全科医师教育培训和评估.ppt

全科医师教育培训与评估 Training and Assessment for General Practitioners 复旦大学医学院全科医学系 复旦大学附属中山医院全科医学科 背景 Background： 据统计，所有到医院就诊的患者中只有5%左右需要专科医师的诊治，而人群中80％~90%的健康问题可以由以全科医师（家庭医师）为骨干的社区卫生服务队伍来解决 According to the recent statistics, only 5% of the patients who go to hospital need the health-care from specialists, and 80%~90% health problems can be solved by GPs-based community health-care system 发达国家的实践经验也告诉我们：控制医疗费用，有效利用有限的医疗保险资源的关键措施是发展以全科医师为骨干的社区卫生服务 近10年来，我们致力于毕业后全科医师的教育培训，探索建立新型的全科医师教育培训与评估模式 The experience gained in developed countries reinforces the idea that to develop GPs-based health-care in community setting is a crucial measure to reduce medical costs and make use of the limited resources of Medicare more effectively In the recent decade, we have devoted ourselves to training GPs and developing a workable system for GPs’ training and assessment in the past decade 研究目的 Research Objective： 在综合性教学医院进行全科医师规范化培训的探索，建立适应生物－心理－社会医学模式的新型教学方式，取代专科医学以知识和技能掌握为重点、以疾病为中心的传统教学模式 To develop a new efficient system for standardized GPs’ training in comprehensive teaching hospital, corresponding with biological-psychological-social medical pattern and reforming the disease-oriented traditional system which focuses solely on medical knowledge and skills 研究方法 Research Method 对象 以高等院校临床医学本科毕业，有志于从事社区卫生服务工作的医师为培训对象 Objects We recruit students graduated from medical universities as our trainees, who have obtained bachelor degrees in clinical medicine, and willing to become GPs 方法 参考发达国家和地区的培训要求，结合我院多年的住院医师培训经验，制定全科医师规范化培训大纲和要求、考核内容和评估方法。在教学实施过程中不断接受来自培训者和受训者的反馈意见，对培训和考核的方法、内容进行改进和完善 Methods We tried to work-out a new set of regulations, a curriculum for standardized GPs’ training, the methods of examination and assessment, which drew on GPs’ training methods in the developed country and district, as well as the long-term residents’ training experience of our hospital .During the process, we tried to improve the methods of teaching and the content of the trainin