摘要
加拿大家庭医学发展较早,对加拿大家庭医生培养体系进行分析介绍,着重于从家庭医生"4+4+2"培养模式、高等学校全日制教育、住院医师规范化培训进行综述。加拿大通过多个层面完善家庭医生培养体系、持续职业开展、倡导及制定执行一系列的严格标准,从而确保了高质量的初级卫生保健。借鉴加拿大家庭医学教育的成功经验,结合我国国情,探讨比较了两国家庭医师培养特点、教学组织方式和师资力量等方面的问题。加拿大家庭医生培养体系中的优势表现在:(1)培养制度步骤清晰、阶段目标和路径明确;(2)行业协会作用巨大,政府规划,大学培养,分工明确;(3)家庭医生生源优秀,师资充沛,爱岗敬业,家庭医学发展条件较好。加拿大家庭医生培养的特点正是在于其结构的完整性和连续性,以医学院校教育为起点,家庭医学住院医师规范化培训为重点,并通过继续医学教育把教育培训同家庭医生持续终身的执业生涯统一起来。相比之下国内的家庭医生培养目标真正实现和家庭医学的理性发展还面临着许多困难。学习和借鉴加拿大家庭医生培养体系的成功经验和先进教学理念,有利于构建和完善具有中国特色的家庭医学教育培训体系,对于缓解国内社区卫生服务对高素质的家庭医生的急需具有十分重要的意义。
Canada has a long history of family medicine. The analysis and introduction of the Canadian training system of family physicians focus on the description of the ＂4 ＋ 4 ＋ 2＂ training pattern, full-time education in institutions of higher learning and professional norm training of resident physicians. Through many layers, Canada improves its training system of family physicians, continuous professional development, promotion and implementation of a series of strict standards to ensure the high quality of primary health care. Using the successful experience of Canada＇ s family medical education, with the combination of domestic situation, the paper discusses and compares the features, teaching and organizing pat- terns and faculty sizes of family physicians training between the two countries. The advantages of the Canadian system show in the following aspects： firstly, clear training steps, target and approaches. Secondly, supportive the college of family physicians of Canada （ CFPC ） , organized government＇ s program, university training and helpful cooperation. Thirdly, excellent family medical students resources, ample and committed faculty resources, and favourable conditions for family medicine development. The training features of Canadian family physicians lie in the structural integrity and continuity, starting from medical school ＇ s education, and focusing on the training for the normalization of resident physi- cians of family medicine, and through continuing medical education connecting education and training with lifelong ca- reer. In contrast, the realization of training target of domestic family physicians and rational development of family medi- cine still faces challenges. Learning from the successful experience and state-of-the-art education ideas of Canadian family physicians training system is conducive to the construction and improvement of the domestic system with Chinese characteristics and means significantly to easing the urgent demand of professional family physicians in community health services.
作者
李伦
王晨
LI Lun;WANG Chen(Puxing Community Health Service Center, Pudong New Area, Shanghai 200129, China)
出处
《中华全科医学》
2018年第1期130-134,共5页
Chinese Journal of General Practice
基金
上海市浦东新区卫生系统优秀社区适宜人才培养计划(PWRs2015-32)
关键词
加拿大
家庭医生
家庭医学
教育
培训
Canada
Family physician
Family medicine
Education
Training
作者简介
通信作者：王晨，E-mail：wang1974chen@163．com
