探讨莱斯特评估套件在全科住院医师全科思维培养中作用.docVIP

探讨莱斯特评估套件在全科住院医师全科思维培养中作用 　　[摘要] 全科住院医师规范化培训具有和专科医师培训不同的特点，目前存在着师资力量不足、培训内容与社区工作脱节、全科思维培养不足等问题。莱斯特评估套件以形成和监管为目的，对临床技能和诊疗过程进行综合的客观评估，可用于全科住院医师全科思维的培训和评估，有助于弥补目前培训的不足，促使医学生深切理解自己思维的步骤，奠定今后临床情况及诊疗行为的基础，提高全科思维培训水平，保证培训效果。在实际诊疗行为中引入莱斯特评估套件既能规范全科医师诊疗过程，也有助于提高全科诊疗能力。 　　[关键词] 莱斯特评估套件；全科医学；住院医师规范化培训；全科思维 　　[中图分类号] R4 [文献标识码] C [文章编号] 1673-9701（2016）10-0132-03 　　[Abstract] There are different characteristics between general practitioner training and other specialist training. At present， there are the following shortcomings in the training process such as the lack of teachers of general practice， the disconnection between the content of the training and the real work in the community， insufficient training of general thinking and so on. Leichester assessment package（LAP） is a comprehensive assessment of clinical skills， which aims to form and supervise， assesses the clinical skills and the process of diagnosis and treatment objectively. LAP has been used for the training and assessing of the general residents， which can remedy the deficiency of the current training， promote the general residents to understand the steps of their own thinking deeply， to lay the foundation of the future clinical work and the diagnosis and treatment behavior， to improve the level of general thinking training， and to ensure the effectiveness of training. The introduction of the LAP in the actual diagnosis and treatment has regulated the process of the general practitioner， and improved the ability of general residents of clinical diagnosis and treatment. 　　[Key words] Leichester assessment package； General practice； Standardized training of general residents； General thinking 　　全科医学是一个临床二级学科，面向社区与家庭，是整合临床医学、预防医学、康复医学及人文社会学科等的综合性医学专科[1]，也是具有独特价值观和方法论的知识和技能体系[2]。全科住院医师规范化培训是我国全科医学人才培养体系的核心，目前存在着师资力量不足、培训内容与社区工作脱节、全科思维培养不足等问题，需不断加强全科思维的培训、丰富培训内容和培训方式。莱斯特评估套件（Leichester assessment package，LAP）的引入将在全科思维的培养中具有重要作用。 　　1 全科住院医师规范化培训的特点 　　全科医学是一门独特的综合性医学专科，在临床医学中是惟一一门不以诊断治疗患者单一生理病理系统部位为目标[3]，也是现代生