对我国核医学化学师、核药师职业定位和培养工作的思考

The status quo of professional orientation and education of clinical radio-chemist and radio-pharmacist in China

目的 明确我国化学师、核药师的职业定位,为促进化学师、核药师培养工作的规范化提供参考.方法 梳理我国化学师、核药师的法律地位、职责和资质要求,分析其培养工作中的问题,并提出对策建议.结果 目前我国化学师、核药师队伍规模小,来源复杂,水平参差不齐.学界、监管及医疗机构对化学师、放药师的职业角色定位尚不够清晰,其培养体系也不够健全,而发达国家的发展经验可供借鉴.结论 应明确人才需求,完善法规和培养体系,加强专业宣传和交流工作.随着核医学的不断进步,其所涉及的放射性药物越来越繁多复杂,临床放射化学和核药学工作（制备、质控、应用）由专职化学师、核药师承担成为必然趋势.化学师、核药师在核医学团队中的地位将日益重要.

Objective To clarifying the professional orientation of clinical radio-chemist （CRC） and radio-pharmacist （RP） in China,and to promote standardization of their education.Methods The legal status,responsibilities and competence requirements of CRC and RP are reviewed.Limitations of current educational system are also analyzed.Except that,suggestions for improvement are proposed.Results The number of these practitioners is insufficient now in China.Their academic background and professional skills are various and sometimes unsatisfying.The probable reasons are：1） professional orientation of CRC and RP recognized by academic societies,governmental administrations and medical institutions are actually not clear;2） the status quo of educational system for CRC and RP is far from perfect.The historical experience from European Union and United States is valuable as reference.Conclusions The survey of demand for CRC and RP practitioner,the improvement of legal system and educational system for CRC and RP,and more propaganda and communication in professionals should be in plan.Along with the progress of nuclear medicine,the variety of radio-pharmaceuticals involved in keeps growing and their formulations become more and more complex.The trend that clinical radio-chemical and radio-pharmaceutical service （including preparation,quality control and administration） are charged by professional CRC and RP is becoming more and more certain.CRC and RP will be increasingly important in nuclear medical team.