中国全科医学 ›› 2018, Vol. 21 ›› Issue (22): 2660-2663.DOI: 10.12114/j.issn.1007-9572.2018.22.003

• 专题研究 • 上一篇    下一篇

英美中三国全科医生培养模式对比研究

赵欣欣1,孙小婷2,潘志刚3,郑加麟1*   

  1. 1.200092上海市,同济大学医学院
    2.68198 Department of Health Services Research and Administration,University of Nebraska Medical Center,Nebraska,U.S.
    3.200032上海市,复旦大学附属中山医院全科医学科
    *通信作者:郑加麟,教授,博士生导师;E-mail:jialinzheng@tongji.edu.cn
  • 出版日期:2018-08-05 发布日期:2018-08-05

Models for Training General Practitioners in the UK,U.S. and China:a Comparative Study

ZHAO Xin-xin1,SUN Xiao-ting2,PAN Zhi-gang3,ZHENG Jia-lin1*   

  1. 1.Tongji University School of Medicine,Shanghai 200092,China
    2.Department of Health Services Research and Administration,University of Nebraska Medical Center,Nebraska 68198,U.S.
    3.Department of General Practice,Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China
    *Corresponding author:ZHENG Jia-lin,Professor,Doctoral supervisor;E-mail:jialinzheng@tongji.edu.cn
  • Published:2018-08-05 Online:2018-08-05

摘要: 全科人才培养是全科医学发展的关键任务,目前我国的全科医生教育培养工作已经取得一定进展,但仍存在合格的全科医生数量不足、全科医生培养体系不完善等问题。英国和美国的全科医生培养起步较早,现已形成较为完善的人才培养体系。本文介绍了英国全科医生培养的“5+2+3”模式、美国全科医生培养的“4+4+3”模式,并将其与我国目前的“5+3”全科医生培养模式进行对比。认为我国的全科医生培养应进一步明确培养目标,提升全科医生的综合素养,全面提高全科医生的岗位胜任力;同时,应建设标准化的全科医学住院医师培训体系,包括培训大纲、带教师资、培训基地、考核评价等方面。

关键词: 全科医学, 教育, 英国, 美国, 中国, 对比研究

Abstract: Talent training plays a key role in the development of general medicine in China.Although China has obtained some achievements in educating and training general practitioners(GPs),qualified GPs are badly needed and the training system for GPs is to be improved.In contrast,in the UK and U.S.,the training for GPs started earlier,and rather mature training systems for GPs have been developed.We introduced the English "5+2+3" model and American "4+4+3" model for training GPs,and compared them with China's "5+3" model.The implications for improving domestic training of GPs include defining training goals,focusing on the improvement of comprehensive qualities and work-related competencies of GPs,and setting up standardized general practice residency training programs that consist of training syllabus,qualified trainers and training sites,and program evaluation.

Key words: General practice, Education, United Kingdom, United States, China, Comparative study