新型冠状病毒肺炎疫情下以全科医师岗位胜任力为目标的住院医师规范化培训的思考
Reflections on post competence-oriented standardized general practice residency training with the challenge of COVID-19 pandemic
摘要在应对新型冠状病毒肺炎联防联控工作中,全科医生等基层医务工作者发挥了积极的疫情防控作用,但同时也暴露了全科医生疫情下角色担当认识不清、突发公共卫生事件应对能力不足、传染病知识匮乏等问题。基于以上全科医生面临的挑战,现以美国毕业后医学教育认证委员会提出的“6大临床核心胜任力标准”为目标,对全科住院医师规范化培训基地提出如下建议:重视传染病科的轮转、视情况增加口腔科与营养科培训、加强全科医疗服务模式理论学习、定期组织预防医学及医学人文讲座并增加相关培训、完善培养机制以提高突发公共卫生事件应对能力、增加循证能力与科研能力培养计划以及注重医患沟通能力的训练和提高等。
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abstractsDuring the COVID-19 epidemic period, general practitioners have been actively participating in screening and triage, referrals, follow-up, education and other activities related to disease prevention and control at the grass-roots level. However, there are still some problems: such as unclear of the role of general practitioners in an epidemic setting, inadequate ability to respond to public health emergencies and lack of knowledge of infectious diseases. To meet the challenge of COVID-19 pandemic, with the reference of Accreditation Council for Graduate Medical Education (ACGME) six core clinical competencies we suggest to improve the standardized general practice residency training in following aspects: to attach importance to infectious disease rotation, to increase the stomatology and nutrition course learning, to strengthen teaching in general practice service model, preventive medicine and medical humanities, to enhance the ability for dealing with public health emergencies, the evidence-based medicine and scientific research ability and doctor-patient communication ability.
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