基础医学与临床 ›› 2019, Vol. 39 ›› Issue (9): 1371-1375.

• 医学教育 • 上一篇    下一篇

麻省大学医学院神经内科住院医师轮转设计及课程设置的启示

钱敏1,邱杰1,彭斌1,Lan QIN2   

  1. 1. 北京协和医院
    2. University of Massachusetts Medical School, Worcester, USA
  • 收稿日期:2019-03-11 修回日期:2019-07-01 出版日期:2019-09-05 发布日期:2019-09-06
  • 通讯作者: 彭斌 E-mail:pengbin3@hotmail.com

Insight into the design of clinical rotation and teaching curriculum of neurology residency program at University of Massachusetts Medical School

  • Received:2019-03-11 Revised:2019-07-01 Online:2019-09-05 Published:2019-09-06

摘要: 目前中国全国统一的神经内科住院医师规培体系已初步建立,但住院医师具体轮转设计和课程设置尚有改善空间。美国的住院医师规范化培训以保证住院医师规范化培训质量为前提,对其轮转设计和课程设置进行统筹规划。在赴美3个月的交流中,作者复习了美国毕业后医学教育委员会(ACGME)的有关文件和麻省大学(UMASS)医学院神经内科住院医师规范化培训细则,得到以下启示:轮转设计要满足住院医师能力培养渐行式上升的要求;增加门诊轮转弥补单纯病房轮转的不足;课程设置方面,除临床知识和技能外,还要满足其他核心胜任力培养;要合理应用多种不同的教学形式培养住院医师多方面能力。

关键词: 神经科, 住院医师, 毕业后医学教育, 轮转设计

Abstract: Though China's national standardized neurology residency training has been initially established, there is still a need for improvement in the areas of design of clinical rotation and curriculum. Valuable lessons can be learned from post-graduate medical education in the United States. We reviewed relevant documents from the Accreditation Council for Graduate Medical Education (ACGME) as well as the neurology residents’ rotation schedule and teaching curriculum in the Department of Neurology at the University of Massachusetts Medical School (UMASS). Important points to note are: 1) Resident rotation schedule should meet the requirement of gradually increasing residents’ responsibilities in their training toward the goal of becoming independent practicing neurologists after their graduation. 2) Adding outpatient clinic rotations to enhance the resident learning experience. 3) In addition to daily clinical rotation and training, residency training program should design a robust curriculum based on 6 core competencies (medical knowledge; practice-based learning and improvement; interpersonal and communication skills; professionalism; and systems-based practice) to cover broad range of neurological diseases. 4) Using different lecture formats (morning report, journal club, noon conference…) to achieve different education goals.

Key words: neurology, residency, curriculum rotation, post-graduate medical education