县域-综合医院合作框架下全科医生分层递进继续医学教育培训模式的构建

Construction of a Hierarchical Progressive Continuing Medical Education Model for General Practitioners with the Cooperative Framework between County-level Government and Medical Institutions and a Tertiary General Hospital

基层全科医生的执业后持续培养是强化基层医疗卫生服务体系的重要工作,综合医院全科医学科是承担全科医生培训培养工作的重要机构。本文介绍自2020年依托浙江省德清县政府和卫生健康局、浙江大学医学院附属邵逸夫医院全科医学科、德清县下属各医疗机构三方共建的区域全科医生分层阶梯式继续医学教育培训模式的实践,从医教协同框架体系的建立、教学共同体的建立、分层递进培训模式的实施3方面介绍区域全科医生继续医学教育培训模式的构建过程,为县域政府与三级综合医院全科医学科合作框架下的区域全科医生培养模式提供实践借鉴和参考。

Continuing medication education for in-service general practitioners(GPs)is a key measure for strengthening the primary health care system,and the department of general medicine in a tertiary general hospital is an important institution undertaking the trainings for GPs.We introduced the development of a staged continuing medical education model for GPs initiated since 2020 by Deqing County Government with Health Bureau of Deqing County in collaboration with Department of General Practice,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine and medical educations in Deqing,with a detailed description of the three stages of development,namely the formation of medical and educational framework of Sir Run Run Shaw Hospital in cooperation with the Deqing County Government and medical institutions in Deqing,the construction of "Sir Run Run Shaw Hospital-Deqing" regional GPs education community,and the implementation of trainings for GPs in primary care by the education community using a strategy of "hierarchical and progressive teaching,and cyclic strengthening".The development of this model will offer a reference for the construction of a regional GP training model using the cooperative framework between county-level government and medical institutions and the department of general practice in a tertiary general hospital.