福建省全科医师岗位培训现状与建议

全科医学人才的数量与质量极大地制约着社区卫生服务的发展。要解决这个问题．从福建省医疗卫生资源现状出发，当务之急是对现有在岗从事社区卫生服务的医师进行转型培训。近3年，福建省全科医学培训中心按照卫生部全科医师岗位培训大纲，在全省分设3个教学点进行了培训尝试，先后为医疗机构培训“准”全科医学人才1889名，为福建省各地社区卫生服务的发展提供了基本的人才保证。     

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。     

论中国特色家庭全科医学的学科建设

文章通过对我国家庭全科医学学科发展的历史回顾,科学总结和创新发展的研讨,提出了中国特色家庭全科医学学科建设的系统意见。     

安徽省全科医学师资培训情况调查及研究

目的:了解安徽省全科医学师资的培训情况,为今后的全科医学师资培训提供经验.方法:选取2014-2016年参加安徽省全科医学师资和转岗培训的3批学员,通过填写匿名问卷的方式进行调查,采用SPSS16.0统计软件进行描述性分析和χ2检验.结果:全科医学师资大部分由专科师资经转岗培训而来,专业经验丰富,但经过系统全科医学教育的人比例甚少,全科师资所在医院的全科医学教育体系不完善.结论:全科医学师资培训对全科医学的发展至关重要,目前存在师资数量、医院配置不足,学科建设不完善等问题,需采取相关措施提高全科师资的积极性及教学质量.     

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     

介入放射学科住院医师规范化培训教学实践与探索

住院医师规范化培训是培养合格介入放射学医师的必经之路,关系到介入放射学学科建设和发展.安徽省立医院介入放射科遵循介入医学人才成长规律,制定住院医师规培基本标准操作规程,引入双导师制教学模式,建立健全规培质量监管与反馈机制,提高了介入放射学科住院医师规范化培训教学效果,促进了介入放射学学科的可持续发展.     

培养具有医师和教师双重身份的全科师资

正全科医学作为一门综合性的临床二级学科,正式成型于20世纪60年代的美国,但其历史可追溯至18世纪。上世纪80年代后期,我国正式提出全科医学,历经20多年的发展,尽管在许多高等医学院校和大型综合性医院建立了全科医学专业和全科医学科,但仍未取得满意的进展,除了政策和群众观念方面的原因,主要还在于缺乏专职的全科医学师资队伍和一套行之有效的规范化培养体系。自1966年英联邦启动第一个全科医学住院医师培训项目以来,经过半个多世纪的发展,全科医生的     

上海卫生系统学科人才建设的历史回眸及发展愿景

回顾了上海医学学科建设和人才培养的历史沿革,评估了上海医学学科人才建设计划的工作绩效,着重对学科人才建设工作模式创新的探索和工作绩效的成因进行了分析,提出了以下政策建议：整合各种有效资源,形成新的活力和合力,加大公共卫生领域学科人才建设;增强疾病预防控制能力、增强临床医学中心和重点学科辐射力;提升卫生事业软实力、构筑人才高地,组建全行业多层次的优秀团队等,还对未来全行业医学学科建设与人才培养发展的美好愿景进行了前瞻。     

在农村开展全科医学培训的实践与思考

当前开展农村社区卫生服务工作,最大的困难京在于农村基层医务人员缺少困难就在农村基层医务人员缺少全科医学知识,因此,加速培养合格的全科医学人才,以尽快适应开展农村社区卫生服务的需要,就成为农村卫生工作的当务之急,江苏省盐城市卫生局为提高农村卫生从事社区卫生服务的综合能力,有计划地对现有人员进行全科医学培训,１９９８年底在盐盐县大冈镇和射阳县兴桥镇的农樯开展全科医学培训的试点,现就试点地区３年多来在农村开展全科医学培训的实践及其问题的思考简述如下。     

全科住院医师规范化培训实践与体会

现阶段全科医学人才的严重匮乏已经成为我国基层医疗卫生事业可持续发展的一大瓶颈。通过阐述全科住院医师规范化培训基地建设的重要举措、全科住院医师培养模式、全科住院医师规范化培训师资建设的现状和改进措施,旨在为国内全科住院医师规范化培训体系的构建提供一种可参考与借鉴的培养模式。     

Physician gender and hormone replacement therapy discussion

Hormone replacement therapy (HRT) is a major issue confronting millions of women today, and general internal medicine and family practice physicians are an important source of information and counseling on this issue. Previous studies have suggested that HRT discussion and prescribing are more frequent with female than with male physicians, but others have suggested age and practice setting may be the reason for observed differences. We attempted to determine if physician gender influenced HRT discussion frequency between physicians and their patients using cross-sectional, secondary analysis of data collected at general internal medicine and family practice clinics at the University of New Mexico Health Sciences Center. Twenty-seven family practice and internal medicine resident physicians (15 female, 12 male) participated. There were 127 female patients age 45 and older. Audio-taped observations of patient-physician visits collected during 1995 for a study on patient-physician communication and patient satisfaction were used. There was less frequent discussion with female than male physicians (OR = 0.42, p = 0.0014). HRT was discussed during 51 visits. Patients initiated HRT discussion in 39.2% of visits in which it was discussed. Patients with diabetes were less likely to discuss HRT (OR = 0.25, p = 0.0122). Increasing year of physician residency was associated with decreased discussion of HRT (OR = 0.51, p < 0.0001). In this health sciences center, with physicians similar in age and training, male physicians discussed HRT significantly more often than did female physicians.     

基层军医全科转岗培训现状剖析

本文简要地阐述了我国发展全科医学的现状,对基层军医的工作现状进行了文献查阅,分析了基层卫生工作中的军医在全科医学方面存在的不足,并从必要性、原则以及应注意问题等方面对全科转岗培训进行相关讨论。     

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。     

社会工作理念方法融入全科医师规范化培训的探讨

全科医学教育是全科医学发展的核心,我国多数医学院校临床医学教育本科阶段并未细分全科医学专业,全科住院医师规范化培训是现阶段全科医学教育的重点之一。全科医学强调“生理-心理-社会”为一体的全人关怀,社会工作作为一门社会科学,其理念方法与全科医学在目标、内容、功能、作用等方面具有趋同性、相似性、互补性和互促性。探讨从教育理念、课程设置、考核标准、管理体系等四个维度将社会工作理念方法融入全科住院医师规范化培训,丰富全科住培内涵建设,有利于帮助全科住培医师提升服务质量和医疗职业道德等水平。     

The perceived efficacy of complementary and orthodox medicine in complementary and general practice patients

A total of 216 patients attending either the British School of Osteopathy, a large acupuncture centre (City Health Centre), the Royal Homeopathic Hospital or a large general practice in South London completed a questionnaire on the perceived efficacy of orthodox and complementary medicine. The questionnaire covered 1) demographic information and experience of complementary medicine; 2) the Health Locus of Control scale; (3) attitudinal variables: belief in the importance of a scientific base to medicine, the importance of psychological factors in illness and the possible side effects of modern medicine; and 4) ratings of the perceived efficacy of acupuncture, osteopathy, homeopathy, herbalism and orthodox medicine for 16 illnesses, divided into four categories: major, minor, chronic and psychological. Whilst there was no difference between the four groups, health locus of control beliefs showed the acupuncture patients believed less in the scientific basis of orthodox medicine and more in its harmful effects compared with all other groups. Again, acupuncture patients more than any other group tended to believe in the efficacy of that therapy to 'cure' major, minor, chronic and psychological problems. Beliefs in the efficacy of complementary therapies were associated with a belief in importance of psychological factors in illness and concerns about the harmful effects of orthodox medicine. Results are discussed in terms of three things: differences between lay and professional medical beliefs; the health education implications for this research, and the role of complementary therapies in general practice and health promotion.     

Depression treatment in primary care

BACKGROUND: Depression costs the United States dollars 40 billion annually. Primary care physicians play a key role in the identification and treatment of depression. This study focused on the treatment options recommended by physicians and whether physicians were following the recommended treatment guidelines. METHODS: We recorded treatment recommendations by examining charts for all patients with newly detected depression. The patients were from 44 family medicine practitioners and 23 general internal medicine practitioners in a Midwest university medical center setting. RESULTS: For both medical specialties combined, pharmacotherapy was the most widely used intervention (recommended for 52% of patients), whereas psychotherapy alone was the least frequently used intervention (recommended for 4% of patients). Family medicine practitioners recommended combination treatment (pharmacotherapy and psychotherapy) more frequently than did general internal medicine practitioners (P = .022), and female physicians recommended combination treatment more frequently than did male physicians (P = .010). CONCLUSIONS: Pharmacotherapy was found to be the most widely used treatment despite current evidence-based recommendations. Barriers to effective treatment plan are discussed. The implications for mental health interventions, combination therapy, and cost offset are also discussed. Further research exploring the negotiation process during the patient-provider encounter would shed light on patient and physician factors influencing treatment decisions.     

急诊科和非急诊重症内科护士职业倦怠差异

目的 调查急诊科和非急诊重症内科护士职业倦怠现状,并分析两者职业倦怠特点的差异,为针对性降低急诊科护士职业倦怠提供理论依据.方法 于2018年6月,采用方便抽样法选取唐山市患者数量基本相等的2所三级甲等综合医院和2所二级综合医院为研究现场,并采用分层随机抽样法抽取该4所医院的98名非急诊重症内科护士和73名急诊科护士为...     

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.     

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。     

利用信息系统实现药品实库存管理

通过分析医院药品管理现状,指出大输液集中配送、借药、医技科室专用药品、普通药品等管理环节存在的问题,并提出解决方案.阐述了利用信息系统优化管理流程的重要性,只有应用科学的管理方法与先进的信息技术才能实现医院药品管理中的账实相符.