围术期患者之家对麻醉教学的影响

The effect of perioperative surgical home on anesthesiology teaching

学科定位决定学科发展方向，专业教学和人才培养是学科定位和学科发展的基本保障。将麻醉学向纵深化发展，完善术前评估、精化临床麻醉管理并最终改善患者预后是麻醉学总的发展方向。围术期患者之家（perioperative surgical home，PSH）倡导以患者为中心，以麻醉科为主导，以循证医学为基础，在整个围术期团结协作多个学科，整合多种医疗资源，为手术患者提供连续高效的医疗服务。 PSH要求保证临床麻醉安全的同时，最大限度降低麻醉死亡率和严重并发症发生率，通过改进麻醉科的临床工作，提高患者的长期生存率和生存质量。践行PSH，麻醉医生应该有“麻醉治疗学”的学术理念，要求麻醉教学综合运用多种教学方法重视基础知识培养，在基础知识的教学中渗透整体和局部思维，应主要采用讲授法，并配合案例教学；扎实推广PSH理念，应采用CBL教学，加强临床麻醉管理，努力推进PSH临床实践。

The academic orientation determines the development direction of the subject, and also puts forward the corresponding requirements for the professional teaching. The deep development of anes-thesiology, perfect preoperative evaluation, refined management of clinical anesthesia and ultimately improv-ing the prognosis of patients are the total development directions of anesthesiology. Perioperative patient home （PSH） advocates taking patients as the center, dominated by anesthesia, based on evidence-based medicine in the perioperative period, solidarity and cooperation of multiple disciplines, the integration of a variety of medical resources, and providing continuous and efficient medical services for patients. PSH is required to ensure the safety of clinical anesthesia, reduce the incidence of anesthesia mortality and serious complications, and improve the long-term survival rate and quality of life by improving the clinical work of the department of anesthesia. Practicing PSH, the anesthetic doctors should have the academic idea of ＂the treatment of anesthesia＂. The concept requires making comprehensive use of a variety of teaching methods, putting emphasis on the training of basic knowledge, and in the teaching of basic knowledge, infiltrating the overall and local thinking and using lecture method in cooperation with the case teaching. To make solid promotion of PSH concept, we should use CBL teaching, strengthening the management of clinical anesthesia, and striving to promote the clinical practice of PSH.