呼吸与危重症医学科专科医师规范化培训招生工作的探索

Application of enrollment and standardized training of specialists for pulmonary and critical care medicine

目的遵照2016年国家卫计委联合八部门出台“开展专科医师规范化培训制度试点的指导意见”,使受训医师成为具有良好的医疗保健通识素养、扎实的专业素质能力、基本的专科特长和相应科研教学能力的临床医师。方法依据北京协和医院呼吸与危重症医学科按专培制度试点的指导意见,经过公开报名、全国统一笔试和面试招收了第一届和第二届专培学员。结果北京协和医院呼吸与危重症医学科专培两届共招录6人,科外招生比例为50%,院外招生比例为33.3%。学员年龄在31岁至38岁,大学本科学历占16.7%,硕士研究生学历占16.7%,临床医学八年制学历占66.7%。退培1名,退培率16.7%。结论专科医师规范化培训的招生工作需要结合招收学员的多源性细化招收的评价方法,加强专培生人事及社会保障。

Objective According to the guidance for the pilot standardized training system for specialized physicians issued by the National Health and Family Planning Commission(NHFPC)together with other 7 government sectors,the specialist training is aiming for clinicians with sound clinical skills and corresponding scientific research and education capacity in general medicine as well as the specialized clinical disciplines.Methods Department of Pulmonary and Critical Care Medicine,Peking Union Medical College Hospital enrolled the first and second groups of specialist trainees through national registration system,professional assessment with written examination and panel interview.Results Six students were enrolled in the first two groups.The proportion of out-campus enrollment was 33.3%.The matriculates,with ages between 31 to 38,66.7%were eight-year program graduates with MD degree,16.7%had bachelor degree,16.7%had master degree.One student quitted from the training,with a with drawal rate of 16.7%.Conclusions The standardized training of specialized physicians is aimed at clinicians with different educational levels,clinical qualificationsand their social and family social and family backgroundare also more complicated.In order to make the training more effectively,innovational mechanisms and supporting system are critical.