中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (5): 321-326.DOI: 10.3760/cma.j.cn115259-20241218-01330

• 毕业后医学教育 •    下一篇

基于胜任力导向的院校医学教育与毕业后医学教育相衔接的思考

李海潮   

  1. 首都医科大学附属北京朝阳医院,北京 100020
  • 出版日期:2025-05-01 发布日期:2025-04-29
  • 作者简介:李海潮,医学博士,二级教授、主任医师,博士研究生导师。首都医科大学附属北京朝阳医院院长。现任教育部临床医学类教指委秘书长、临床医学专业认证委员会委员,国家医学考试中心临床医学专业命题组主任委员和中国医师协会过程评价专委会主任委员。李海潮教授长期从事呼吸与危重症医学专业的临床和科研工作,专业方向为间质性肺病。在医学教育方面,李海潮教授在国内较早开展整合课程教学改革和基于问题学习的实践,以及毕业后医学教育阶段的“胜任力导向医学教育”的实践,致力于我国多阶段医学资格考试的标准化和科学化建设。先后荣获北京市教学名师、住院医师规范化培训全国十佳管理者称号。主持科技部国家重点研发计划、国家自然科学基金项目多项。

Reflections on the transition of competency-based medical education in undergraduate and postgraduate medical education

Li Haichao   

  1. Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
  • Online:2025-05-01 Published:2025-04-29

摘要: 住院医师规范化培训制度的建设正在向内涵式发展转变,进一步提升培训质量是现阶段需要关注的重要问题。 本文分析了国际上毕业后医学教育的准入标准(医师执照考试),探讨了胜任力导向医学教育在院校医学教育中的实践。本文指出我国毕业后医学教育存在两条不同的准入途径和相关标准,北美和欧洲国家大多在医学院的最后一年设计有与医师执照考试相关的全国性统一考试,以与毕业后医学教育相衔接。作者认为,在院校医学教育阶段安排医师执照考试的一部分和相关的过程性考核,对于促进我国院校医学教育与毕业后医学教育的有效衔接,培养符合健康中国战略需求的优秀医疗卫生工作者具有重要意义。

关键词: 胜任力导向医学教育, 院校医学教育, 毕业后医学教育, 衔接, 思考

Abstract: The construction of the standardized residency training system in China is undergoing a strategic shift towards a more substantive and quality-driven development model, with further enhancing training quality emerging as a critical priority at this stage. This article analyzes international admission standards for postgraduate medical education(Medical Licensing Examination) and explores the implementation of competency-based medical education (CBME) within undergraduate medical curricula. This article identifies that there are two distinct admission pathways and associated criteria in China′s postgraduate medical education system. In most North American and European countries, there exists nationally unified examination linked to medical licensing requirements during the final year of medical school, thereby establishing seamless articulation with postgraduate medical education. The author proposes that integrating components of medical licensing examinations and implementing formative assessments during undergraduate medical education would significantly enhance the alignment between undergraduate and postgraduate medical training in China. This approach is deemed essential for cultivating high-quality healthcare professionals capable of meeting the strategic objectives of the Healthy China initiative.

Key words: Competency-based medical education (CBME), Undergraduate medical education, Postgraduate medical education, Transition, Reflection

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