放射基地住院医师规范化培训中推行分层递进理念的思考
收稿日期: 2023-10-06
网络出版日期: 2024-05-30
基金资助
上海交通大学医学院 2023 年度毕业后医学教育相关项目
目前住院医师规范化培训（简称住培）进入了由制度建设向质量内涵建设转变的新阶段，但现实中较多基地的住培医师来源多样，水平参差不齐，未加分层的统一化培训，有时会造成某些住院医师培训结果不尽如人意。2019年的《放射科住院医师规范化培训评估指标》里首次明确提出，在放射基地的住院医师培训过程中，必须体现“分层递进”的培训理念。但目前实际操作中，仍面临着教学任务重、人手不足等一些困难，具体实施情况良莠不齐。笔者团队对放射基地住院医师规范化培训中推行“分层递进”理念的背景和具体实施方案进行了探讨，发现放射基地住院医师规范化培训中，住院医师间理论知识储备、基础实践水平、科研理论能力差异大，分层落实应包括培训对象、培训过程、考核评价、带教师资4个方面。根据住院医师初态评估、水平分层，并由此设置轮转培训计划、培训课程、教学阅片、小讲课、病例讨论，并在考核评价和师资方面也进行分层。通过4个方面的分层，是实现培训目标和保证培训质量的有效途径。
杨文洁, 朱晓雷, 严福华 . 放射基地住院医师规范化培训中推行分层递进理念的思考[J]. 诊断学理论与实践, 2024 , 23(01) : 96 -99 . DOI: 10.16150/j.1671-2870.2024.01.013
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