杨燕　许伟明　张逸雯

[摘要] 中医住院医师规范化培训是培养优秀中医临床医师的重要途径之一。当前中医规培尚处于探索阶段，实践过程中发现仍存在以下诸多问题：规培政策与办法缺少衔接，各种政策制度宣传力度有待加强，且部分地方政策尚未落地；各培训基地发展呈现不均衡状态；规培模式单一，且未体现中医自身特点及优势；规培基地教学空间有限，软硬件建设还有待加强，带教意识不强，师资水平参差不齐；中医规培医师基础参差不齐，学习积极主动性欠佳，规培医师待遇较低；规培考核制度尚不完善等。笔者围绕上述问题及其应对策略进行综述，以期为中医规培的进一步完善提供建议，以真正提高中医临床医师诊疗水平。

[关键词] 中医；规培；问题；策略；综述

[中图分类号] R197 [文献标识码] A [文章编号] 1673-7210（2018）07（b）-0025-04

Review of the problems and countermeasures of standardized training of resident doctors in traditional Chinese medicine

YANG Yan1 XU Weiming2，3 ZHANG Yiwen2 CAI Yanran2 GUO Haiyan3 LIU Shuai3

1.Basic Medical College， Hubei University of Chinese Medicine， Hubei Province， Wuhan 430065， China； 2.Center for Disease and Syndrome， Institute of Basic Theory， China Academy of Chinese Medical Sciences， Beijing 100700， China； 3.Graduate School， China Academy of Chinese Medical Sciences， Beijing 100700， China

[Abstract] Standardized training of traditional Chinese medicine residents is one of the important ways to cultivate excellent doctors of Traditional Chinese Medicine. At present， TCM standardized training is still in the exploratory stage. In the process of practice， the following problems are found： related policy and solutions are lack of connection and publicity of various policy needs to be strengthened， further more the implement of policy is still not applied in some areas； the development of each training base is in unbalanced condition； the existing training modes are monotonous and do not reflect the characteristics and advantages of TCM； there is a space limitation in training base， and the construction of the software and hardware still need to be strengthened. In addition， the awareness of teaching is not strong and the level of teachers is uneven； the students of TCM have a variety of bases， and they are not very active and lack of passion. Besides， the salary of the students are not high； the regulation of the evaluation is not perfect at present. The author reviews the above problems and coping strategies， with a view to provide suggestions for further improvement of TCM standardized training， so as to truly improve the level of diagnosis and treatment of traditional Chinese medicine clinicians.

[Key words] Traditional Chinese medicine； Standardized training； Problems； Strategies； Review

目前，住院醫师规范化培训（以下简称“规培”）已在全国全面铺开。中医住院医师规范化培训（以下简称“中医规培”）作为规培制度的重要组成部分，是医教协同深化中医学人才培养改革的关键环节，是加强中医临床人才队伍建设的有效途径，是加快构建具有中国特色医学人才培养体系的重要举措，也为“用中国式办法解决医改这一世界性难题”提供人才保障和智力支持[1]。中医规培对于提高中医规培学员的专业理论和临床技能、临床思辨、职业素养、人际沟通、团队合作与科研等诸多能力无疑十分关键[1-4]。张伯礼院士指出中医规培“要遵循中医人才成长的规律，培养符合中医学特色的高水平应用型的中医人才”[5]。……