Retrospection and reflection on standardized residency training system from the perspective of medical education history

Wei Lifeng; Zhang Gangyu; Jia Haonan; Wang Yameng; Zhou Shuang; Wang Ying; Li Yuanheng; Sha Zhuowa; Jiao Mingli

doi:10.3760/cma.j.cn116021-20201022-01181

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Retrospection and reflection on standardized residency training system from the perspective of medical education history

Standardized Residency Training | 更新时间：2023-04-14

- Retrospection and reflection on standardized residency training system from the perspective of medical education history
- Chinese Journal of Medical Education Research Vol. 22, Issue 2, Pages: 236-240(2023)
- 作者机构：
  
  1.哈尔滨医科大学卫生管理学院社会医学教研室，哈尔滨　150086
  2.浙江大学医学院附属第一医院人力资源部，杭州　310000
  3.上海市肺科医院绩效考核办公室，上海　200000
  4.哈尔滨医科大学卫生管理学院公共政策与医院管理研究中心，哈尔滨　150086
- 作者简介：
  
  Jiao Mingli, Email: minglijiao@126.com
- 基金信息：
  
  The National Natural Science Foundation of China(71273002;71473064);American Chinese Medical Foundation Project(19-309);2020 Heilongjiang Province Applied Technology Research and Development Plan(GA20C004)
- DOI：10.3760/cma.j.cn116021-20201022-01181
  CLC： R33
- Published：20 February 2023，
  
  Received：22 October 2020，
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魏立丰, 张港玉, 贾昊男, 等. 医学教育史视域下的住院医师规范化培训制度的回溯与思考[J]. 中华医学教育探索杂志, 2023, 22(2): 236-240.

Wei Lifeng, Zhang Gangyu, Jia Haonan, et al. Retrospection and reflection on standardized residency training system from the perspective of medical education history. [J]. Chinese Journal of Medical Education Research 22(2):236-240(2023)
魏立丰, 张港玉, 贾昊男, 等. 医学教育史视域下的住院医师规范化培训制度的回溯与思考[J]. 中华医学教育探索杂志, 2023, 22(2): 236-240. DOI： 10.3760/cma.j.cn116021-20201022-01181.

Wei Lifeng, Zhang Gangyu, Jia Haonan, et al. Retrospection and reflection on standardized residency training system from the perspective of medical education history. [J]. Chinese Journal of Medical Education Research 22(2):236-240(2023) DOI： 10.3760/cma.j.cn116021-20201022-01181.

摘要

本文基于住院医师培训方面的国家政策法规和文件，梳理了我国住院医师规范化培训制度的历史演变进程，将其发展分为前期探索、局部试点、全国试行和落实完善4个阶段；并就其发展规律和未来走向提出了制度改革应遵循自上而下式的行政命令和指示性计划、制度应注重总结实践经验基础上的渐进式推行、制度还需从整体式视角继续落实和完善的几点现实思考。

Abstract

Based on the national policies

regulations and documents on residency training

this paper sorts out the historical evolution of the standardized residency training system in China

and divides its development into four stages: preliminary exploration

local pilot

national trials

and implementation. It also puts forward some practical thoughts on its development law and future trend

such aspects as that the system reform follows the top-down administrative order and indicative plan

the system pays attention to the gradual implementation on the basis of summing up practical experience

and the system needs continuous implementation and improvement from the overall perspective.

关键词

住院医师规范化培训人才培养医学教育史

Keywords

Standardized residency trainingTalent trainingMedical education history

references

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苏全有，李伊波. 对中国近代医学教育史研究的回顾与反思（上）[J]. 南京中医药大学学报（社会科学版）， 2013， 14（1）： 51-56.

邹丽琴. 中国八年制医学教育培养模式研究[D]. 重庆：第三军医大学， 2013.

唐国瑶，陈建俞. 我国住院医师培训制度的历史演变[J]. 医学教育探索， 2006， 5（2）： 99-101. DOI: 10.3760/cma.j.issn.2095-1485.2006.02.002http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2006.02.002.

汪玲. 临床医学专业学位教育综合改革的探索和创新：以上海“5+3”人才培养模式为例[J]. 学位与研究生教育， 2012（10）： 49-54. DOI: 10.3969/j.issn.1001-960X.2012.10.012http://dx.doi.org/10.3969/j.issn.1001-960X.2012.10.012.

王辰，齐学进，陈昕煜，等. 我国住院医师规范化培训制度的正式建立与政策体系[J]. 中华医学杂志， 2015， 95（14）： 1041-1043. DOI: 10.3760/cma.j.issn.0376-2491.2015.14.001http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2015.14.001.

齐学进. 全面实施毕业后医学教育质量提升工程将住培制度建设推向新阶段[J]. 中国毕业后医学教育， 2020， 4（6）： 481-484. DOI: 10.3969/j.issn.2096-4293.2020.06.001http://dx.doi.org/10.3969/j.issn.2096-4293.2020.06.001.

徐书贤. 住院医师规培试点先行[J]. 中国医院院长， 2015（9）： 51-53.

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