新型冠状病毒肺炎疫情给住院医师规范化培训制度和体系带来了前所未有的挑战,疫情防控对承担一线工作的住院医师的综合素质提出了更高的要求。本文结合北京大学第三医院以及国家援鄂医疗队的抗疫经验,探讨了突发传染病疫情下住院医师应该具备的素质和能力,从职业素养、感染性疾病防控、专业能力、心理健康以及创新精神方面进行了分析,为优化现有住院医师培养模式、有效应对未来可能出现的突发公共卫生事件提供思路。
The pandemic of COVID-19 pneumonia brings a challenge to current training system of residents which has raised the training standard in terms of prevention and control of the infection. This paper reported the experience from a medical team organized by Peking University Third Hospital that worked in Hubei province during the pandemic and this experience was translated into the requirement of competence and professionalism training of resident doctors in response to the newly emerging contagious disease (NECD). The capacity building covers the prevention and control of NECD, clinical and psychological intervention to patients suffering the disease and psychological trauma. The conclusion of this investigation may give suggestions to the remodeling of current residents'training and optimize the training outcomes to meet the needs response to the challenge from NECD in future.
[1] 闻德亮. 由新冠肺炎疫情防控引发的医学教育思考[J]. 中国高教研究,2020(5):43-47,77. DOI:10.16298/j.cnki.1004-3667.2020.05.07.
[2] 代清霞, 李黎明. 新冠肺炎疫情背景下完善医学人文教育的思考[J].广西医学,2020(8):1015-1017. DOI: 10.11675/j.issn.0253-4304.2020.08.21.
[3] 徐晓文,翁小红,丁志良.新型冠状病毒肺炎疫情期间住院医师规范化培训的管理策略探究[J].抗感染药学,2020,17(4):619-620. DOI:10.13493/j.issn.1672-7878.2020.04-054.
[4] 李屹,赵亮,刘昱圻,等. 新冠肺炎疫情期间线上教学在心血管内科住院医师规范化培训中的探索与应用[J/OL].中国医学教育技术:1-5[2020-06-08].http://kns.cnki.net/kcms/detail/61.1317.G4.20200428.1730.004.html.
[5] 张瑞雪, 丁宁, 李鸿鹤, 等. 医学院校教育阶段医师职业精神培养的实践与启示[J].中华医学教育杂志,2020,40(3):165-169. DOI: 10.3760/cma.j.issn.1673-677X.2020.03.002.
[6] 李春辉, 黄勋, 蔡虻, 等.新冠肺炎疫情期间医疗机构不同区域工作岗位个人防护专家共识[J].中国感染控制杂志,2020,19(3):199-213. DOI:10.12138/j.issn.1671-9638.20206155.
[7] 邸天男,葛春蕾. 关于住院医师规范化培训的现状与思考[J].继续医学教育,2020,34(3):12-14. DOI: 10.3969/j.issn.1004-6763.2020.03.007.
[8] 卞正乾,曹晖.新型冠状病毒肺炎疫情下如何高质量培养外科住院医师规范化培训学员的胜任力[J/OL].上海医学:1-5[2020-06-08]. http://kns.cnki.net/kcms/detail/31.1366.R.20200214.1529.004.html.
[9] 李静, 张亚茹, 韦晓洁, 等. COVID-19疫情期间综合医院全科医学住培学员管理探讨[J].医学教育研究与实践,2020,28(2):229-231,238. DOI: 10.13555/j.cnki.c.m.e.2020.02.013.
[10] 周嘉伟, 李延青. 特鲁多墓志铭与当代医师专业精神[J].医学与哲学,2019,40(17):33-36. DOI: 10.12014/j.issn.1002-0772.2019.17.09.
[11] 杨荆, 周竹, 樊文星. 住院医师规范化培训中人文精神培养的价值[J].继续医学教育,2019,33(3):72-74. DOI: 10.3969/j.issn.1004-6763.2019.03.039.
[12] 谭积斌,罗俊,唐孙茹,等.虚拟现实技术在医学教育中的研究现状和热点——基于CNKI的知识图谱可视化分析[J].中国医学教育技术,2020,34(2):153-159. DOI:10.13566/j.cnki.cmet.cn61-1317/g4.202002009.
