基层儿科医师专业能力层级式提升培训模式的探索与实践

目前,基层儿科医师常规的专科培训（以公共科目理论学习为主）并不能很好地满足基层儿科医生的需求。为带动基层儿童医疗事业发展,促进区域儿科医务人员素养、医疗、临床科研能力的提高,重庆医科大学附属儿童医院从培训目标、培训内容、培训方法、培训方案的构建及评价、质量控制等方面自行设计和构建“儿科医师专业能力层级式提升培训模式”;并在咸阳市儿童医院分别开展了为期8个月的“儿科专业基础专项培训”和为期9个月的“儿科专业能力提高培训”。在“基础专项培训”中,88名学员经培训后进行综合考评,其中53名学员均达到合格及以上水平;在“能力提高培训”中,实际参评的29名学员中有26名学员均达到合格及以上水平。学员反馈其有效完善了自身的知识结构,拓展了临床诊疗思维和临床研究思路,为临床工作带来了一定的指导。

Exploration and practice of hierarchical training model for improving professional ability of primary pediatricians

At present, the routine specialized training for primary pediatricians (focusing on theoretical learning of public subjects) cannot meet the needs of primary pediatricians. In order to promote the development of children''s medical care at the grassroots level and improve the quality, medical and clinical research abilities of regional pediatric medical personnel, the Children''s Hospital of Chongqing Medical University has designed and built a "hierarchical training model for improving the professional ability of pediatricians" from the aspects of training objectives, training contents, training methods, construction and evaluation of training programs, and quality control. In addition, the 8-month "Pediatric Professional Basic Training" and the 9-month "Pediatric Professional Ability Improvement Training" were respectively carried out in Xianyang Children''s Hospital. In the "Professional Basic Training", 88 trainees were comprehensively evaluated after training, 53 of whom were qualified or above. In the "Ability Improvement Training", 26 of the 29 students actually participated in the evaluation and reached the qualified level or above. Learners provided feedbacks that they have effectively improved their own knowledge structure, expanded their clinical diagnosis and treatment thinking and clinical research ideas, and provided some guidance for clinical work.