高等医学教育与临床医学科学家的培养

Higher Medical Education and Training of Physician-scientists

临床医学科学家是拥有精湛临床技能和创新科研能力的综合性高级医学人才,极大程度上支撑和促进现代医学科学的发展。特别是近年来随着我国临床诊治和科学研究水平迅速提高,我国已经具备了开展高水平、大规模临床试验的基础和能力,急需在临床医学科学家的引领下推动医学科学研究的发展,并在此基础上不断更新临床指南。高等医学教育作为医学教育的主体,培养目标除了培育优秀的临床医生外,更应以培育临床医学科学家为己任。如何通过高等医学教育促进临床医学科学家的培养,显得尤为重要。本文通过梳理在基础和临床融合过程中所遇到的问题,结合在医学教育中的观察、体会与思考,指出医学生在不同学习阶段的侧重点以及可以改进的方向,提出在本科教育和研究生教育阶段的可行性建议和措施,旨在高等医学教育能够创造更有利于临床医学科学家培养的环境,使更多的优秀医学人才成长为临床医学科学家,推动我国医学事业的发展。

Physician-scientists are a group of high-rank medical experts who have excellent clinical skills and scientific research innovation.They remarkably promote the development of modern medicine.Recently,the clinical treatment and scientific research in China is developing rapidly.We already have the basic conditions and abilities to conduct high-level,large-scale clinical trials.The development of medical scientific research in our country is in urgent need of the guidance of outstanding physicianscientists to constantly update and improve the clinical guidelines.The training objective of higher medical education is the cultivation of physicians and scientists.It is very important to know how to improve the quality of higher medical education and thus facilitate the training of physician-scientists.Here,this paper aims at the existing problems in the integration of basic and clinical medicine,and also the relevant strategies during the periods of education for the undergraduates and graduates.Based on our observation,experience and thinking in medical education,we pointed out the primary tasks of medical students at different learning stages and pushed for educational improvements for better training environment of physicianscientists.We hope that the effective improvements of teaching reform in higher medical education would be able to promote the cultivation of physician-scientists and the development of medical science in China.