李鸿杰　常峰

[摘要] 为实现我国医药卫生体制深化改革，高素质的医疗卫生人才培养和队伍建设是重中之重。但在我国现行的医师培训体制中，缺乏统一的治疗规范，补贴保障机制不到位，临床学习机会少，使得医师的参与积极性不高。本文在总结国内外医师培养经验的基础上，针对上述问题提出建立统一治疗手册制度、健全经费保障体制以及明确医务范围的对策建议，旨在完善我国医师规范化培训，从而有助于分级诊疗模式的推进，最终实现我国医药行业的健康发展。

[关键词] 住院医师；专科医师；培养；均质化

[中图分类号] R192.3 [文献标识码] A [文章编号] 1673-7210（2018）07（b）-0173-04

Comparison and countermeasure research on physician training methods at home and abroad

LI Hongjie CHANG Feng

School of International Pharmaceutical Business， China Pharmaceutical University， Jiangsu Province， Nanjing 211198， China

[Abstract] In order to deepen reform of medical and health system in China， the cultivation of high quality health personnel and the construction of the team are the most important. Lacking of unified treatment standards， inadequate of subsidy mechanism and fewer clinical learning opportunities make the participant enthusiasm of physicians less. On the basis of summarizing the experiences of domestic and foreign physicians training， this article proposes countermeasures and suggestions for the establishment of a unified treatment manual system， a sound financial guarantee system， and a clear definition of medical scope. The aim is to improve the standardized training of physicians in China， which contributes to the advancement of grading diagnosis and treatment models， and ultimately realizes the healthy development of China′s pharmaceutical industry.

[Key words] Resident doctor； Diplomate； Training； Homogenization

近年來，我国相继出台了《全科医师规范化培养标准（试行）》《助理全科医师培训标准（试行）》《关于开展专科医师规范化培训制度试点的指导意见》等一系列文件，旨在完善我国医师培养体制，提高我国医疗水平以及缩小各地区的差异，促进分级诊疗有序进行。但是，最终结果却差强人意。究其原因是在我国现行的培训体制中，某些常见病没有全国统一的治疗标准，医院间差异较大，导致各医师的医疗水平参差不同，而且医师的待遇补贴不到位以及临床学习机会少，使得医师的参与积极性不高。以上出现的问题严重阻碍了我国分级诊疗模式的进一步实行。为改善上述问题，本文在总结国内外医师培训的基础上，针对我国存在的问题，提出相应对策建议，希望有助于我国分级诊疗模式的推进，最终实现卫生体制改革。……