全科住院医师规范化培训改革路径的探索与实践  

Practical exploration and reflection on the reform path of standardized training for general residents

作　　者：徐仲航 都伟浩 刘文文 秦妍 李春生[2] 房学东[1] 钱风华[2] Xu Zhonghang;Du Weihao;Liu Wenwen;Qin Yan;Li Chunsheng;Fang Xuedong;Qian Fenghua(Department of Gastrointestinal and Colorectal Surgery,China‑Japan Union Hospital of Jilin University,Changchun 130033,China;Department of Education and Teaching,China‑Japan Union Hospital of Jilin University,Changchun 130033,China)

机构地区：[1]吉林大学中日联谊医院胃肠结直肠外科,长春130033 [2]吉林大学中日联谊医院教育教学部,长春130033

出　　处：《中华全科医师杂志》2025年第3期364-368,共5页Chinese Journal of General Practitioners

基　　金：2022年吉林省高教科研课题(JGJX2022B2);2024年吉林省教育教学改革项目(2024L5LW81D000N);吉林大学研究生思想政治教育工作研究课题(ysz202434)。

摘　　要：全科住院医师规范化培训(全科住培)是毕业后教育的关键环节。影响全科住培质量的因素涵盖住院医师自身、师资、管理层、决策层及教学资源等方面。吉林大学中日联谊医院进行综合改革,以“立德树人”为目标引领,融合白求恩精神与现代理论创新办学理念,构建基于全面质量管理理念的PDCA循环管理体系,从质量策划、过程监控等多环节提升教育质量。师资建设方面,依耗散结构理论建立“遴选、评价、激励、淘汰”机制,组建教师共同体、成立培训学院等强化师资队伍。平台建设方面,加强“基地‑社区”“校内‑校外”联动与资源整合。改革取得一定成效,为全科医学教育提供了借鉴。General practice standardized residency training is a crucial part of postgraduate education for cultivating general practitioner.The factors influencing the quality of general practice residency training cover various aspects such as the residents themselves,teaching staff,management and decision‑making levels,as well as teaching resources.Guided by the goal of"fostering virtue through education",and integrated the spirit of Norman Bethune and modern innovation theories and the educational philosophy,the China‑Japan Union Hospital of Jilin University has carried out comprehensive reforms in this field.It has constructed a PDCA cycle management system based on the concept of total quality management to improve the quality of education from multiple links such as quality planning and process monitoring.In terms of faculty development,based on the dissipative structure theory,a mechanism of"selection,evaluation,incentive,and elimination"has been established.Teacher communities have been formed and a training college has been established to strengthen the teaching team.In terms of platform construction,the linkage between"teaching base‑community"and"on campus‑off campus"has been strengthened and resources have been integrated.The reform has achieved remarkable results,and our practice may provide a reference for general practice medical education.

关 键 词：全科医学 在职培训 改革路径 

分 类 号：G64[文化科学—高等教育学]