上海市住院医师规范化培训成效初析

Accomplishments of standardized residency training programs in Shanghai

为了解2010年上海市住院医师规范化培训（简称“规培”）制度实施后住院医师培训工作的总体开展情况，为进一步完善培训工作提供依据，对上海市住院医师规范化培训项目进行二手资料分析，对项目的资源投入、实施情况和取得初步成效进行系统回顾。结果显示，截至2015年，规培医院的数量达到50家；带教老师的数量达到12557名；上海市政府和规培医院对规培的投入有一定提高。规培工作的组织管理日趋完善；2010-2016年，共招录了规培医师16241名；除全科医学、儿科、麻醉科等紧缺专业，招生名额有较大的增加，与2010年相比2016年各科人数分别增加113．3％、98．6％和157．4％。规培机构的执业医师考试通过率比非规培机构稳定高出20％。规培医师毕业出站考试合格率97％～98％。提示上海市住院医师规培成效较好，未来可进一步加强培训基地的考核，培养紧缺专业人才，规范带教老师的培训。

The overall situation of standardized residency training program in Shanghai was analyzed in terms of resource input, implementation and output of the program. The results showed that 50 hospitals offered residency training programs by 2015, with total 12 557 mentors. There was a certain increase in resource input from both government and hospitals, and organizational management was continuously improved. From 2010 to 2016, a total of 16 241 residents were recruited, and number of residents were increased greatly. Compared with 2010, the recruitment of residents in general practice, pediatrics and anesthesiology in 2016 was increased by 113.3% , 98.6% and 157.4% , respectively. The passing rate of medical licensing examination in institutions providing standardized resident training was 20 percent higher than others, and the passing rate of residency training reached 97% - 98% , which showed that the effect of standardized resident training program in Shanghai was satisfactory. In the future, more attentions should be paid to strengthening the training bases, training specialists in the shortage fields and standardizing the training of trainers.