Discussion on the application of translational medicine in the implementation of standardized training of general practitioners
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摘要: 转化医学(translational medicine)是一门新兴的交叉型医学研究学科,能够推动和促进医学基础研究成果向临床实践应用的转化,较好地弥补了现有医学教育模式下"所教难以所用"的缺陷,近年来其理念已得到了广泛认可和较好的应用、实践。全科医学(general practice)作为涵盖多学科的综合性医学学科,提倡面向社区基层及家庭,以患者为中心,从长期维护患者整体健康出发为目标。转化医学强调的"以患者为中心"的理念及其教育培训领域中的先进观念、方法,与全科医学的主旨及培养教育核心内容有着诸多契合之处。全科医师规范化培训是全科医学教育过程中的重要环节。但国内目前承担全科医师规范化培训的医疗机构专科程度高,教授者难以把握有效的全科医学教育模式,在有限的规培期内无法充分实现带教目的,且规培生则可能因无法扎实掌握培训范围内的技能导致缺乏自身专业定位及职业信心。而借鉴、汲取转化医学理念应用于全科医学教育体系则可能有助于解决上述问题。转化医学强调医学基础研究成果向临床实践应用转化的理念,其领域内学科建设、教学方式、评估体系、师资培训等有效经验及优势之处对于提高全科医师规范化培训的实施效果具有积极的促进作用,值得分析并探讨。Abstract: Translational medicine is a new cross-disciplinary medical research discipline, which could push forward and promote the transformation of medical basic research results into clinical practice application, and better make up the shortcomings of the "hard to use" under the current medical education model. Such concept has been widely recognized and better applied and practiced in recent years. General practice, as a multidisciplinary and comprehensive medical discipline, advocates community-based and family-oriented patient-centered care and aims to maintain the overall health of patients in the long term. The concept of "patient-centered" emphasized by translational medicine and its advanced concepts and methods in the field of education and training coincides with the gist of general medicine and the core content of education in varied aspects. The standardized training of general practitioners is an important part of general practice. However, the medical institutes currently undertaking standardized training of general practitioners in our country have a high degree of specialization. It is difficult for professors to grasp effective modes of general medical education. Therefore, they cannot fully realize the purpose of teaching during the limited training period. A solid grasp of the skills within the training led to the lack of their own professional positioning and professional confidence. Learning from and drawing on the concept of translational medicine into the general medical education system may help solve the above problems. Translational medicine emphasized the concept of transformation from the achievement of basic medical research into clinical practice, the effective experiences such as disciplinary construction, teaching methods, evaluation system and teacher training as well as advantages in the field, which have a positive effect on improving the implementation effect of standardized training for general practitioners' enhancement. It is worth to analyze and discuss.
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