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作者通过对上海市二、三级医院住院医师临床专业技能(病史质量、带教质量、临床能力、综述与论文撰写能力)考核,发现:(1)住院医师外科第二阶段的带教质量、总住院医师临床能力、外科手术能力和综述与论文撰写能力显得较弱;(2)二级医院住院医师的病史质量、病程录质量、门、急疗病史质量、第一阶段带教质量、病例分析能力、综述撰写能力较三级医院住院医师低。根据住院医师临床专业技能培养中存在的问题,作者分析了其原因,并提出相应对策:(1)保证外科住院医师有足够的手术机会;(2)使每位住院医师有机会进入总住院医师培养阶段;(3)加强培训基地建设,开展二级学科规范化培训。
The author assessed the clinical professional skills (history quality, teaching quality, clinical ability, review and thesis writing ability) of resident doctors in second- and third-tier hospitals in Shanghai and found that: (1) the quality of teaching of the resident physician in the second stage of surgery, The total residency’s clinical ability, surgical ability, and review and essay writing ability are relatively weak; (2) Resident physician’s medical history quality, course record quality, quality of door, emergency treatment history, first stage teaching quality, case of secondary hospital Analytic ability and review writing ability are lower than those of tertiary hospital residents. According to the problems existing in the development of clinical professional skills of residents, the author analyzes the reasons and proposes corresponding countermeasures: (1) to ensure that surgical residents have enough surgical opportunities; (2) to give each resident physician the opportunity to enter the total residents. Training phase; (3) Strengthen the training base construction and carry out standardized training for two disciplines.