产科医师临床思维培养模式思考

The Status Quo and Some Thoughts on Training for Obstetrics

二胎开放,高龄孕产妇骤然增加,社会环境与饮食结构的改变,孕产妇疾病谱悄然发生变化,疑难罕见疾病频发,患者与家属对医疗服务预期增加,医患关系紧张,世界卫生组织与国家卫计委要求降低孕产妇死亡率的迫切要求,使产科医生面临新的机遇与挑战,传统的产科医生培养模式不能满足临床要求,新时期培养优秀的产科尤其是重症产科医生是确保产科质量的关键,关注产科专业医师的系统、规范、多元化培养将是母婴健康保障的重要措施。

The increasing pregnancy complications and the difficulty rare diseases with pregnancy are coming along with the increasing of more than 35-years-old maternal which caused by two-child policy in china. The disease spectrum is changing accompanied with the change of dietary structure and so cial environment. The doctor-patient contradiction is intensifying coupled with the increasing medical service expecting of the patient and the patient＇s family. The obstetrician faces new opportunities and challenges for the global development goals to reduce the maternal mortality by WHO and National Health and Family Planning Commission of the People＇s Republic of China. The traditional training mode of the obstetrician cannot satisfy the clinical requirements. Systematic specifications diversity training of obstetrics will be an important measure to maternal and infant health care.