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。
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.
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