近30年广东省全科医学教育发展历程与发展现况研究

The Development History and Current Situation of General Practice Education in Guangdong Province in the Past 30 Years

在国家和地方政策的大力扶持下,全科医学教育体系建设及人才培养在广东省发展近30年。1996年迄今,广东省全科医学教育先后经历探索起步、蓬勃成长、发展完善及全面发展4个阶段。以广州医科大学为代表的广东省各高校,在国内较早探索并创建了多层次、多途径、多形式、多目标的院校教育、转岗(岗位)培训、住院医师规范化培训、研究生学位教育、继续教育相互衔接的医防融合型全科医学教育体系,基本构建了以“5+3”学制为主的全科医师规范化培养模式。全科医学培训学员省级培训证书考核通过率达到85%以上。2020年广东省每万居民拥有全科医生4名,达到了国家“2020年每万居民拥有3名全科医生”的要求。本文旨在通过分析广东省全科医学教育发展现状,全面总结全科医学学科建设和教育培训的经验教训,拓宽提升全科医学人才培养质量的模式和路径,探索性地提出相关建议,从而为将来广东省乃至我国全科医学教育的快速发展提供政策思路和参考依据。

With the strong support of national and local policies,the construction of general practice education system and personnel training have been developed in Guangdong Province for nearly 30 years.Since 1996,general practice education in Guangdong Province has gone through four stages,including exploration and start,vigorous growth,development and perfection,comprehensive development.Colleges and universities in Guangdong Province,represented by Guangzhou Medical University,have explored and established a multi-level,multi-path,multi-form and multi-objective general practice education system of treatment-prevention integration,with interconnected academy education,job-transfer training,standardized training,postgraduate education and continuing education,and a standardized training model of general practitioners based on"5+3"has been basically established.The pass rate of the provincial training certificate examination of general practice training students has reached more than 85%.In 2020,there were 4 general practitioners per 10000 residents,meeting the national requirement of 3 general practitioners per 10000 residents in 2020.With the purpose to analyze the current situation of the development of general practice education in Guangdong Province,this paper comprehensively summarized the experience and lessons of discipline construction and education training of general practice,broadened the paths and modes of the quality of general practice personnel training,put forward relevant suggestions,to provide policy ideas and reference basis for the rapid development of general practice education in Guangdong Province and even in China in the future.