医学教育史视域下的住院医师规范化培训制度的回溯与思考  

Retrospection and reflection on standardized residency training system from the perspective of medical education history

作　　者：魏立丰 张港玉 贾昊男 王亚蒙 周爽 王莹 李元亨 沙卓娃 焦明丽[4] Wei Lifeng;Zhang Gangyu;Jia Haonan;Wang Yameng;Zhou Shuang;Wang Ying;Li Yuanheng;Sha Zhuowa;Jiao Mingli(Teaching and Research Section of Social Medicine,School of Health Management,Harbin Medical University,Harbin 150086,China;Department of Human Resources,The First Affiliated Hospital of Zhejiang University,Hangzhou 310000,China;Performance Appraisal Office,Shanghai Pulmonary Hospital,Shanghai 200000,China;Public Policy and Hospital Management Research Center,School of Health Management,Harbin Medical University,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学卫生管理学院社会医学教研室,哈尔滨150086 [2]浙江大学医学院附属第一医院人力资源部,杭州310000 [3]上海市肺科医院绩效考核办公室,上海200000 [4]哈尔滨医科大学卫生管理学院公共政策与医院管理研究中心,哈尔滨150086

出　　处：《中华医学教育探索杂志》2023年第2期236-240,共5页Chinese Journal of Medical Education Research

基　　金：国家自然科学基金资助项目(71273002,71473064);美国中华医学基金会项目(19-309);2020年度黑龙江省应用技术研究与开发计划项目(GA20C004)。

摘　　要：本文基于住院医师培训方面的国家政策法规和文件,梳理了我国住院医师规范化培训制度的历史演变进程,将其发展分为前期探索、局部试点、全国试行和落实完善4个阶段;并就其发展规律和未来走向提出了制度改革应遵循自上而下式的行政命令和指示性计划、制度应注重总结实践经验基础上的渐进式推行、制度还需从整体式视角继续落实和完善的几点现实思考。Based on the national policies,regulations and documents on residency training,this paper sorts out the historical evolution of the standardized residency training system in China,and divides its development into four stages:preliminary exploration,local pilot,national trials,and implementation.It also puts forward some practical thoughts on its development law and future trend,such aspects as that the system reform follows the top-down administrative order and indicative plan,the system pays attention to the gradual implementation on the basis of summing up practical experience,and the system needs continuous implementation and improvement from the overall perspective.

关 键 词：住院医师规范化培训 人才培养 医学教育史 

分 类 号：R33[医药卫生—人体生理学]