中国全科医学 ›› 2024, Vol. 27 ›› Issue (19): 2330-2335.DOI: 10.12114/j.issn.1007-9572.2023.0259

所属专题: 全科医生最新文章合集

• 中国全科医疗/社区卫生服务工作研究 • 上一篇    下一篇

全科医生培养的中德对比及借鉴分析

金可, 任菁菁*()   

  1. 310020 浙江省杭州市,浙江大学医学院附属第一医院全科医学科
  • 收稿日期:2023-07-13 修回日期:2023-07-28 出版日期:2024-07-05 发布日期:2024-04-28
  • 通讯作者: 任菁菁

  • 作者贡献:

    金可负责文章构思、资料收集整理、文章撰写、图表绘制;任菁菁负责文章的审校、修改和质量控制,对文章整体负责。

  • 基金资助:
    思政教育融入《全科医学》的实践与研究(BJG 2302)

A Comparison and Analysis of Chinese and German Practices in General Practitioner Training

JIN Ke, REN Jingjing*()   

  1. Department of General Practice, the First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310020, China
  • Received:2023-07-13 Revised:2023-07-28 Published:2024-07-05 Online:2024-04-28
  • Contact: REN Jingjing

摘要: 我国全科医学近年来发展迅速,取得了显著进步,但与欧美发达国家间差距仍然较大,在培养全科医生方面仍不完善。德国在初级卫生保健体系建设以及全科医生培养上卓有成效,在全民医保覆盖及分级诊疗的体制下实现了居民的高健康水平以及初级卫生保健服务的高患者满意度。故本研究将中国与德国在全科毕业后教育及继续教育建设方面进行比较,分析我国全科教育改革的痛难点,借鉴德国全科教育理念框架,提出针对性的解决思路和建议。(1)针对全科住院医师规范化培训:适当增加轮转自由度以促进学员个性化的能力完善,纳入心身医学规范课程及巴林特小组活动以改善学员的心身医学能力,尽快确立统一的社区师资遴选标准并促进社区师资统一培训发展,在改善社区带教师资水平后重审全科(含社区)轮转时间;(2)针对继续教育:将亚专长和小专长纳入全科继续教育体系中以增加全科医学的功能医学特性并促进全科医生的职业多样化发展,建立全国统一的全科医学继续教育课程平台。将来仍需要更多的实践性研究和资源投入来完善我国的全科医生培养体系。

关键词: 全科医学, 全科医生, 教育,医学,继续, 住院医生规范化培训, 心身医学, 亚专长, 小专长

Abstract:

General practice in China has developed rapidly in recent years with remarkable progress, but the gap with developed countries in Europe and the United States is still large, and the training system of general practitioners still remains impefect. In Germany, the construction of the primary health care system and the training system of general practitioners have been well developed. Under the system of universal health insurance coverage and hierarchical diagnosis and treatment, a high level of health and patient satisfaction with primary healthcare services among residents have been achieved in Germany. Therefore, this study compares post-graduate education and continuing education of general practice in China and Germany, analyzes the challenges of general practice education reform in China, drawing on the conceptual framework of general practice education in Germany, and proposes targeted ideas and recommendations for solutions as follows: for the standardized residency training of general practice, increase the rotation flexibility as appropriate to facilitate the optimization of trainees' individualized competencies, incorporate the standardized curriculum of psychosomatic medicine and Balint group training to improve trainees' competence in psychosomatic medicine, establish standardized selection criteria and promote standardized training program for faculty of community hospital, and revisit the duration of general practice (including community) rotation after improving the qualifications of general practice faculty of community hospital; for the continuing education, incorporate the special interest and small specialties into the general practice continuing education system to strengthen the functional medical characteristics of general practice and promote the professional diversification of general practitioners, and establish a national unified platform for continuing education in general practice. More practical research and resources are needed to improve the training system of general practitioners in China in the future.

Key words: General practice, General practitioners, Education, medicine, continuing, Standardized residency training, Psychosomatic medicine, Special interest, Small specialties

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