基于深度访谈分析西医学习中医培训中存在问题及优化建议  

Analysis of problems and suggestions for optimization in the training of Western medicine learning from traditional Chinese medicine based on in-depth interviews

作　　者：曹于 刘刚 赵丹阳 庞博[3] 李萌 李福生 张传龙 CAO Yu;LIU Gang;ZHAO Danyang;PANG Bo;LI Ming;LI Fusheng;ZHANG Chuanlong(Department of Preventive Treatment of Disease,Beijing Hospital of Integrated Traditional Chinese and Western Medicine,Beijing100039,China;Beijing Association of Integrated Chinese and Western Medicine,Beijing100005,China;Department of International Medical,Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing100053,China)

机构地区：[1]北京中西医结合医院治未病科,北京100039 [2]北京中西医结合学会,北京100005 [3]中国中医科学院广安门医院国际医疗部,北京100053

出　　处：《中国医药导报》2023年第3期184-187,196,共5页China Medical Herald

基　　金：北京市中医药科技项目(JJ-2020-34)。

摘　　要：目的探讨“西医学习中医”(以下简称“西学中”)培训与管理中存在的问题,并为后期优化“西学中”实践提供参考。方法选取北京市“西学中”培训与管理领域的专家共计12名作为研究对象,开展个人一对一深度访谈,专家包含学会管理阶层、临床医生和高校教师。应用NVivo 12 Plus对原始访谈资料进行质性研究,采用三级编码方式,访谈内容围绕“西学中”培训的学员培养、学员管理、学员认证3个层面开展。结果学员管理层面的3个主题:管理规范性欠完善,建立健全考核评价体系十分重要,人员遴选与门槛设置既应规范又要灵活。学员培养层面的4个主题:培养过程中学员的跟师与否尚需进一步讨论,课程实用性有待改进,针对不同的学员要设置不同的培养层次,教学模式尚缺乏创新性。学员认证层面的3个主题:“西学中”学员培训结束后尚缺乏政策层面的认证与认可,这依赖于政府管理部门相关政策的出台,“西学中”培训与管理相关部门加强沟通协作。结论本研究针对“西学中”人才培养中存在的问题,提出了相应的改进建议。唯有“西学中”教育更加规范化、实用化和专业化,才能为国家培养更多至精至诚、学贯中西的医学人才。Objective To discuss the problems in the training and management of“Western medicine learning from traditional Chinese medicine”(hereinafter referred to as“Western-learns-Chinese”),and to provide reference for optimizing the practice of“Western-learns-Chinese”in the future.Methods A total of 12 experts in the field of training and management of“Western-learns-Chinese”in Beijing were selected for the study,and personal one-on-one in-depth interviews were conducted with experts from the management of the institute,clinicians and university teachers.NVivo 12 Plus was used to conduct a qualitative study of the original interview data,using a three-level coding approach,and the interviews were conducted at three levels:trainee development,trainee management,and trainee certification of the“Western-learnsChinese”training.Results Three themes at the trainee management level:the lack of perfect management standardization,the importance of establishing a sound assessment and evaluation system,and the fact that personnel selection and threshold setting should be both standardized and flexible.Four themes at the trainee training level:the training process of trainees with or without teachers needs to be further discussed,the practicality of the curriculum needs to be improved,different levels of training should be set for different trainees,and the teaching model still lacks innovation.Three themes at the trainee certification level:the lack of policy-level certification and recognition after the training of“Western-learnsChinese”trainees relies on the introduction of relevant policies by government management departments and the strengthening of communication and collaboration between“Western-learns-Chinese”training and management-related departments.Conclusion The study proposes suggestions for improvement of the problems in the cultivation of“Western-learn-Chinese”talents.Only through the standardization,practicalization,and specialization of“Western-learnsChinese”education can we trai

关 键 词：西医学习中医 培训 质性分析 深度访谈 管理与实践 优化 

分 类 号：G642[文化科学—高等教育学]