血液病专科医师规范化培训方案的探索  

Exploration on Standardized Training Program for Hematological Specialists

作　　者：谢咪雪 蒋琦[2] 胡春燕[3] 金洁[1] 佟红艳[1] XIE Mixue;JIANG Qi;HU Chunyan;JIN Jie;TONG Hongyan(Department of Hematology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou Zhejiang 310003,China;Department of Medical Oncology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou Zhejiang 310003,China;Department of Education,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou Zhejiang 310003,China)

机构地区：[1]浙江大学医学院附属第一医院血液科,浙江杭州310003 [2]浙江大学医学院附属第一医院肿瘤内科,浙江杭州310003 [3]浙江大学医学院附属第一医院教学科,浙江杭州310003

出　　处：《中国继续医学教育》2024年第14期31-35,共5页China Continuing Medical Education

基　　金：2022年浙江大学医学院附属第一医院教育教学改革项目(zyjg202206)。

摘　　要：当前我国的医学专科培训制度尚未完善,尚未形成连贯性、协同性、全面性、系统性的专科培训体系。血液病发病人数逐年增多,血液病临床表现复杂、专业性强且涉及多学科诊治,血液病学发展日新月异,因此对于培养高质量的血液病专科医师有迫切需求,但尚无统一的规范化培训方案。文章以浙江大学医学院附属第一医院临床血液中心联合浙江大学血液病研究所作为培训平台,以骨髓形态学、免疫学、细胞遗传学、分子生物学等多个亚专科协同培训为基础,以理论学习、临床实践、临床研究能力相结合的综合专科技能为培训内容,应用以案例为基础的教学法(case-based learning,CBL)、分层教学法等,提出了一个高效、可复制、可推广的血液病医学专科医师规范化培训方案,以期为新形势下血液病科专培制度教学改革提供参考。At present,a coherent,collaborative,comprehensive and systematic medical specialty training system has not been formed in China yet.The number of patients with hematologic disease is increasing year by year.And the clinical manifestations of hematologic disease are complex and highly professional,with involving multidisciplinary diagnosis and treatment.At the same time,the discipline of hematology is developing rapidly.Therefore,there is an urgent need to train high-quality hematology specialists,but there is no standardized training program.The training program takes the Clinical Blood Center of the First Affiliated Hospital of Zhejiang University and the Institute of Hematology of Zhejiang University as the training platform.In addition to the cooperative training of multiple sub-specialties such as bone marrow morphology,immunology,cytogenetics and molecular biology,the training program also includes the comprehensive specialized skills combining the theoretical learning,clinical practice and clinical research ability by using teaching methods such as case-based learning(CBL)and stratified teaching.In this paper,an efficient,reproducible and scalable specialty training system for hematology specialists was proposed in order to provide reference for the reform of hematology specialty training system under the new situation.

关 键 词：专科培训 教学改革 以案例为基础教学 血液病学 方案 规范化 

分 类 号：G726[文化科学—成人教育学]