三年制临床医学专业全科医学实践教学体系的构建

目的:根据国家关于实施卓越医生教育培养计划的意见,结合三年制临床医学专业全科医学实践教学现状,构建三年制临床医学专业全科医学实践教学体系.方法:从全科医学实践教学的目标体系、实践教学内容体系、实践教学管理和保障体系三个方面展开分析.结果:初步建立了基于卓越医师培养的三年制临床医学专业全科医学实践教学体系.结论:构建三年制临床医学专业全科医学实践教学体系对培养高素质的农村社区全科医学人才具有重要的意义.     

全科医学在社区卫生服务机构带教实习体会

我国随着社会的进步和人口老龄化的加重,全科医学逐渐兴起,全科医学的教育和培养显得尤其重要。全科医学理论学习是基础,而实习阶段又是全科医学教育的关键时期。实习的教学质量直接关系到全科医学水平的培养质量。南开区王顶堤医院为二级综合医院,同时承担本辖区基本公共卫生服务工作,具有一定的特殊性,是天津医科大学全科医学、预防医学、社区护理教学实习基地。该院探索对全科医学实习生带教方法,采用教育实习生建立全科医学思维的理念、培养实习生的沟通能力和医学人文教育、开展医护联合带教形式、实习生对带教老师进行评价的方法,收到较好的效果。     

上海市某社区全科医学教学师资建设探索

随着医学教育改革的不断深入,全科医学的发展愈发受到重视,参与全科医学教学的社区卫生服务中心逐渐增多,社区的全科医学教学工作得到了极大推进,但社区全科医学教学师资队伍建设尚无统一标准,难以保证全科医生的质量.文章以上海市浦东新区花木社区卫生服务中心的全科医学教学师资建设为例,分享社区全科医学教学师资培养的经验,探索社区全...     

高校附属医院培养基层全科人才的现状及思考

文章就当前高校附属医院开展全科医学培训的成效、存在的主要问题及影响因素等进行了分析,以发现我国高校附属医院开展全科医学培训的不足与问题,并对今后的培训工作提出改进建议,为发展我国全科医学教育培训,培养合格的全科人才提供参考。     

构架21世纪全科医学人才培养模式研究

自1988年世界家庭医学院组织(WONCA)主席Peter Lee、前主任Dr.RaJakumar和Dr.DonRae访问我国并建议我国开展全科医疗,到1999年国家卫生部正式制定全科医生培养标准,虽然仅有11年的时间,但全科医学在我国的发展是日新月异,尤其是卫生部张文康部长1999年在全国卫生厅局长会议上的讲话,推动了全科医学培养进入新纪元。研讨高等医学院校在全科医学事业中应有的地位,全科医生培养的总体思路,以及相关的培养政策等,对我国的全科医学事业发展具有举足轻重的作用。     

上海全科医学学科建设与人才培养回顾与发展愿景

回顾了全科医学学科人才建设的历史沿革和全科医学培训概况,对学科人才薄弱的现状及成因进行分析,对多层次全科医学培训项目效果进行讨论。提出规范化培养与岗位培训衔接、政府主导多元投入、将全科医学纳入医学院校基本课程、改革和创新教学模式等政策建议。前瞻学科建设与人才培养发展愿景,强调培训项目与学科建设同步发展、资源有效纵向整合,共同振兴全科医学。     

浅谈全科医学教育现状及对策

我国全科医学教育起步较晚,积极发展全科医学教育、培养全科医学人才是我国社区卫生服务持续稳定、健康发展的重要保证。文章比较了国内外全科医学教育的现状,分析了我国全科医学师资和教学中存在的问题,并提出了相应的对策。希望通过政府、医学院校与其他教育机构的共同努力,建立适合中国国情的全科医学教育体系。     

赣南医学院全科医学教育实践与探索

为使医学人才的培养与我国的卫生改革发展相适应,解决江西省社区卫生服务机构全科医学缺乏的矛盾,赣南医学院自2004年起采取多种形式开展全科医学教育,在教学实践中积累了一定的经验,基本构建了全科医学教育体系,并探讨了当前该校在全科医学教育方面存在的问题,为今后完善全科医学教育体系奠定了基础.     

全科医学人才培养与继续教育形式的探讨

在分析全科医学人才培养现状的基础上,提出了开展全科医学人才培养和继续教育的必要性。探讨提高全科医师社区服务技能的办法,分析当前落实新医改工作中出现的矛盾和存在的关键问题,并提出在社区卫生服务工作中,要采取最好的学习方式和选择适合基层服务的内容来培养全科医学合格人才。     

观点

中国需要“全科医学大师” “我国既要培养能走出去的国际医学大师，也要培养一批真正让人民群众信任和货誉的全科医学大师。”卫生部部长陈竺近日在“协和转化医学中心”成立大会上说。     

全科医学在三级综合医院与基层医疗体系合作机制构建中的思考

针对分级诊疗中三级综合医院与基层医疗体系协同现况及存在的问题,提出以全科医学作为切入点构建三级综合医院与基层医疗体系的良性协同机制的思路。提出加强三级综合医院独立设置全科医学科及病房,加强三级综合医院全科医师导师培养,持续提高基层全科医师队伍执业能力,进一步健全双向转诊实施配套制度建设等建议。     

国内外全科医学发展比较与探讨

全科医学是我国深化医药卫生体制改革、构建分级诊疗体系的重要桥梁.通过梳理全科医学发展的国际经验,结合我国国情,剖析我国全科医学发展的现状和目前存在的问题,在此基础上寻求促进我国全科医学发展、深化医疗卫生事业改革的方向和途径.     

军队全科医学教育体系与模式

本文针对我军基层部队卫生队伍薄弱环节及传统军事医学教育的不足,从军队现代化建设要求的实际出发,指出了军医大学开展全科医学教育的重要性,探讨和提出了构建军队全科医学教育体系、培养新型军事医学人才有效途径的设想及建议。     

2011年安徽省二、三级医院医疗资源配置分析

目的了解安徽省二、三级医院医疗资源现状。方法采用普查方法,调查安徽省二、三级公立综合性医院和中医医院的医疗资源的分布。结果在所调查的131家安徽省二、三级公立综合性医院和中医医院中,16家三级综合性医院有医生6133名,护士8527名,床位数14599张,医护比为1：1．39;63家二级综合性医院有医生9749名,护士14725名,床位数26010张,医护比为1：1．51;4家三级中医医院有医生I135名,护士1086名,床位数2427张,医护比为1：0．96;48家二级中医医院有医生3539名,护士3954名,床位数8045张,医护比为1;1．12。结论安徽省公立医院的医生、护士以及床位等医疗资源多集中在三级综合性医院。同卫生部规定标准相比,公立医院医护比偏低,护理人员配置不足。建议应结合实际情况在各级医院间合理配置各种医疗资源,并增加护理人员数量,使之与全省医疗保健需求相适应。     

全科医师培训中在线学习社区建设

全科医师规范化培训已经在我国逐步开展和完善,"互联网+"概念下的现代医学教育是全科医学教学的趋势.依据全科医学发展的趋势,在全科医学教学改革实践中率先在网络自主学习平台基础上升级完善在线学习社区,有助于提高全科医师培训的质量.介绍全科医师在线学习社区的优点和问题,并从教学形式、学习方法、网络自主学习、社交能力四个方面探讨,在线学习社区在全科医师培训中的建设与探索.     

Research in general medicine,role of the medical thesis

General practice doctors are naturally presented as being actors on the front lines of public health. The ability of general practitioners to be aware of and deal with public health questions largely depends upon their training. Perhaps one could consider the general practitioner's thesis as a preparatory analytical work within the area of their future field of practice. Do these theses serve to provide food for thought on general practice and its contribution to public health, and if not, could they? An analysis conducted within four medical schools in western France demonstrates that the work produced for general medicine identified as such only constitutes a fraction of the overall number of medical (non-university) theses (approximately 5%). Two possible explanations may be put forward. First, on the one hand, the theses highly depend on the context of the training and the work produced is a direct result of this. Second, on the other hand, the current methods of indexing notes in the university databases does not enable general medicine to be clearly seen and visibly recognised as an academic discipline. Two questions then remain: Can medical theses be considered as research? Should research in general medicine be carried out solely by general practitioners? It is vital that resources from outside the medical field be raised and mobilised for general practice research, whose themes are multi-disciplinary and not only clinical.     

医学临床科研的伦理和法律问题

医学科学的发展和进步离不开医学临床科研 ,医学临床科研涉及的伦理、法律和社会问题越来越受到人们的关注。由于医学科研对象的特殊性 ,医学科研必须严格遵守国家有关法律、法规 ,自觉维护社会公益、秩序和伦理道德 ,严格履行知情同意原则 ,充分保障受试者的身心健康和合法权益 ,避免产生法律纠纷 ,促进医学科学的不断进步和可持续发展。     

加强全科医师队伍建设 推动社区卫生服务工作

丰台区卫生局为培养、建立并发展一支高素质的高科医学专业人才队伍进行了积极探索和尝试。制定全科医师队伍发展规划;培育全科医学教学、实习基地;组织高质量的师资力量;对全区医疗卫生机构的领导干部、业务骨干、基层医疗人员进行了全科医学在职学历教育、学科带头人教育和在职专业证书教育等多层次、多渠道培训,逐步建立起良好的全科医学培训机制,将全区的全科医疗培训工作纳入规范化管理轨道,有力推动了社区卫生服务工作的     

Scientism vs humanism in medical education

There is strong evidence to suggest that there is an ideological acceptance of science in the general community. This paper reviews some of the evidence to suggest that a form of scientism (i.e. the belief that only the current scientific method of the natural sciences can fruitfully be used in the pursuit of knowledge) has pervaded the practise of medicine and medical education. It argues for exposure of medical students to the humanistic growth-model of medicine and illness as well as the traditional disease-model. It is suggested also that the entrenchment of the disease model in medical education is a direct and inevitable result of the entrenchment of scientific method in medicine, to the point where such method is ideologically accepted in medical practice.     

Supply of in-patient medical services for elderly people and geographical variation in medical admissions in a health district in England

Geographical variation in the utilisation of in-patient medical services for elderly people in a health district in England was examined in relation to supply of in-patient geriatric medical care and indicators of need.An ecological study design based on electoral wards was used. The health district had a resident population of 67 919 aged 65 y or more and was divided into three localities, each with a different supply of in-patient medical services for elderly people. Locality A had a traditional model of geriatric medical care, Locality B an integrated model and Locality C an age-related model. Localities A and C also had a high provision of general practice hospital beds. The main outcome measure was the age and sex standardised hospital admission ratio for people aged 65 y or more admitted under geriatric medicine, general medicine or general practice in April 1991–March 1992.There were 8829 admissions in 1991/2, 48% in general medicine, 40% in geriatric medicine and 12% in general practice, giving an overall unadjusted admission rate of 130 per 1000 population aged 65 y or more for the three specialties combined. Locality A had the highest, and Locality B the lowest, unadjusted admission rate for the three specialties combined. This rate remained highest in Locality A if second and subsequent admissions in the same period were excluded. Lengths of stay in geriatrics were longest in this locality but lengths of stay for the three specialties combined were similar in the three localities. Multiple regression was used to examine the effect of three indicators of need, the Jarman score, standardised mortality ratio and prevalence of limiting long-term illness, on standardised admission ratios at the electoral ward level. Jarman score had a significant independent association with the standardised admission ratio but adjustment for this factor did not alter the ranking of the three localities, with the standardised admission ratio remaining highest in Locality A.Subject to the limitations of the study, the results suggest that factors related to the supply of in-patient medical services may be associated with geographical variation in medical admissions for elderly people.