目的 分析上海市专科医师规范化培训的开展情况,管理上存在的问题和相关对策。方法 回顾性分析2013至2023年上海市专科医师规范化培训的培训专科(包括亚专科)与基地设置、培训对象招录、结业、培训轮转及其对培训满意度情况。结果 截至2023年,上海市共认定专科培训基地466个,覆盖上海市35家三级医疗机构,设置66个专科,基本完成与住院医师规范化培训科目的无缝衔接,达到临床专科全覆盖。2013至2022年共招录专科医师9 656名,共结业5 647名;2019至2022年招录的3 867名专科医师中,3 551名(91.83%)医师来自本单位;2021至2023年完成全部培训轮转并参加结业综合能力考核的1 741名专科医师中,1 576名(90.52%)医师被安排了固定的指导医师,1 644名(94.43%)医师对所在培训医院的管理满意或基本满意。结论 目前,上海市专科医师规范化培训已经形成了卫生行政部门主导、行业协会牵头的培训管理体系,整体实施状况良好,但仍然需要从完善培训制度框架、加强过程管理和师资队伍建设等方面提高和发展其管理运行机制,更需要从法律和法规上确定其重要地位和作用。

Objective To analyze the implementation of standardized training for specialists in Shanghai, the problems and gaps in management, and relevant countermeasures. Methods This is a retrospective analysis of the standardized training for specialists in Shanghai from 2013 to 2023, including the establishment of specialized colleges (including sub specialized colleges) and bases, recruitment of training subjects, graduation, rotation of training, and their satisfaction with training. Results As of 2023, a total of 466 specialists training bases had been identified, covering 35 tertiary medical institutions in Shanghai, with 66 specialties set up. All of them had basically completed seamless integration with standardized training subjects for residents, achieving full coverage of clinical specialties. From 2013 to 2022, a total of 9 656 specialists were recruited, 5 647 of them had completed their studies. Out of 3 867 specialists from 2019 to 2022, 3 551(91.83%) of them came from their own hospital. A total of 1 741 specialists had completed all training rotations and participated in the comprehensive ability assessment for graduation from 2021 to 2023, 1 576(90.52%) of them were assigned with fixed tutors, 1 644(94.43%) of them were satisfied or mostly satisfied with the management of their training hospitals. Conclusions At present, the standardized training of specialists in Shanghai has formed a training management system led by the health administrative department and academic associations. The overall implementation status is remarkable, but it is necessary to improve and develop mechanisms for its management and operation from aspects such as improving the training system framework, strengthening process management, and faculty development, and more importantly, to advocate for its important position and role from laws and regulations.