新型冠状病毒肺炎疫情对世界各国的医疗卫生系统提出了严峻的挑战,尤其暴露出重症医学专业人才严重匮乏的问题。尽管我国重症医学专业医师在此次抗击疫情过程中起到了中流砥柱的作用,但在重症医学人才培养方面仍然暴露出一些问题,如缺乏规范的重症医学培训平台、未形成统一的培训内容、培训形式较为单一、应对突发公共卫生事件准备不足等。本文结合疫情防控和重症患者救治的实际经验,提出应当开展针对重症医学专业的住院医师规范化培训,规范培训内容,增强理论与临床的结合,提升住院医师综合素质,同时拓展培训形式,加强“重症医学预备役”的建设。这些举措可以使重症医学团队成为有社会责任感的专业队伍,对于重症医学的长远发展,对于我国医疗体系从容应对突发公共卫生事件、提高急危重症综合诊治能力均具有重大意义。
The COVID-19 outbreak leading to a severe shortage of doctors in critical care medicine has seriously affected the world health system. Although China's critical care physicians have undertaken an important role in the process of fighting against the pandemic, there are still some problems in the training of critical care medicine talents, such as the lack of standardized training platform of critical care medicine, and standardized training program, mono-pathway of training ,and less preparation to respond to for public health emergencies. Based on the treatment experience during the pandemic, the training of specialists in critical care medicine should be strengthened in the following aspects :(1) conduct standardized resident training in critical care medicine as a back-up procedure to support following specialist training ; (2) standardize the training program and strengthen the integration of, theory and clinical practice, and to improve the comprehensive quality of residents; (3) expand the content of specialist training in critical care medicine; (4) strengthen the routine construction of “critical care medical reserves”. These efforts will help the organization of specialist team with sense of social responsibility. It is of great significance for the long-term development of critical care medicine, so support current medical system to effectively respond to public health emergencies, and for improving the capacity to treat critical ill patients.
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