把握大健康方向 积极稳妥推进毕业后儿科医师培训

Understanding“One Health”to actively and steadily promote pediatrician training after graduation

医学是一门实践性很强的科学,培养一名合格、高素质的临床医生,必须经过严格的院校教育、毕业后教育,以及后续的继续教育。2014年全面推行住院医师规范化培训以来,儿科住院医师规范化培训工作取得很大成绩,住院医师规范化培训工作得到了高度重视,全国共建了近500个儿科专业培训基地,技能中心和师资培训等软硬件得到提升。自2017年始,国家逐步开展专科医师培训试点。在住院医师规范化培训和专科医师培训推进期间,也暴露出了一些问题。因此,儿科医师培养需要与国家大健康顶层设计相符合,如分级诊疗、家庭签约医师制度等;处理好医学教育不同阶段的阶段性和连续性;学习国外优秀经验一定要基于我国社会主义初级阶段的国情。有了良好顶层设计、医教协同、基于国情借鉴国际先进经验,定能构建中国特色标准化和规范化医学人才培养体系,提升医师队伍的整体水平。

Medicine is a highly practical science.A high-quality clinical doctor must go through strict college education,post-graduation education and follow-up continuing education.Since the implementation of standardized resident training in 2014,great achievements have been achieved:great attention has been paid to residential training,about 500 pediatric professional training bases have been set up nationwide,and software and hardware(e.g.simulation centers and teacher training)have been upgraded.Since 2017,the state has gradually launched specialty training.In the process of promoting resident and specialty training,some problems were exposed.Hence,pediatrician training needs to be in line with the'top-level design'of national health,such as the system of tiered medical services,and family physician contract system;to handle the phases and continuity of different stages of medical education;to learn foreign excellent experience based on the national conditions of China.With good top-level design,medical and educational collaboration,learning international advanced experience based on our national conditions,a standardized medical training system with Chinese characteristics will be built,which will enhance the overall level of our medical team.