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本文作者阅读了上海市住院医师规范化培训的有关文件与资料,对该项培训的市级管理者进行了访谈,并对上海市16所二级医院与16所三级医院住院医师和管理人员进行了问卷式调查,以对上海市住院医师规范化培训进行十年评估。通过评估、作者认为上海市住院医师规范化培训重在规范、重在能力培训、重在实效、重在低成本和高效果,但作者认为上海市住院医师规范化培训还需进一步加强临床能力培训和考核;进一步研究二级医院二级学科赴三级医院培训的合理性:政策仍需配套,以全力推进育人工程;并应开展对临床研究生进行临床技能规范化培训的研究。
The author of this article read the relevant documents and materials of the standardized training for resident physicians in Shanghai, interviewed the municipal level managers of the training, and conducted interviews with residents and managers of 16 secondary hospitals and 16 tertiary hospitals in Shanghai. A questionnaire survey was conducted to assess the standardized training of residents in Shanghai for a decade. Through the assessment, the author believes that the standardized training of residents in Shanghai is focusing on standardization, focusing on ability training, focusing on actual results, focusing on low cost and high effectiveness. However, the author believes that the standardized training of Shanghai residents needs to further strengthen clinical ability training and assessment. Further study the rationality of the secondary disciplines of secondary hospitals to tertiary hospitals for training: policies still need to be matched to fully promote education programs; and clinical postgraduate clinical skills training should be conducted.