Implementation of teaching clinic in the standardized training of general practice residents: current situation and implications

Yu Xinyan; Wu Lingyan; Mao Lingna; Ni Ming; Jiang Zhizhi; Tong Yuling; Guo Yi; Song Zhenya; Xu Zhijie

doi:10.3760/cma.j.cn116021-20240101-01853

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Implementation of teaching clinic in the standardized training of general practice residents: current situation and implications

Standardized Residency Training | 更新时间：2024-09-27

- Implementation of teaching clinic in the standardized training of general practice residents: current situation and implications
- Chinese Journal of Medical Education Research Vol. 23, Issue 9, Pages: 1281-1285(2024)
- 作者机构：
  
  1.浙江大学医学院附属第二医院全科医学科，杭州　310009
  2.杭州市上城区南星街道社区卫生服务中心，杭州　310016
  3.杭州市上城区小营街道社区卫生服务中心，杭州 310006
- 作者简介：
  
  Xu Zhijie, Email: zhijiexu@zju.edu.cn
- 基金信息：
  
  Projects of Medical and Health Technology in Zhejiang Province(2023KY762);General Scientific Research Project of Education Department of Zhejiang Province(Y202352176);Teaching Reform Research and Cultivation Project of the Second Clinical Medical School of Zhejiang University in 2023(20230202)
- DOI：10.3760/cma.j.cn116021-20240101-01853
  CLC： R4
- Published：20 September 2024，
  
  Received：01 January 2024，
- 稿件说明：
移动端阅览
余馨妍, 吴玲燕, 毛玲娜, 等. 教学门诊在全科住院医师规范化培训中的实践现状与启示[J]. 中华医学教育探索杂志, 2024, 23(9): 1281-1285.

Yu Xinyan, Wu Lingyan, Mao Lingna, et al. Implementation of teaching clinic in the standardized training of general practice residents: current situation and implications. [J]. Chinese Journal of Medical Education Research, 2024,23(9):1281-1285.
余馨妍, 吴玲燕, 毛玲娜, 等. 教学门诊在全科住院医师规范化培训中的实践现状与启示[J]. 中华医学教育探索杂志, 2024, 23(9): 1281-1285. DOI： 10.3760/cma.j.cn116021-20240101-01853.

Yu Xinyan, Wu Lingyan, Mao Lingna, et al. Implementation of teaching clinic in the standardized training of general practice residents: current situation and implications. [J]. Chinese Journal of Medical Education Research, 2024,23(9):1281-1285. DOI： 10.3760/cma.j.cn116021-20240101-01853.

摘要

教学门诊是住院医师门诊教学的一种形式，是全科住院医师规范化培训的重要手段和核心内容。本文综述了国内全科教学门诊的通用实践模式和内容创新，并分析了开展全科教学门诊对提高住院医师门诊接诊能力、指导医师教学能力及提升参与者满意度方面的成效；总结了实施教学门诊存在的问题，包括教学设施设备不完善、教学激励制度不健全、患者招募困难，以及指导医师教学能力薄弱等。针对以上问题，本文从现实需求出发提出应对措施，包括完善教学门诊的设施和设备、建立教学门诊配套激励机制、拓展教学门诊患者招募途径，以及加大指导医师教学能力的培训力度，旨在为全科住培基地教学门诊的有效实施与规范化发展提供理论依据和实践指导。

Abstract

Teaching clinics represent a unique form of outpatient training of resident physicians and serve as a crucial instrument and core component of standardized training of general practice residents. This article reviews the common model and innovations of teaching clinics of general practice in China

and analyzes their reported effectiveness in enhancing the capabilities of consultation of resident physicians

the teaching capabilities of general practice trainers

as well as satisfaction levels of involved participants. It outlines the challenges encountered in implementing teaching clinics

including inadequate teaching facilities and equipment

incomplete incentive system for teaching

difficulties in patient recruitment

and weaknesses in the teaching capabilities of trainers. To address these challenges

this article proposes corresponding strategies based on realistic needs

including the improvement of facilities and equipment in teaching clinics

the establishment of incentive systems for teaching clinics

the expansion of patient recruitment channels for teaching clinics

and the enhancement of training for trainers' teaching capabilities. This is envisaged to provide both theoretical bases and practical guidance for the effective execution and standardized development of teaching clinics in general practice residency training bases.

关键词

教学门诊全科住院医师基层指导医师教学能力综述

Keywords

Teaching clinicGeneral practice residentGeneral practice trainerTeaching capabilityReview

references

李亚茹，裘力锋，张佳，等. 以岗位胜任力为目标的全科医生门诊教学探讨[J]. 中国毕业后医学教育， 2020， 4（4）： 307-310. DOI: 10.3969/j.issn.2096-4293.2020.04.005http://dx.doi.org/10.3969/j.issn.2096-4293.2020.04.005.

黄晓明，李航，曾学军. 什么是教学门诊[J]. 中华内科杂志， 2018， 57（2）： 152-154. DOI: 10.3760/cma.j.issn.0578-1426.2018.02.016http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2018.02.016.

杨凯超，李开军，吴伟东，等. 全科住院医师规范化培训基地教学门诊开展现状调查[J]. 浙江医学教育， 2023， 22（4）： 225-230. DOI: 10.20019/j.cnki.1672-0024.2023.04.225.06http://dx.doi.org/10.20019/j.cnki.1672-0024.2023.04.225.06.

中国医师协会. 全科专业住院医师规范化培训全科教学门诊规范[EB/OL]. (2021-07-06)[2023-12-22]. https://www.taishanyy.com/uploadfiles/2021/12/202112270851125112.pdfhttps://www.taishanyy.com/uploadfiles/2021/12/202112270851125112.pdf.

戴红蕾，陈丽英，朱文华，等. 全科住院医师规范化培训垂直分层门诊教学模式[J]. 中华全科医师杂志， 2014， 13（3）： 173-174. DOI: 10.3760/cma.j.issn.1671-7368.2014.03.005http://dx.doi.org/10.3760/cma.j.issn.1671-7368.2014.03.005.

袁梅娟，祝墡珠，顾杰，等. 郊区全科教学门诊模式的建立与实践[J]. 上海医药， 2016， 37（12）： 28-30， 51.

王园美，邹武松，王志红，等. “驾校VIP培训模式” 和 “五、三、一步过渡法” 在全科医师规范化培训社区门诊带教中的应用效果研究[J]. 中国全科医学， 2021， 24（4）： 480-483， 495. DOI: 10.12114/j.issn.1007-9572.2020.00.291http://dx.doi.org/10.12114/j.issn.1007-9572.2020.00.291.

陈钰. 全科数字化教学门诊探索[EB/OL]. （2023-11-07） [2023-12-22]. https://mp.weixin.qq.com/s/ei_E7gaaW1dxsS5yYgFQ-whttps://mp.weixin.qq.com/s/ei_E7gaaW1dxsS5yYgFQ-w.

顾晓青，顾杰，袁梅娟，等. 上海市某社区卫生服务中心开设全科教学门诊的实践探讨[J]. 中华全科医师杂志， 2020， 19（1）： 76-78. DOI: 10.3760/cma.j.issn.1671-7368.2020.01.018http://dx.doi.org/10.3760/cma.j.issn.1671-7368.2020.01.018.

陈亮，周敬，王涛，等. 社区全科教学门诊的实践与探讨[J]. 中国全科医学， 2019（s2）： 263-265.

郑淑萍，叶征，宋建玲，等. 全科住院医师规范化培训基层实践基地教学门诊TEST教学模式的探索与实践[J]. 中华全科医师杂志， 2023， 22（1）： 93-96. DOI: 10.3760/cma.j.cn114798-20220330-00244http://dx.doi.org/10.3760/cma.j.cn114798-20220330-00244.

陈丽芬，曹若瑾，陈超，等. 列斯特评估量表在三级医院全科医学教学门诊的应用研究[J]. 中华全科医师杂志， 2022， 21（8）： 756-759. DOI: 10.3760/cma.j.cn114798-20211123-00868http://dx.doi.org/10.3760/cma.j.cn114798-20211123-00868.

夏慧玲，潘志刚，王天浩. 全科教学门诊对全科住院医师医患沟通能力的培训效果评估[J]. 中国毕业后医学教育， 2018， 2（6）： 451-454， 463.

牛红艳，孙亮. 教学门诊在全科住院医师规范化培训中的应用效果[J]. 中国继续医学教育， 2016， 8（20）： 3-4. DOI: 10.3969/j.issn.1674-9308.2016.20.002http://dx.doi.org/10.3969/j.issn.1674-9308.2016.20.002.

张国明，邱捷，潘家炜. 全科医学教学门诊在住院医师规范化培训中的应用及效果评价[J]. 世界最新医学信息文摘， 2023，23（23）： 159-162. DOI: 10.3969/j.issn.1671-3141.2023.23.030http://dx.doi.org/10.3969/j.issn.1671-3141.2023.23.030.

Wu L, Tong Y, Yu Y, et al. General practitioner residents' experiences and perceptions of outpatient training in primary care settings in China: a qualitative study [J]. BMJ Open, 2023, 13(9): e076821. DOI: 10.1136/bmjopen-2023-076821http://dx.doi.org/10.1136/bmjopen-2023-076821.

虞智杰，祝墡珠，杨华，等. 全科教学门诊 “双师” 培训在康健社区中的实践[J]. 上海医药， 2018， 39（5）： 58-60， 66. DOI: 10.3969/j.issn.1006-1533.2018.05.018http://dx.doi.org/10.3969/j.issn.1006-1533.2018.05.018.

吴玲燕，徐志杰，童钰铃，等. 基于CIPP模型的全科基层实践基地指导医师门诊教学能力提升项目评价研究[J]. 中国全科医学， 2024， 27（7）： 801-809. DOI: 10.12114/j.issn.1007-9572.2022.0666http://dx.doi.org/10.12114/j.issn.1007-9572.2022.0666.

夏慧玲，江孙芳，寿涓，等. 上海市全科医学社区师资带教状况调查及相关因素分析[J]. 中华全科医师杂志， 2015， 14（6）： 437-441. DOI: 10.3760/cma.j.issn.1671-7368.2015.06.012http://dx.doi.org/10.3760/cma.j.issn.1671-7368.2015.06.012.

邱艳，郑园园，孙莹，等. 全科师资教学门诊分级分层带教现状调查[J]. 医学教育研究与实践， 2021， 29（3）： 411-414. DOI: 10.13555/j.cnki.c.m.e.2021.03.017http://dx.doi.org/10.13555/j.cnki.c.m.e.2021.03.017.

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