外科专业学位硕士研究生培养与住院医规培并轨执行状况的调查

目的 了解外科专业研究生培养制度改革的执行情况，并分析存在的问题。方法 选取首都医科大学附属北京朝阳医院研究生导师38 名和在读研究生43 名，进行问卷调查并对调查结果进行分析。结果 导师与研究生认为外科研究生的各项能力均处于中上水平；大部分导师与研究生认为科研训练对临床的帮助大或帮助较大，但是60% 的研究生没有接受过科研训练；导师与研究生之间的交流减少；大部分导师认为新模式弱化了对研究生的专科培养。结论 在新的医学硕士专业学位研究生培养模式下，硕士研究生的培养质量较高，但是仍有一定提升空间；临床医学专业学位研究生的临床能力和科研能力的培养相互结合，相互促进；新的培养模式下，导师与研究生的交流减少，导师的监管力度下降；研究生培养呈现大外科化的趋势，没有设置时间让大部分专业的研究生进行充分的本专业训练和答辩前的准备。

Investigation on combined implementation of the training of Master degree surgery candidates and the standardized training of residents in hospitals

Objective to understand the implementation of the reform of graduate training system in surgery and analyze the existing problems. Methods 38 graduate tutors and 43 graduate students were selected from Beijing Chaoyang Hospital affiliated to Capital Medical University and were investigated by questionnaires, and the results were analyzed.Results The tutors and postgraduates agreed that the abilities of the postgraduates in surgery were above the average, and the scientific research training was of great help for the future clinic. However, 60% of the postgraduate students had not received the scientific research training. The communication between tutors and postgraduates are reduced and most tutors argued that the new model weakened the specialized training of postgraduates. Conclusion The training quality of the postgraduate students in the new medical master degree training model is higher, but there is still space for improvement, and the cultivation of clinical ability and scientific research ability of the clinical medical degree graduate students are combined to promote each other. Under the new training mode, the communication between tutors and graduates student is reduced,and the supervision of tutors is decreased. The graduate student training shows the trend of major surgery. Most graduate students do not have time for comprehensive professional training and preparations.