住院医师规范化培训(简称住培)的目的是培养具备岗位胜任力的临床医师,但不同区域的培训质量存在差异,尤其是东、西部地区。中山大学直属医院依托“组团式”医疗援疆,探索推进跨区域住培同质化的方法。前期研究采用回顾性分析和访谈相结合的方法,收集2017至2024年喀什地区第一人民医院(简称喀地一院)住培相关资料,并对20名喀地一院住培管理人员、临床教师和中山大学援疆专家进行访谈,聚焦住培跨区域协作中存在的问题,包括制度衔接、实施难点等。本文基于以上资料,梳理援疆专家针对喀地一院住培中存在的主要问题,实施的改革措施和取得的成效。截至2024年8月底,中山大学先后选派138名医疗专家支援喀地一院,通过住培管理架构与制度平移、师资培养与激励、培训内容优化与信息化管理等措施,使喀地一院成为执业医师资格考试实践技能考试基地,专业基地数量增长至20个,省级以上资质教师增长至401人,执业医师资格实践技能考试、住培结业考试通过率分别从2019年的69.0%、69.8%提升至2024年的85.0%、84.5%。中山大学直属医院借助“组团式”医疗援疆的契机,推进跨区域住培的同质化,为西部地区医学人才培养提供了可资借鉴的经验。

The purpose of Standardized Residency Training (SRT) is to cultivate competent, fit-for-practice physicians. However, the quality of training varies across regions, particularly between the east and the west. Relying on the ″team-based″ medical aid program in Xinjiang, the affiliated hospitals of Sun Yat-sen University explored ways to ensure quality consistency across regional SRT. Previous research employed a combination of retrospective analysis and interviews. Data on the SRT at the Kashi Prefecture First People′s Hospital (Kashi First Hospital) from 2017 to 2024 were collected, and interviews were conducted with 20 individuals, including training administrators, faculty members at Kashi First Hospital, and experts from Sun Yat-sen University. The study focused on the issues in cross-regional collaboration for SRT, such as institutional alignment and implementation challenges. Based on the above data, this paper examines the reform measures implemented by experts to address the main problems in the SRT at Kashi First Hospital and the outcomes achieved. By August 2024, Sun Yat-sen University had dispatched 138 medical experts to support Kashi First Hospital. Through measures such as transferring SRT management frameworks and systems, enhancing faculty development and incentives, optimizing training content, and implementing information management, the hospital was approved as the National Medical Licensing Examination Practical Skill Test center. The number of specialized training bases increased to twenty, and the number of faculty with provincial-level or higher qualifications grew to 401. The pass rates for the National Medical Licensing Examination Practical Skill Test and the SRT final examination rose from 69.0% and 69.8% in 2019 to 85.0% and 84.5% in 2024, respectively. By leveraging the ″team-based″ medical aid program in Xinjiang, the affiliated hospitals of Sun Yat-sen University have improved the consistency of SRT quality across regions, providing valuable experience for training medical talent in western China.