的关联,临床表现复杂多样。一方面,消化系统疾病可导致其他器官异常,出现胃肠道之外的临床表现;另一方面,其他系统的疾病也可能引起胃肠道症状从而模拟消化系统疾病。在消化科轮转的住院医师必须以贯通式的内科思维分析病情,才能更好地实现培训目的。This study aimed to highlight the importance of teaching clinical reasoning of internal medicine in department of gastroenterology during residential rotations.The relationship between the diagnosis and treatment of digestive diseases and reasoning capacity in internal medicine is explored and analyzed in this article.The gastrointestinal tract is closely related with other organs.Gastrointestinal disorders may result in abnorlalities of other organs and lead to colplicated symptoms.Meanwhile,diseases of other systems may cause gastrointestinal symptoms and minic digestive disorders as well.It is essential for residents in gastroenterology rotations to grasp integrative reasoning with the knowledge of internal medicine to achieve the purpose of training.

关 键 词：住院医师 毕业后教育 消化病学 内科学 临床思维 

分 类 号：G808.12[文化科学—体育训练]