中国全科医学 ›› 2026, Vol. 29 ›› Issue (13): 1732-1738.DOI: 10.12114/j.issn.1007-9572.2024.0493

• 论著·全科医学教育研究 • 上一篇    下一篇

教学反馈和反思性学习在全科专业住院医师规范化培训中的应用探讨

刘娟娟1, 石国庆2, 任菁菁1,*()   

  1. 1.310003 浙江省杭州市,浙江大学医学院附属第一医院全科医学科
    2.323500 浙江省丽水市,景宁畲族自治县人民医院全科医学科
  • 收稿日期:2025-05-20 修回日期:2025-09-20 出版日期:2026-05-05 发布日期:2026-04-14
  • 通讯作者: 任菁菁

  • 作者贡献:

    刘娟娟提出论文构思及撰写论文;石国庆对论文进行修订;任菁菁总体把关,审订论文,对文章整体负责。

  • 基金资助:
    浙江大学医学院教育教学成果奖培育项目(cgyb20222014)

Application of Teaching Feedback and Reflective Learning in Standardized Training for General Practitioners

LIU Juanjuan1, SHI Guoqing2, REN Jingjing1,*()   

  1. 1. Department of General Practice, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
    2. Department of General Practice, Jingning She Autonomous County People's Hospital, Lishui 323500, China
  • Received:2025-05-20 Revised:2025-09-20 Published:2026-05-05 Online:2026-04-14
  • Contact: REN Jingjing

摘要: 全科医生既是患者就诊过程中的"始发站",也是"枢纽站",全科医生的岗位胜任力培养是实施分级诊疗的一个关键。全科住院医师规范化培训是培养高素质全科医师的主要途径,也是实现"医学生"向"医生"转变的关键环节。全科医生在临床实践过程中的临床表现需要带教师资及时有效地教学反馈,才能了解自身的临床能力,而反思性学习则可以促进全科住院医师主动思考和总结自身的学习过程,带教师资是反思性学习的促进者、组织者,两者相辅相成,促进学生自己去学习,不断提高其自主学习能力。浙江大学医学院附属第一医院全科基地基于教学反馈和反思性学习创建了"全科医师反馈循思(GP-FR)培养模式",本文探讨了教学反馈和反思性学习在全科住培中应用的现状,并系统介绍"GP-FR培养模式"的构建理念、核心要素及具体内容。

关键词: 全科医生, 住院医师规范化培训, 反馈, 反思实践

Abstract:

General practitioners are not only the "starting station" and "hub station" in the patient's medical treatment process, but also the key to implementing graded diagnosis and treatment is to cultivate the job competence of general practitioners. Standardized training for resident general practitioners is the main way to cultivate high-quality general practitioners, and it is also a key link in achieving the transformation from "medical students" to "doctors". The clinical performance of general practitioners in clinical practice requires timely and effective teaching feedback from teachers, in order to understand their own clinical abilities. Reflective learning can promote general practitioners to actively think and summarize their own learning process. Teachers are the facilitators and organizers of reflective learning, and the two complement each other, promoting students to learn on their own and continuously improving their self-learning ability. The First Affiliated Hospital of Zhejiang University School of Medicine's General Practice Training Base has developed the "General Practitioners Feedback and Reflection (GP-FR) Training Model" based on teaching feedback and reflective learning. This article explores the current application of teaching feedback and reflective learning in general practice residency training and provides a systematic introduction to the conceptual framework, core elements, and specific content of the "GP-FR Training Model".

Key words: General practitioners, Standardized training for resident physicians, Feedback, Reflective practices

中图分类号: