心血管外科专科医师规范化培训实施的探讨

Discussion on the Implementation of Standardized Training for Residents in Cardiovascular Surgery

作为专科医师规范化培训体系中一个重要组成部分,心血管外科专科医师规范化培训为我国心血管外科专业人才的培养做出了极其重要的贡献。文章通过总结科室及医院多年住培教学经验,针对心血管外科学科专业性强、实践动手能力要求高的特点,创新性地建立了科学健全、灵活规范、切实有效的心血管外科专科医师培训制度和培养模式。具体措施包括:导师负责制、心血管外科专科医师学分制管理、多种教学方式融合教学法、流程化培训、定期师生考核等方法及方式。通过对住院医师在心血管外科专业的理论和技能两方面的培训以提高住院医师的受训效果。新的培训制度和培养模式明显提高了心血管外科专科医师的培训质量,同时可以为即将到来的“5+3+X”模式的临床医学人才培养提供理论及实践基础。

As an important part of the project of the standardized training for residents,the standardized training for resident surgeons in cardiovascular surgery has made an important contribution to cultivate the professional cardiovascular surgeons.By summarizing the teaching experiences in standardized training in the department and the hospital for years,a scientific,complete,flexible,standardized,practical and effective training system and training model for resident surgeons in cardiovascular surgery with the consideration of required characteristics of in-depth theoretical knowledge and adept operation techniques in professional cardiovascular surgeons was innovatively established.The training focus was both on mastering basic theoretical knowledge and boosting surgical skills through resident surgeons’involvement.Special methods and organizational procedures were established to improve the training effect,such as tutorial system for resident doctors,implementation of credit system,combination of various teaching methods in clinical training,process-oriented training modules,assessment and feedback mechanism for teachers and students,etc.The new training system and training model have significantly improved the training quality of residential surgeons in cardiovascular surgery,and at the same time can provide theoretical and practical basis for the upcoming"5+3+X"(combining M.D.degree with specialist standardization training)clinical specialist training model.