基础医学与临床 ›› 2017, Vol. 37 ›› Issue (9): 1348-1350.

• 医学教育 • 上一篇    下一篇

从1例延误诊断的库欣综合征看住院医师规范化培训的重要性

叶子兴1,文进1,李汉忠2   

  1. 1. 中国医学科学院北京协和医院
    2. 北京协和医院
  • 收稿日期:2017-05-17 修回日期:2017-06-26 出版日期:2017-09-05 发布日期:2017-08-28
  • 通讯作者: 文进 E-mail:wjpumch@163.com
  • 基金资助:
    2016年度北京市与中央在京高校共建人才培养基金

Significance of standardized residency training: lessens from a delayed diagnosis of Cushing syndrome

  • Received:2017-05-17 Revised:2017-06-26 Online:2017-09-05 Published:2017-08-28

摘要: 住院医师规范化培训是毕业后医学教育的基础。本文深入分析了一例被延误诊断的库欣综合征病例。患者一年内虽然反复就诊于省级三甲医院的多个专科,但各专科仅处理与各自专业相关的临床表现而未综合分析,导致诊断延误,丧失手术机会。由此说明规范化培训是临床整合分析的必备条件,也是专科医师培训无法替代的;住院医师需要通过规范化培训以增加对各相关科室的知识储备。此外,住院医师阶段的规范化培训可减小不同医学基础教育间的差距,将有助于提高国内住院医师和专科医师的整体水平。

关键词: 住院医师规范化培训, 住院医师

Abstract: Standardized residency training is the main form of postgraduate medical education. In this article, we analyzed a delayed diagnosed case with Cushing syndrome. The patient saw the doctors in provincial level hospitals for many times within a year, while specialists missed diagnosis by only concerning the symptoms related to their own specialties, instead of integrating all the manifestations. We draw the conclusion that standardized residency training provides residents a broader horizon of related specialties, which is irreplaceable by fellowship training program, and is the essential of comprehensive analysis of complex clinical situations. Standardized residency training will also be helpful for diminishment of the educational gap between different medical colleges and improvement the medical level of the whole nation.

Key words: standardized residency training, resident