以胜任力为导向的里程碑式骨科住院医师规范化培训体系的探索和构建

Exploration and construction of a competency oriented milestone orthopedic residency training system

随着以岗位胜任力为导向的医学人才培养模式不断发展,探索构建符合骨科医学人才发展规律的住院医师规范化培训(简称住培)体系,对全面提升住培教学质量具有重要意义。该院骨科专业基地借鉴美国毕业后医学教育认证委员会及中国住院医师培训精英教学医院联盟的住院医师核心胜任力框架,结合《住院医师规范化培训内容与标准(试行)》的要求,提出以胜任力为导向的里程碑式骨科住培体系,包括分层递进螺旋上升的轮转方案、以胜任力为导向的进阶式培养课程、里程碑式的考核评价体系,旨在提高骨科住培质量,为同质化培养优秀骨科医学人才提供参考。

Under the global trend of medical personnel training mode based on post competency,it is of great significance to create a standardized residency training system with Chinese characteristics in line with the growth law of orthopedic medical personnel,which will comprehensively improve the teaching quality of standardized residency training.This hospital proposed a rotation,curriculum and evaluation system based on competency,specialization and milestone.This system draws on the core competency framework of residents of the Accreditation Council for Graduate Medical Education(ACCME)of the United States and the Elite Teaching Hospital Alliance for Resident Training of China,and combines the requirements of the Contents and Standards of Standardized Training for Residents(Trial).It includes the stratified progressing and spiral rising rotation program,the competency oriented advanced training curriculum,the milestone assessment and evaluation,and the teaching quality assurance system,proposing to explore strategies for improving the quality of orthopedic residency training,and providing reference for homogenizing the training of excellent orthopedic medical talents.