贾育梅 范慧

[摘要] 目前全科医师规范化培训是北京市住院医师规范化培训中的重要组成部分。但现今培训中内分泌科带教老师及全科医师可能存在全科医学理念认识不足，对全科工作特点不明确，导致类似内分泌专科医师的培训模式。针对上述问题，全科医师在内分泌科培训过程中带教老师需将全科医学理念贯穿于培训中，明确全科医师培训的任务，注重全科医师的能力培养，使全科医师增强内分泌科常见病急症的识别能力及内分泌常见病老年人群的管理意识。同时应用巴林特小组进行医患沟通训练，并运用合理的方法进行内分泌科出科考核评价。加强内分泌科师资队伍建设，可以进一步完善全科医师规范化培训工作。

[关键词] 全科医师规范化培训；全科医学理念；内分泌科；全科医师培训考核

[中图分类号] R05 [文献标识码] A [文章编号] 1673-7210（2018）06（b）-0179-03

[Abstract] Nowadays the general practitioners standardized training is an important part of the training of resident doctors in Beijing. But the training teachers in endocrinology and general practitioners may lack of general medical science theory and they are unfamiliar with general medical work features， it leads to the general training models are similar to the training of endocrine specialist. Therefore， the teachers should put general medical science theory into the whole training， be clear with the tasks and pay more attention to the trainings of general practitioner abilities. Though the training the general practitioners could strengthen the emergency treatment and recognition， provide guidance for common endocrine diseases management in the elderly people. At the same time， the application of “Balint group” is benefit to improve doctor-patient communication， and reasonable evaluation method should be used in general practitioner training assessment. Lastly the construction of the endocrinology teacher staff should be strengthen， which can further improve the standardized general practitioner training.

[Key words] General practitioner training； General medical philosophy； Endocrinology； General practitioner training assessment

目前北京市住院医师规范化培训专科培训中，全科医师规范化培训已经成为其重要组成部分。培养合格的全科住院医师是提高我国社区卫生服务工作水平的主要措施和主要途径，是专科培训基地的主要任务[1]。全科医学医师医疗服务范围涵盖首诊、慢性病诊疗、健康管理、疾病筛查、预防与干预等[2]。在具有上述医疗服务相关技能的同时，全科医学医师还需要具备协调与各专科之间的关系的能力，并熟知双向转诊机制、流程。全科医师规范化培训中指导教师需要明确全科医师作为全科医学服务（全科医疗）的提供者，需要具备系统全面的全科医学相关理论和公共卫生服务能力，达到全科医师岗位的基本要求[3]。……