核医学专业研究生与住院医师协同培训模式的探索

Expolration on cooradinative training model for postgraduate and residency of nuclear medicine

目的:探索基于能力提升的核医学专业研究生与住院医师协同培训模式构建,开展医学影像基础知识学习、临床实践能力训练、科研能力提高、核医学新技术培训等培养支撑体系建设。方法:运用文献计量学分析国内外开展临床医学专业硕士研究生、住院医师培训工作的现状及研究热点,梳理现场问题,结合本专业特点提出基于能力提升的培养模式,进行配套体系建设。结果:检索万方数据知识服务平台获得2007-2016年间有关临床医学专业硕士研究生、住院医师培训的文献170篇,年代分布呈逐年增加,2016年发文数量是2007年的4.3倍;研究热点聚焦在医学专业学位研究生与住院医师规范化培训并轨的培训模式、培训流程的规范化、临床能力与科研能力提升路径等专题。文献评阅表明医学影像学专业的硕士研究生、住院医师培训尚面临着解剖基础与放射学知识积累不足、科研能力不足、欠缺影像学新技术的培训、不能合理安排规范化培训和科研等问题;相应提出了核医学专业研究生与住院医师协同培训的新模式,制定出相应的培养体系和实施措施。结论:在以能力提升为主线的背景下,研究生与临床医师培训机制并轨,运行协同转化模式、合理安排规范化培训与科研,进行有侧重点的培训,有效互补满足两者的培训需求,利于培养具有一定临床经验及科研能力的核医学专业人才。

Objective： To explore the cooradinative training model of postgraduate and and residency of nuclear medicine based on the ability promotion. Develop the learning of basic medical imaging knowledge, the training of clinical practice, the development of scientific research ability and the training of new technology and so on. Methods： Bibliometric analysis was used to analysis the domestic and overseas current situation and research hotspot about carrying out the training of clinical medicine and residency. Combing the existing problem and combined the characteristic of medical imaging, a training model based on ability enhancements be proposed and supporting system is constructed. Results： Search on the Wanfang Database, 170 literatures were obtained from 2007 to 2016 about training of postgraduates and residents of clinical medicine. The annual distribution was increased gradually, the articles number in 2016 was 4.3 times than in 2007. The research hotspots focus on the integration of medical postgraduate student and resident, clinical ability and cultivation of scientific research thinking ability, the penetration of new technology and the choices of research topics. Literature review shows the postgraduates of medical imaging faced the deficiency of anatomy and radiology knowledge, the capacity for scientific research, the training of new radiology technology. Proposed nuclear medicine postgraduate students and residency training cooradinative transformation of the new model and developed a corresponding training curriculum training system. Conclusion： Based on the background of capacity enhancement, the new model of postgraduate and clinicians training mechanism, the operation of collaborative transformation model, reasonable arrangements for the training and scientific research, the focused training, these methods could effectively satisfied both training needs. In order to develop the high-quality talent with both clinical experience and scientific research ability.