全科医生培养模式及其实施中相关问题的思考

Chinese General Practitioner Training Scheme:Challenges and Strategies

培养大批合格的全科医生是深化医疗卫生体制改革、实现人人享有基本医疗的保证。如何才能培养出合格的全科医生?这既有对全科医学学科的认识和理解问题,也有建立全科医生培养标准和培养模式问题。本文主要介绍了我国现阶段全科医生培养的主要模式,即"5+3"模式和"3+2"模式;也介绍了通过不同的"5+3"培养项目(全科医师规范化培训和专业型研究生培养)同时实现合格全科医生培养的目标,以及通过两个项目如何实现全科医生规范化培养与研究生学历、学位接轨的实施路径。同时,本文还提出了促进全科医生培养主要模式实施的必要条件、实施中可能遇到的问题及其应对策略的思考。

Sufficient qualified general practitioners（GPs） is critical for further health care system reform to reach the goal that every citizen has equal access to affordable primary health care.To train qualified GPs,we need to have accurate and thorough understanding of general practice based on which to establish suitable training standards and schemes.This article introduces two main GP training schemes in China,i.e.the ＂5＋3＂ and ＂3＋2＂ schemes.Residency training and postgraduate education are two options of the ＂5＋3＂ scheme.We suggest a pathway to integrate residency training and postgraduate diploma and degree.We also discuss the prerequisites,challenges,and strategies in the implementation of Chinese GP training schemes.