内科理论与实践 ›› 2025, Vol. 20 ›› Issue (06): 510-514.doi: 10.16138/j.1673-6087.2025.06.15

• 医学教育 • 上一篇    

神经内科“住专一体化教学查房模式”实践探索

杨晓东a(), 谭玉燕a, 任汝静a, 傅毅a, 刘军a, 李啸扬b,*()   

  1. 上海交通大学医学院附属瑞金医院 a. 神经内科;b. 医学教育处,上海 200025
  • 收稿日期:2024-09-14 出版日期:2025-12-30 发布日期:2026-01-30
  • 通讯作者: 李啸扬 E-mail:lxy11811@rjh.com.cn
  • 基金资助:
    上海交通大学医学院毕业后医学教育项目(BYH20220407)

Exploring and practicing “integrated residency and fellowship teaching rounds” in neurology

YANG Xiaodonga(), TAN Yuyana, REN Rujinga, FU Yia, LIU Juna, LI Xiaoyangb,*()   

  1. a. Department of Neurology; b. Department of Medical Education, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2024-09-14 Online:2025-12-30 Published:2026-01-30

摘要:

专科医师规范化培训(以下简称专培)和住院医师规范化培训(以下简称住培)是我国毕业后医学教育体系的重要组成部分。根据我国专科医师规范化培训的相关指导意见,需初步建立专培的相关制度,并与住培共同构成完整的医学教育体系。为此,如何在医学教学和培训过程中做到“住专一体化”有效衔接,培训基地如何最大化利用教学资源、优化师资配置、建立促进住培和专培协同发展的教学模式有待探索。上海交通大学医学院附属瑞金医院神经内科基地提出并实践了“住专一体化教学查房模式”,即由专科医师带教住培医师,实现专科医师与住培医师相互学习、共同成长。本文对该模式进行介绍,旨在进一步丰富专培和住培的内涵,提高培训质量,从而全方位提升专培医师的临床教学能力,为探索新型的毕业后医学培养模式提供参考。

关键词: 专科医师, 住院医师, 规范化培训, 教学查房

Abstract:

The standardized fellowship and the standardized residency training are important components of China's post-graduation medical education system. According to the national guidelines for standardized fellowship, it is necessary to establish a structured training system, which, together with residency training, forms a complete educational system. Therefore, further exploration is needed on effective integration of residency and fellowship in medical education and training, optimal utilization of teaching resources and faculty at training sites, and the establishment of teaching models that promote the coordinated development of resident and specialist training. The Department of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, has proposed and implemented an “integrated residency and fellowship teaching round model”, which involves specialists mentoring residents, facilitating mutual learning and professional growth for both groups. This article introduces the model with an aim to further enrich the content of fellowship and residency training, improve training quality, so as to comprehensively enhance the clinical teaching abilities of specialists and provide a reference for innovating postgraduate medical education models.

Key words: Specialist, Resident, Standardized training, Teaching round

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