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  • Online:2019-01-01 Published:2019-01-09

逐步完善我国外科住院医师规范化培训质量和进程的思考与展望

赵恩昊1卞正乾2,曹    晖1   

  1. 1上海交通大学医学院仁济临床医学院外科教研室,上海200127;2上海交通大学医学院附属仁济医院微创实训中心,上海 200127

Abstract:

Perspectives and expectations: gradual improvement and Aptimization of the quality and progress of our current standardized surgical residency        ZHAO En-hao*, BIAN Zheng-qian, CAO Hui. *Department of Surgery, Ren Ji Clinic School, Shanghai Jiao Tong University, School of Medicine, Shanghai 200127, China
Corresponding author:CAO Hui, E-mail:caohuishcn@hotmail.com
Abstract    Standardized surgical residency training is an important part of graduate medical education, a necessary path towards becoming a surgeon with the capability to deal with common clinical surgical problems in an independent, correct and evidence-based manner. It is also the fundamental policy for homogeneous clinician training, medical human resources construction and improvement of health care quality. Since its nationwide implementation at the end of 2013, there have been great achievements while problems and confusions were also exposed. Surgical residency training is now facing new challenges and opportunities. With the rapid development of minimally invasive surgery, young surgeons have been actively promoted to learning laparoscopic technique; however, traditional surgical basic skills as well as the essence of hands-on apprenticeship shall not be neglected. In the meantime, the Internet, and the series of revolutions and breakthroughs it brings, need to be utilized in residency training and construction of a system for standardized training management, which can be a creative model for future medical education.

Key words: graduate medical education, standardized surgical residency training, surgical resident, minimally invasive surgery

摘要:

外科住院医师规范化培训是毕业后医学教育中极为重要的组成部分,是医学毕业生成长为一名具备独立、正确、规范地处理临床常见问题能力的外科医师的必由之路,是培养同质化临床医师、加强医学人才队伍建设、提高医疗卫生水平和质量的治本之策。自2013年底在全国范围内启动和实施以来,取得了较大的成绩,也暴露了一些问题,面临着新的挑战和考验。尤其在微创外科蓬勃发展的今天,积极推动青年外科医师学习腹腔镜技术的同时,更不能忽略传统外科基本技能的培训和严格训练的教学精髓,而将互联网带来的一系列变革和突破充分应用于住院医师的临床教学和规范化培训管理系统的构建,也将成为未来医学教育的创新模式。

关键词: 毕业后教育, 住院医师规范化培训, 外科住院医师, 微创外科