Practice and reflection on the scientific research cultivate pathway of general practitioner in community
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摘要: 提高科研能力是提高社区全科医生临床诊疗能力、促进社区医疗发展的重要方面。社区全科医学发展起步较晚,且发展不平衡,科研水平较临床水平更为薄弱。基于社区临床和科研的现状,同济大学医学院以提升临床诊疗能力、培养社区全科医学人才为核心导向,通过强化社区科研培训、提升社区医生学历层次、开展海内外科研合作等方式,破解社区全科医生科研难、科研弱的困境,构建起社区全科医生科研培养的可行路径。学院汲取现有科研培养经验,通过探索实践,建立社区科研培训创新模式,选派优质教师,培训以临床研究或社区人群研究的案例讲解来代替灌输式的理论教学。学院开设科学学位全科医学硕士研究生单考班,切实弥补全科医生科研短板,提高全科医生学历层次。学院借助大学国际交流平台,开展社区医生国际科研交流,触发社区全科医生的临床研究敏感度,逐步提升社区全科医生科研自信,开拓了全科医生社区科研的新方向。为了保证社区科研的整体良性发展,应重视科研过程中的人文伦理,培养社区全科医生的伦理认知,保证科研结果客观真实。此外,探索社区全科医生科研激励机制,开设科研培育计划,设立全科医学科研专项基金,建立科研反哺临床、优秀带动薄弱的良性环境,充分提升社区临床和科研水平。Abstract: Improving the scientific research ability is an essential aspect of enhancing the general practitioner competences and promoting the medical care in community health center. Based on the current situation of community clinical and scientific research, Tongji University School of Medicine (TUSM) take the improvement of clinical diagnosis and treatment ability and the training of community general medical talents as the core guidance. TUSM built scientific research cultivation pathway for general practitioners by strengthening the scientific research training, improving the academic level of general practitioner, and carrying out scientific research cooperation both domestic and abroad. TUSM established innovative models of community scientific research and training, replacing indoctrination theory teaching by clinical or community-based learning. TUSM had set up a master degree of general medicine to make up for the short board of scientific research of general practitioners and improve the educational level of general practitioners. With the help of the university's international exchange platform, TUSM conducted international scientific research exchanges among community physicians, triggering the sensitivity of clinical research, gradually enhancing the self-confidence and opening new directions for community research. In order to ensure the overall healthy development of community scientific research, it should pay attention to the humanistic ethics in the process of scientific research, cultivate the ethical cognition of community general practitioners, and ensure the objective and true results of scientific research. In addition, the incentive mechanism in scientific research progress should be applied, set up start scientific research cultivation plan and special fund for general medical research, establish a benign environment of scientific research back feeding clinical, and fully enhance the level of community clinical and scientific research.
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Key words:
- General practitioner /
- Community health care /
- Scientific research /
- Cultivate pathway
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