“阶段—多样混合培养模式”在临床病理住培中的探索与实践  

Exploration and Practice of the"Stage-by-Stage and Diversified Blended Training Mode"in Standardized Training of Clinicopathological Residents

作　　者：彭莉 周杨 巫静娴[1,2,3] 赵涌 王娅兰[1,2,3] 曹友德 喻姗姗[1,2,3] PENG Li;ZHOU Yang;WU Jingxian;ZHAO Yong;WANG Yalan;CAO Youde;YU Shanshan(Department of Pathology,College of Basic Medicine,Chongqing Medical University,Chongqing 400016,China;Molecular Medicine Diagnostic and Testing Center,Chongqing Medical University,Chongqing 400016,China;Department of Pathology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学基础医学院病理学教研室,重庆400016 [2]重庆医科大学分子医学检测与诊断中心,重庆400016 [3]重庆医科大学附属第一医院病理科,重庆400016

出　　处：《中国继续医学教育》2024年第20期194-198,共5页China Continuing Medical Education

基　　金：2021年重庆市研究生教育教学改革研究项目(yjg212016)。

摘　　要：临床病理医生作为我国医疗行业急需人才,目前已成为提升当今医疗行业服务质量的瓶颈之一。如何培养较高质量的临床病理住院医师是目前规范化培训中的热点。自2014年1月成为临床病理住院医师规范化培训基地以来,重庆医科大学附属第一医院病理科专业基地经过多年的实践与探索,将培训分成了临床病理基础夯实、临床病理能力培养、亚专科与科学研究发展兴趣培养三个阶段。在不同阶段,重庆医科大学附属第一医院病理科专业基地采用了专题讲座、教学会诊、多头镜下教师示教、定期疑难病例讨论、文献汇报等面授方式教学,同时结合视频学习、数字化标本切片等多种技术媒介手段进行多维度教学。同时建立并培养经验丰富的住培带教师资队伍,形成了包含老中青的高素质教师梯队。最终形成“阶段—多样混合培养模式”住培制度,保证住培学员通过住培业考试、职业医师考试等。并助力住培学员通过中级考试、同等学力申请专业学位硕士考试等。因此,该基地逐步建立“阶段—多样混合培养模式”,希望为优化临床病理专业人才的培训提供经验,为培养合格的临床病理诊断医生打下基础。Clinical pathologist,who are in urgent need of talents in China,have become one of the bottlenecks to improve the service quality of the medical areas.How to train high-quality clinicopathological residents is a hot topic in the current standardized training.Since becoming the standardized training base for residents of clinical pathology in january 2014,the pathology department of the First Affiliated Hospital of Chongqing Medical University has divided the training into three stages:strengthening the foundation of clinical pathology,cultivating the ability of clinical pathology,and cultivating the interest of subspecialty and scientific research development.At various stages,the pathology department of the First Affiliated Hospital of Chongqing Medical University has implemented a range of multi-dimensional teaching methodologies.These include specialized lectures,teaching consultations,multi-head microscope instruction,regular discussions of complex cases,literature reviews,and additional methods such as video-based learning and digital specimen slicing.Simultaneously,the pathology department of the First Affiliated Hospital of Chongqing Medical University have developed and nurtured a proficient team of resident training instructors,thereby establishing a high-caliber echelon of educators that encompasses individuals from young,middle-aged,and senior cohorts.Finally,the"Stage-by-stage and diversified mixed training mode"will be established to ensure that clinicopathological residents passed the graduation examination and professional doctor examination,and to make that clinicopathological residents got good results in the intermediate examination,the master's degree examination for the same academic level.Thus,the"stageby-stage and diversified blended training mode"gradually established by the department is expected to provide reference for optimizing the training of clinical pathology professionals.It may lay a foundation for training qualified clinical pathological diagnostic doctors.

关 键 词：临床病理 住院医师 规范化培训 继续医学教育 培养模式 病理实践 

分 类 号：G642[文化科学—高等教育学]