“校院一体化”推进中医全科医学人才培养模式改革的思考与探索

“校院一体化”建设是实现医教研协同发展的重要路径之一，对于医学高等院校深化医教协同，推进以胜任力为导向的人才培养模式创新改革具有重要意义。从“院校一体化”操作模式入手，探讨科学合理、操作性强、多元化的建设方法。床边教学是一种以临床实践教学改革为着力点的“校院一体化”建设模式；除此之外，在人才培育模式以及教育管理体制机制层面，创新建设“学院-附属医院挂包”模式和“医教研融合导师制”教育模式可以促使理论教学和实践教学有机结合，临床实践与教学内容、学生学习活动相融合，科学探究方法贯穿到教学活动中，进行系统协调的合作育人。中医全科医学人才是基层中医医疗发展的生力军，医学高等院校是培育中医全科医学人才的核心。为加强全科医学人才队伍建设，医学高等院校应当以医教研协同理念为引领，推进“校院一体化”建设。医疗机构与高校作为利益共同体, 通过整合优质资源、形成合力，能够有效地应对在全科医学人才培养过程中面临的理论知识和实践能力亟待双提高，人才培养的长周期、差异化与医疗需求高速发展不相吻合等问题；能够进一步深化全科医学人才培养模式改革，推进医教协同。 

Practice and exploration of integration of school and hospital promote reform of training mode for general practitioners of traditional Chinese Medicine

The construction of "Integration of school and hospital" is one of the important paths to realize the coordinated development of medical education and research, and it is of great significance for medical colleges and universities to deepen the cooperation of medical education and promote the innovation and reform of competency-oriented talent training mode. Starting from the operation mode of "Integration of school and hospital", this paper discusses the scientific, reasonable, operational and diversified construction methods. Bedside teaching is a construction mode of "Integration of school and hospital" which focuses on the reform of clinical practice teaching. In addition, in terms of talent cultivation mode and education management system and mechanism, the innovation and construction of the "School Affiliated Hospital" mode and "Medical teaching research integration tutor system" education mode can promote the organic combination of theoretical teaching and practical teaching, the integration of clinical practice with teaching content and students' learning activities, the integration of scientific inquiry methods into teaching activities; and the formation of systematic coordination of cooperation and education. General practitioners of traditional Chinese Medicine are the new force of development of basic level TCM, and medical colleges and universities are the core of cultivating general practitioners of traditional Chinese medicine. In order to strengthen the construction of general practice talent team, medical colleges and universities should take the concept of medical teaching research cooperation as the guide to promote the construction of "Integration of school and hospital". Medical institutions and universities as a community of interests, through the integration of high-quality resources, to form a joint force, be able to deal with problems effectively of theoretical knowledge and practical ability need to be improved and the long period and differentiation of talent training are not consistent with the rapid development of medical demand in the process of general practice personnel training, and so on, further deepen the reform of the training mode of general medical talents, and promote the coordination of medical education.