助理全科医师社区带教模式研究

The study of assistant general practitioners' community teaching model

社区教学是"3+2"助理全科医师培养的重要组成部分,嘉定区在助理全科医师社区实践阶段实施家庭医师"一对一"全程带教,这个模式有助于学员社区实践能力的培养。该模式的构建从家庭医师的筛选与培训入手,在全科接诊能力、家庭病床管理能力和实践技能、基本公共卫生服务等方面充分发挥家庭医师"一对一"的带教作用。初步评价结果显示,学员社区实践能力得到明显提高,且对该模式予以肯定,家庭医师"一对一"全程带教模式有助于学员形成全科的思维和理念,将理论、临床和社区实践有机融合。建议适当调整社区实践形式,引入师资培训考核机制,充分发挥家庭医师带教作用。

Community teaching is the important component to culture“3＋2” Assistant General Practitioners. The whole“one on one” teaching has been done in the community practice stage of assistant general practitioners in Jiading District. The model helps students in the capacity of the community practice. The building way of this model begins from the selection and training of the family doctors. It gives full play to the functions of the“one on one”teaching of the family doctors in aspects such as general diagnosis and treatment ability,management and practice of family beds,and basic public health services. The preliminary evaluation result displays that the ability of students’ community practice has been obviously improved and the model has been affirmed. The model of whole family doctor “one on one” teaching helps students to get the general thinking and theory. It also helps them to combine the theory,clinic and community practice completely. It is recommended to adjust community practice appropriately. It is also recommended to introduce teacher training evaluation mechanisms and give full play to the teaching effect of family doctors.