临床医学专业学位博士研究生教育与专科医师规范化培训制度有机衔接(简称并轨培训)是我国研究生教育改革的一项重要举措。本研究于2017年9月至2021年12月选择北京协和医学院整形外科医院11名颅颌面外科学博士专业学位研究生作为研究对象,实施自主学习与科室学习有机结合、理论学习与临床操作有机结合、科研培训与临床培训有机结合的培训方案。结果显示,11名颅颌面外科学博士专业学位研究生共发表SCI论文76篇,中文核心期刊论文21篇,获批实用新型专利10项;所有学生均通过北京市住院医师规范化培训第二阶段临床综合技能考核。可见,颅颌面外科学并轨培训方案的实施效果良好,有助于博士专业学位研究生科研水平和临床技能水平的提高。
Integration of cranio-maxillofacial surgery training for doctor degree candidates and that for specialist physicians is an important measure of postgraduate education reform in China. From September 2017 to December 2021, eleven cranio-maxillofacial surgery doctoral degree candidates were selected as the research subjects for the training programs of integrating self-directed learning with department learning, theoretical learning with clinical operation, and scientific research training with clinical training. The training results showed that 76 SCI articles and 21 CSSCI articles had been published, and 10 utility model patents had been approved. All the students passed the clinical comprehensive skills assessment of standardized training for resident physicians in Beijing. Their comprehensive academic abilities such as scientific research level and clinical level have been significantly improved, and their satisfaction with clinical work has been improved. These training programs are recognized by professional doctoral degree candidates as an effective method to improve the level of scientific research and clinical technique.
[1] 张驰, 王婷婷,贾金忠, 等. 临床医学博士专业学位研究生教育的质性研究[J].中华医学教育杂志,2019,40(5):367-371. DOI: 10.3760/cma.j.cn115259-20190701-00516.
[2] 胡伟力, 陈地龙. 临床医学博士专业学位教育与专科医师规培并轨培养研究[J].重庆医学,2017,46(7):994-997. DOI: 10.3969/j.issn.1671-8348.2017.07.043.
[3] 张驰, 贾金忠, 姜颖颖,等. 临床医学博士专业学位研究生教育培养目标与要求探讨[J]. 中华医学教育杂志, 2019, 39(9):691-695. DOI:10.3760/cma.j.issn.1673-677X.2019.09.011.
[4] Sorensen MS, Mosegaard J, Trier P. The visible ear simulator: a public PC application for GPU-accelerated haptic 3D simulation of ear surgery based on the visible ear data[J]. Otol Neurotol, 2009,30(4):484-487. DOI: 10.1097/MAO.0b013e3181a5299b.
[5] Sørensen MS, Dobrzeniecki AB, Larsen P, et al. The visible ear: a digital image library of the temporal bone[J]. ORL J Otorhinolaryngol Relat Spec, 2002,64(6):378-381. DOI: 10.1159/000066089.
[6] Mills R, Lee P. Surgical skills training in middle-ear surgery[J]. J Laryngol Otol, 2003,117(3):159-163. DOI: 10.1258/002221503
321192412.
[7] Begall K, Vorwerk U. Artificial petrous bone produced by stereolithography for microsurgical dissecting exercises[J]. ORL J Otorhinolaryngol Relat Spec, 1998,60(5):241-245. DOI: 10.1159/000027604.
[8] Schwager K, Gilyoma JM. Ceramic model for temporal bone exercises-an alternative for human temporal bones?[J]. Laryngorhinootologie, 2003,82(10):683-686. DOI: 10.1055/s-2003-43242.
[9] 张驰, 张璐, 刘德平,等. 全日制临床医学博士专业学位研究生教育现状与改革探析[J]. 中华医学教育探索杂志, 2019, 18(8):766-771. DOI: 10.3760/cma.j.issn.2095-1485.2019.08.003.
[10] 蒋良福, 周飞亚. 加拿大骨科专科医师培训简介与启示[J]. 中国高等医学教育, 2017, 10: 19-20. DOI: 10.3969/j.issn.1002-1701.2017.10.010.
[11] 龚益. 哈佛大学专科医师临床研究能力培养见闻及启示[J]. 医学与哲学, 2018, 39(20):93-94. DOI: 10.12014/j.issn.1002-0772.2018.10b.26.
