北京协和医院内科住院医师分层培养小组模式运行情况的评估与分析  

Stratified training mode in standardized residency training of internal medicine in Peking Union Medical College

作　　者：施文 杨莹韵[1] 施潇潇[4] 曲璇[2] 侍效春[3] 李晓青[1] 李菁[5] 李航[4] 张奉春[5] SHI Wen;YANG Yingyun;SHI Xiaoxiao;QU Xuan;SHI Xiaochun;LI Xiaoqing;LI Jing;LI Hang;ZHANG Fengchun(Department o f Gastroenterology,Peking Union Medical College Hospital,Beijing 100730,China;Department of Geriatrics,Beijing 100730,China;Department of Infectious Diseases,Beijing 100730,China;Department of Renal Diseases,Beijing 100730,China;Department of Rheumatology,Beijing 100730,China)

机构地区：[1]北京协和医院消化内科,北京100730 [2]北京协和医院老年医学科,北京100730 [3]北京协和医院感染内科,北京100730 [4]北京协和医院肾内科,北京100730 [5]北京协和医院免疫内科,北京100730

出　　处：《中国毕业后医学教育》2020年第6期491-493,498,共4页Chinese Journal of Graduate Medical Education

摘　　要：为了给住院医师提供更立体、进阶式的培养,北京协和医院内科自2017年起在病房开始推行分层小组培养模式。本文对分层小组培养模式的具体运行情况进行了调研,反馈结果提示分层小组培养模式获得了带教主治医师和分层小组组长的普遍认可,是一种可行、有效、符合住院医师成长规律的培养模式。但主治医师与组长在实施过程中也存在部分担忧,其中教学双方如何把握临床带教中的自主性和监督性的平衡问题最为突出,提示资质分层准入原则、有针对性的组长岗前培训等可能是下一步推动制度细化的重点。In order to train residents in a progressive way, the Internal Medicine Department of Peking Union Medical College Hospital has been implementing the stratified training mode in wards since 2017. The effect of the training mode was investigated and the results suggested that the stratified training mode was well-received by attending physicians and leaders of stratified groups, which turned out to be a feasible and effective training program consistent with the ideal growth pattern of residents. However, attending physicians and group leaders were concerned about how to balance between autonomy and the right level of supervision. More individualized admission criteria for leaders and warm-up training may be a priority of the program.

关 键 词：住院医师 规范化培训 分层培养 自主性 监督性 

分 类 号：G40[文化科学—教育学原理] R5[文化科学—教育学]