教学门诊在全科住院医师规范化培训中的实践现状与启示  

Implementation of teaching clinic in the standardized training of general practice residents:current situation and implications

作　　者：余馨妍 吴玲燕[1] 毛玲娜[1] 倪明 蒋志志 童钰铃[1] 郭谊[1] 宋震亚[1] 徐志杰 Yu Xinyan;Wu Lingyan;Mao Lingna;Ni Ming;Jiang Zhizhi;Tong Yuling;Guo Yi;Song Zhenya;Xu Zhijie(Department of General Practice,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China;Hangzhou Shangcheng District Nanxing Street Community Health Service Center,Hangzhou 310016,China;Hangzhou Shangcheng District Xiaoying Street Community Health Service Center,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属第二医院全科医学科,杭州310009 [2]杭州市上城区南星街道社区卫生服务中心,杭州310016 [3]杭州市上城区小营街道社区卫生服务中心,杭州310006

出　　处：《中华医学教育探索杂志》2024年第9期1281-1285,共5页Chinese Journal of Medical Education Research

基　　金：浙江省医药卫生科技计划项目(2023KY762);浙江省教育厅一般科研项目(人文社科类)(Y202352176);浙江大学第二临床医学院2023年度教学改革研究培育项目(20230202)。

摘　　要：教学门诊是住院医师门诊教学的一种形式,是全科住院医师规范化培训的重要手段和核心内容。本文综述了国内全科教学门诊的通用实践模式和内容创新,并分析了开展全科教学门诊对提高住院医师门诊接诊能力、指导医师教学能力及提升参与者满意度方面的成效;总结了实施教学门诊存在的问题,包括教学设施设备不完善、教学激励制度不健全、患者招募困难,以及指导医师教学能力薄弱等。针对以上问题,本文从现实需求出发提出应对措施,包括完善教学门诊的设施和设备、建立教学门诊配套激励机制、拓展教学门诊患者招募途径,以及加大指导医师教学能力的培训力度,旨在为全科住培基地教学门诊的有效实施与规范化发展提供理论依据和实践指导。Teaching clinics represent a unique form of outpatient training of resident physicians and serve as a crucial instrument and core component of standardized training of general practice residents.This article reviews the common model and innovations of teaching clinics of general practice in China,and analyzes their reported effectiveness in enhancing the capabilities of consultation of resident physicians,the teaching capabilities of general practice trainers,as well as satisfaction levels of involved participants.It outlines the challenges encountered in implementing teaching clinics,including inadequate teaching facilities and equipment,incomplete incentive system for teaching,difficulties in patient recruitment,and weaknesses in the teaching capabilities of trainers.To address these challenges,this article proposes corresponding strategies based on realistic needs,including the improvement of facilities and equipment in teaching clinics,the establishment of incentive systems for teaching clinics,the expansion of patient recruitment channels for teaching clinics,and the enhancement of training for trainers'teaching capabilities.This is envisaged to provide both theoretical bases and practical guidance for the effective execution and standardized development of teaching clinics in general practice residency training bases.

关 键 词：教学门诊 全科住院医师 基层指导医师 教学能力 综述 

分 类 号：R4[医药卫生—临床医学]