中美急诊住院医师岗前培训比较研究

Comparison of orientation program for emergency resident in Chinese and American hospitals

我国住院医师培训逐步全面推行并规范化已有10个年头。急诊日常工作具有高强度、快节奏、高风险的特点,岗前培训至关重要。本文比较了中美急诊住院医师岗前培训状况,发现美国住院医师岗前培训时间较长,为半脱产到全脱产逐步过渡的过程,且培训形式多样,内容全面,并设计了多维度的评估反馈及学习计划制定。我国应借鉴经验,酌情延长岗前培训时间,更加科学地设计课表,优化授课形式,完善评估及反馈制度,逐步完善急诊住院医师岗前培训。

It has been 10 years since the residency training in China has been gradually implemented and standardized. Orientation is playing an important role in the transition from medical students to residents in a new work environment to ensure medical safety. The daily work of the emergency room is characterized by high intensity, fast pace and high risk. Orientation is even more important here. This article compared the similarities and differences between orientation program of emergency medicine in China and the United States, it was found that the orientation programs in the United States usually lasted for a longer time, the training was various in forms and the contents were more comprehensive. A multi-dimensional evaluation was designed for orientation also. It is worth summarizing and drawing lessons to provide reference for improving the orientation of emergency residents in China.