西方国家医师心身医学能力培训的启示

doi:10.3760/cma.j.issn.1673-677X.2019.02.012

中华医学教育杂志 ›› 2019, Vol. 39 ›› Issue (2): 153-160.DOI: 10.3760/cma.j.issn.1673-677X.2019.02.012

• 国外医学教育与比较医学教育 • 上一篇

西方国家医师心身医学能力培训的启示

黄蕾¹, 程黎明², 崔海松³, 张颖⁴, 管晓枫³, 赵旭东⁵

¹同济大学附属同济医院教育处本科教务部,上海 200065;
²同济大学附属同济医院院长办公室,上海 200065;
³同济大学附属同济医院精神医学科,上海 200065;
⁴德国弗莱堡大学医学中心心身医学与心理治疗科 79104;
⁵同济大学医学院人文医学与行为科学教研室,上海 200092

收稿日期:2018-09-27 出版日期:2019-02-01 发布日期:2020-12-08
通讯作者: 赵旭东, Email: zhaoxd@tongji.edu.cn, 电话: 021-65981731
基金资助:
同济大学研究生教学改革研究与建设项目(2018GH33001);上海市重中之中临床医学中心和重点学科建设计划(2017ZZ02020)

The enlightenment of psychosomatic competence training for doctors in western countries

Huang Lei¹, Cheng Liming², Cui Haisong³, Zhang Ying⁴, Guan Xiaofeng³, Zhao Xudong⁵

¹Undergraduate Teaching Affairs Office, Medical Education Division, Tongji Hospital of Tongji University, Shanghai 200065, China;
²President's Office, Tongji Hospital of Tongji University, Shanghai 200065, China;
³Department of Psychiatry, Tongji Hospital of Tongji University, Shanghai 200065, China;
⁴Department of Psychosomatic Medicine and Psychotherapy, University of Freiburg Medical Center, Freiburg 79104, Germany;
⁵Division of Medical Humanities & Behavioral Sciences, Tongji University School of Medicine, Shanghai 200092, China

Received:2018-09-27 Online:2019-02-01 Published:2020-12-08
Contact: Zhao Xudong, Email: zhaoxd@tongji.edu.cn, Tel: 0086-21-65981731
Supported by:
Tongji University Postgraduate Educational Research and Reform Project (2018GH33001); Priority of Shanghai Clinical Medical Center and Key Discipline Development Plan (2017ZZ02020)

摘要/Abstract

摘要： 随着“生物-心理-社会”医学模式和心身医学问题日益受到重视,对医师的心身医学能力提出了新的要求。西方国家医师的心身医学能力培养方式,为我国开展相关工作提供了有益的启示。本文介绍了心身医学的起源、临床实践模式、心身医学与相关学科之间的关系;同时,借鉴以德国和美国为代表的发达国家医师心身医学能力培训模式,结合我国的国情,提出了构建我国医师心身医学能力培养体系的思考与建议。

关键词: 西方国家, 医师, 心身医学, 培训

Abstract: The importance of “bio-psycho-social” model and problems related to psychosomatic medicine have been paid attention to, which puts forward new requirements for physicians in the field of psychosomatic medicine. The training experience from western countries will provide enlightenment for China. This study introduced the origin and two typical clinical practice models of psychosomatic medicine as well as the relationships between psychosomatic medicine and other disciplines; proposed to draw lessons of psychosomatic medicine competence training in western countries represented by Germany and the United States so as to create our training system after localization revision.

Key words: Western countries, Doctors, Psychosomatic medicine, Training

中图分类号:

R-05
R395.1

黄蕾, 程黎明, 崔海松, 张颖, 管晓枫, 赵旭东. 西方国家医师心身医学能力培训的启示[J]. 中华医学教育杂志, 2019, 39(2): 153-160.

Huang Lei, Cheng Liming, Cui Haisong, Zhang Ying, Guan Xiaofeng, Zhao Xudong. The enlightenment of psychosomatic competence training for doctors in western countries[J]. Chinese Journal of Medical Education, 2019, 39(2): 153-160.

参考文献

[1] 赵旭东.心身医学简论[J].中国医刊,2004,39(3):53-56.
[2] 王铭维.心身疾病——精神疾病还是躯体疾病[J].医学与哲学,2012,33(1B): 11-13.
[3] Lipsitt DR. Consultation-liaison psychiatry and psychosomatic medicine: The company they keep[J].Psychosomatic Medicine,2001,63(6):896-909.DOI:10. 1097/00006842-20011100000008.
[4] Gitlin DF, Levenson JL, Lyketsos CG. Psychosomatic medicine: A new psychiatric subspecialty[J].Academic Psychiatry,2004,28(1):4-11.DOI:10.1176/appi.ap.28.1.4.
[5] 王向东,赵旭东心身医学实践[M].北京:中国协和医科大学出版社,2015:3.
[6] Fritzsche K, Larisch A, Cierpka M, et al. Improving the biopsychosocial competence of German primary care physicians in diagnosing and treating somatoform disorders[J].Families,Systems, & Health,2004,22(3):352-364.
[7] 于欣.心身医学:从概念到实践[J].中国心理卫生杂志,2009,23(7):470-470.DOI:10.3969/j.issn.1000-6729.2009.07.004.
[8] 臧德馨,曹颂尧,罗维武,等.精神医学[M].贵阳:贵州科技出版社,1992:1.
[9] 吴文源.心身医学[M].上海:同济大学出版社,2015:1.
[10] Nakao M, Takeuchi T. Clinical characteristics and referral patterns of outpatients visiting a Japanese psychosomatic medicine clinic[J]. International Journal of Behavioral Medicine,2016,23(5):580-588.DOI:10.1007/s12529-015-9520-0.
[11] 杨广富.行为医学与相邻学科研究中的差异及特点[J].中华行为医学与脑科学杂志,1998,7(1):67-68.
[12] Joost Dekker, Adrienne Stauder, Frank J Penedo, 等.行为医学的定义与范畴: 讨论、总结和更新[J].中华行为医学与脑科学杂志,2017,26(6):485-491.DOI:10. 3760/cma.j.issn.1674-6554.2017.06.002.
[13] Fritzsche K, Schäfer I, Wirsching M, et al. Psychosomatic basic care in the general hospital——An empirical investigation of the bio-psycho-social stress,treatment procedures and treatment outcomes from the vantage point of medical doctors[J].Z Psychosom Med Psychother,2012,58(2):142-157.DOI:10.13109/zptm.2012.58.2.142.
[14] Söllner W, Creed F. European guidelines for training in consultation-liaison psychiatry and psychosomatics: Report of the EACLPP workgroup on training in consultation-liaison psychiatry and psychosomatics[J]. J Psychosom Res, 2007,62(4):501-509.DOI:10.1016/j.jpsychores.2006.11.003.
[15] Gitlin DF, Schindler BA, Stern TA, et al. Recommended guidelines for consultation-liaison psychiatric training in psychiatry residency programs:A report from the academy of psychosomatic medicine task force on psychiatric resident training in consultation-liaison psychiatry[J]. Psychosomatics,1996,37(1):3-11.DOI:10.1016/S0033-3182(96)71591-8.
[16] Accreditation Council for Graduate Medical Education (ACGME) Program requirements for graduate medical education in psychiatry[EB/OL].[2018-08-10].http://www.acgme.org/acgmeweb/Portals/0/PFAssets/PIFs/400_PsychiatryNew_112007_u02292008.doc.
[17] Heinrich TW, Schwartz AC, Zimbrean PC, et al. The state of the service: A survey of psychiatry resident education in psychosomatic medicine[J]. Psychosomatics,2013,54(6):560-566.DOI:10.1016/j.psym.2013.07.005.
[18] Heinrich TW, Schwartz AC, Zimbrean PC, et al. Recommendations for training psychiatry residents in psychosomatic medicine[J].Psychosomatics,2014, 55(5):438-49.DOI:10.1016/j.psym.2013.12.016.
[19] 陈刚,编译.美国内科和全科医学住院医师培训中开展社会心理培训的调查[J].国外医学·医学教育分册,2002,23(3):7-8.
[20] American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, et al. Joint principles of the patient-centered medical home[EB/OL].[2018-08-19].http://www.pcpcc.net/joint-principles.
[21] Jing W,Otten H, Sullivan L, et al. Improving the doctor-patient relationship in China: The role of Balint groups[J].The International Journal of Psychiatry in Medicine,2013,46(4):417-427.DOI:http://dx.doi.org/10.2190/PM.46.4.g.
[22] 国家卫生计生委,中宣部,中央综治办,等.关于加强心理健康服务的指导意见(国卫疾控发[2016] 77号)[EB/OL].(2016-12-30)[2018-08-08].http://www. nhfpc. gov.cn/jkj/s 5888/201701/6a5193c6a8c544e59735389f31c971d5.shtml.

西方国家医师心身医学能力培训的启示

The enlightenment of psychosomatic competence training for doctors in western countries

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