并轨专硕研究生住院医师规范化培训现状分析及思考

Analysis and Reflection on the Status Quo of Standardized Training for Resident Physicians of Parallel Specialized Master's Degree Graduate Students

自医教协同培养模式实施以来,临床医学硕士专业学位研究生(以下简称“专硕研究生”)的培养模式在课程学习与考核、临床能力训练与考核、科研能力培养等方面均发生了巨大转变。并轨培养模式以临床能力和职业素养为核心,专硕研究生毕业后就能进入临床一线工作,胜任住院医师职责。但在住院医师规范化培训制度推行过程中,也存在研究生导师指导作用发挥不充分、研究生科研能力下降、研究生心理压力大等争议,提示并轨培养制度仍需不断完善。笔者提出建议,应加强党建引领,落实立德树人根本任务,确保医学人才培养的方向正确;需要转变科研培养理念,积极创造临床研究条件,提高研究生的科研能力。此外,应建立科学的评价体系,对研究生的临床能力、科研能力和职业素养进行全面评价。最后,应探索基于胜任力的研究生培养路径,培养思想、业务、作风三过硬的医学人才。

Since the implementation of the medical education collaborative training model,the training mode of clinical medicine master's degree graduate students has undergone significant changes in course learning and assessment,clinical ability training and assessment,and research ability cultivation.The parallel training mode focuses on clinical skills and professional ethics,and graduates with a master's degree can enter the front line of clinical work and be competent in the duties of resident physicians.However,in the process of implementing the standardized training system for resident physicians,there are also controversies such as the insufficient guidance role of graduate supervisors,the decline in research ability of graduate students,and the high psychological pressure of graduate students,which suggest that the integrated training system still needs to be continuously improved.The author proposes to strengthen the guidance of party building,implement the fundamental task of cultivating morality and talents,and ensure the correct direction of medical talent cultivation.It is necessary to change the concept of scientific research training,actively create clinical research conditions,and improve the research ability of graduate students.In addition,a scientific evaluation system should be established to comprehensively evaluate the clinical ability,scientific research ability,and professional ethics of graduate students.Finally,it is necessary to explore the training path of postgraduates based on competency to cultivate excellent medical talents in thought,business and style.