开展临床病理“一对一”教学培养独立行医的病理医生

Pathology doctors capable of independent practice trained by one-to-one teaching in clinic pathology

目的探讨如何让病理住院医师在临床实践中培养成为将来临床病理骨干人才的方法和路径。方法介绍中山大学附属第一医院病理科"一对一"病理教学的经验,结合科室师资力量雄厚、亚专科全和临床病理住院医师实际情况,采用"一对一"病理教学培训模式加强常规组织病理培训和细胞病理培训,配合系统性理论授课、教学病例示教、参加疑难病理讨论和临床多学科团队(MDT)、住院医师介绍临床病理新进展等多种形式进行培训。结果住院医师经过系统培训,具备了对常见病、多发病的独立病理诊断能力和细胞病理诊断水平,能够选择合适的辅助诊断检测手段。结论临床病理的"一对一"教学是保证住院医师规范化培训质量,实现培养独立行医的病理医师的必要手段。

With the development of clinic medicine, the needs of clinic medicine for pathology are increasing. However, pathology doctors are lacking in China, so it is urgent to cultivate pathology residents who can work independently. This paper is intended to introduce the one-to-one teaching experience in pathology residency training in the Department of Pathology, the First Affiliated Hospital of SunYat-sen University. During our training, we organized systemic clinic pathology courses, teaching case presentation, discussion of difficult cases, multi-disciplinary teams(MDTs), and reporting of advancement in clinic pathology by pathology residents. After three years of training, our pathology residents became capable of independent practice as pathology doctors, who were able to make correct pathology diagnosis for common diseases and cytology specimens, and choose proper techniques and markers for the diagnosis and differentiation of difficult cases. In conclusion, one-to-one teaching is an effective means for training pathology residents capable of independent practice.