比较中美放射肿瘤住院医师培训看中国放射肿瘤住院医师规范化培训的完善和发展  

Comparison of Radiation Oncology Residency Training Program Between United States and China—Implication on Standardization of Training Programs in China

作　　者：晏俊芳[1] 胡克[1] 张福泉[1] YAN Jun-fang;HU Ke;ZHANG Fu-quan(Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,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,北京100730

出　　处：《中国肿瘤》2020年第12期952-956,共5页China Cancer

基　　金：北京协和医院临床骨干师资海外培训项目(2018PUMCHFD-YJF);北京协和医学院本科教育教学改革基金(2020zlgc0124)。

摘　　要：[目的]比较中美放射肿瘤住院医师培训体系,探讨中国放射肿瘤住院医师规培的改进。[方法]通过绘制列表的方式比较中美两国放射肿瘤住院医师培训系统在候选人资格要求和申请及培养流程、设施资源和培训计划、临床能力要求,以及教师和受训人员评估4方面的差异。[结果]美国进入住院医培训前竞争更激烈,总培训时间及放疗科内培训时间更长,基础课程更丰富,病种覆盖更广,放疗技术要求更全面,更侧重自学过程及过程评估。中国规培住院医生源参差不齐,现行的规培制度能基本满足均质化的最低要求。[结论]提出了改进减免政策,补充自学课程,开展院际合作等建议,希望进一步完善我国放射肿瘤住院医师规培制度。[Purpose]To compare radiation oncology residency training programs between the United States and China.[Methods]The radiation oncology residency training systems were compared between China and the United States,in terms of candidate eligibility requirement and application process,facility resources and training program,clinical competence requirement,and evaluation of faculty and trainees.[Results]In the United States,the competition is more intense before entering the hospital training,the total training time in radiotherapy department is longer,the basic courses are more substantial,the disease coverage is wider,the specific regulations of radiotherapy skills are more comprehensive,and the self-study process and process evaluation are more emphasized.In contrast,the quality of the residents in China varies and the current training systems can only meet the basic requirement of qualified radiation oncologists.[Conclusion]More flexible training curriculum for trainees with different levels,increase of self-learning courses and cooperation among various hospitals are recommended to improve the standardization of radiation oncology residency training system in China.

关 键 词：规范化培训 住院医师 放射肿瘤学 

分 类 号：R73[医药卫生—肿瘤]