专科医师住院医师培养标准总则.doc

专科医师/住院医师培养标准 Specialist / Residents Training Standards 全科医学专科细则 General Medicine 全科医学又称家庭医学（General edicine/Family Medicine），正式建立于20世纪60年代，是一个面向社区与家庭，整合临床医学、预防医学、康复医学以及人文社会学科相关内容于一体的综合性临床二级专业学科；其范围涵盖了各种年龄、性别、各个器官系统的各类健康问题/疾病。经过该专业培训出来的全科医生主要工作在社区，为社区居民提供以人为中心、以家庭为单位、以整体健康的维护与促进为方向的长期负责式照顾，并将个体与群体健康照顾融为一体。全科医学专科医师培养阶段为三年。called family medicine, it was officially established in the 60’s of 20th century. General medicine serves the communities and the families, integrating clinical medicine, preventive medicine, rehabilitative medicine as well as the humanities society discipline together, it’s a comprehensive clinical specialty. The range covers every age, sex and every organ system with all kinds of healthy problems/diseases. Trained general practitioners mainly work at the communities, providing patient-centered, family-based, continuous, responsible care. It aims at overall health maintenance and health promotion, and it combines the individual care with the population care. The peroid of general medicine residency is three years. 一、培养目标：通过全科专科医师教育，培养具有高尚职业道德和良好专业素质、掌握专业知识和技能，能以人为中心、以维护和促进健康为目标，向个人、家庭与社区居民提供综合性、协调性、连续性的基本医疗保健服务的合格全科医生，并成为社区卫生服务的骨干。hrough general medicine residency education, to train qualified general practitioners who have dignified professional morals , good professional knowledge and skills, are able to provide patient-centered , comprehensive ,corresponding, harmonious and continuous basic medical health care ,they should take health maintain and promotion health as the goal and they are trained to be the backbones in the communities. 二、培养方法培训内容分三个部分，即全科医学相关理论、临床科室轮转、社区实习。 全科医学相关理论学习，时间为3个月;采取集中授课和自学的方式进行。 临床科室轮转时间为26个月。具体轮转科室及时间分配见表2。在轮转期间，学员参加“临床培训基地”中的主要临床三级科室和相关科室的医疗工作，进行临床基本技能训练，同时学习相关专业理论知识。相关管理制度依照相关临床实习管理制度要求执行。 此外,在医院轮转期间，每周安排不少于半天的集中学习，以讲座、教学研讨会与案例讨论等方式，学习全科医学相关问题与相关学科新进展。同时每月安排一天到社区基地参与社区卫生服务工作。 社区全科医疗诊所实习时间为7个月。要求学员在社区培训基地工作，并在导师的指导下开展全科医疗和社区卫生服务工作。社区教学基地指定专门教师实行一对一带教。 培养的具体内容、方式及时间分配参见表1。 The training includes three parts clinic