基于临床文献研读会提升住培医师疑难病例病理诊断能力的带教实践  

Teaching Practice Based on Clinical Literature Review Seminar to Enhance Residents'Pathological Diagnosis Abilities in Difficult Cases

作　　者：曾英 姜歆 李赞 唐雪峰 ZENG Ying;JIANG Xin;LI Zan;TANG Xuefeng(Department of Pathology,Chongqing General Hospital,Chongqing 401147,China)

机构地区：[1]重庆市人民医院病理科,重庆401147

出　　处：《继续医学教育》2024年第12期111-114,共4页Continuing Medical Education

基　　金：重庆医药职业教育集团教科研项目(CQZJ202359);西南医科大学2023年高等教育教学改革与研究项目(JG2023jdyb003)。

摘　　要：临床病理科住院医师规范化培训(简称“住培”)是培养合格的能够独立从事临床病理科工作的执业病理医师,对培养高层次医学人才、提高医疗质量具有重要意义,为解决国内病理医师匮乏提供了一条可行之路。重庆市人民医院临床病理科基地对住培的培训模式做了探索与实践,对培养住院医师岗位胜任力起到了一定的作用,并对前期的培训工作进行总结,发现在培养高年级住院医师解决疑难病例病理诊断能力方面需要改进。文章以采用临床文献研读会的方式解决1例需要进行毛母细胞瘤和基底细胞癌鉴别的病例,通过临床文献研读会逐步分析,找到解决病例诊断的方法,最终获得基底细胞癌的病理诊断。文章总结临床文献研读会教学活动实践的体会,通过临床文献研读会培养住院医师解决疑难病例病理诊断能力,有助于提升住院医师独立签发病理诊断报告的核心岗位胜任力。Standardized training for residents in clinical pathology department is to cultivate qualified practicing pathologists who can independently engage in clinical pathology work.It is of great significance for cultivating high-level medical talents and improving medical quality,and provides a feasible path to solve the shortage of pathologists in China.The clinical pathology department base of Chongqing General Hospital has explored and practiced the training mode of standardized training for residents,which has played a certain role in cultivating the post competence of resident physicians.It also has summarized the previous training and found that there was a need for improvement in cultivating the ability of senior resident physicians to solve pathological diagnosis in difficult cases.The article uses clinical literature review seminar to solve a case that requires differentiation between trichoblastoma and basal cell carcinoma.Through the gradual analysis of the clinical literature review seminar,a method for diagnosis of the case is found,and ultimately a pathological diagnosis of basal cell carcinoma is obtained.The article summaries the practical experience of teaching activities in the clinical literature review seminar,which aims to cultivate the ability of resident physicians to solve pathological diagnosis in difficult cases through the study of clinical literature.This will help enhance the core competency of resident physicians in independently issuing pathological diagnosis reports.

关 键 词：临床文献研读会 住院医师规范化培训 岗位胜任力 临床病理 诊断 教学实践 

分 类 号：G642[文化科学—高等教育学]