从美国继续教育看中国肾脏专科医师培训

Enlightenment of American graduate medical education system on Chinese nephrology specialty education

专科医师培训是培养医学精英人才的重要环节。我国慢性肾脏病患病率高达10.8%,对肾脏病专科医师需求量大,而我国精英肾科医师短缺。美国专科医师培训制度和体系相对成熟。此文分析了美国肾脏病专科医师培训的管理结构、培训时间要求、培训目的、培训安排、培训考核等方面的内容。进一步就我国肾脏病专科医师培训的有效开展提出了一些建议,认为在培训时间安排、培训考核等方面均可做出参考,具体执行过程中也许结合我国现状,形成我国肾脏内科专科医师培训的特色。

Specialty education is one of the most important stages of thetraining of high-quality physicians. The prevalence of chronic kidney disease in China is 10.8%. There is short of nephrology specialties for the supply of high quality medical services. The American specialty education system is one of the advanced system for graduate medical education. This article analyzes the strategies of American nephrology specialty education, including the organization model,training time, training targets, training arrangement, and training evaluation strategies. Furthermore, it presentes several suggestions for the nephrology specialty education of our country and believes that the American strategies of the training time and training evaluation have important reference value for the construction of our training strategies. Of course,the nephrology specialty training model of our country should adapt the current situation of our hospitals and have Chinese characteristics.