【摘要】 毕业后教育是医学人才培养的重要组成部分,《国务院关于建立全科医生制度的指导意见》指出全科医生培养将逐步规范为"5+3"模式,以提高临床和公共卫生实践能力为主,建立以胜任力为本的人才培养模式已经成为毕业后医学教育的主要目的。美国毕业后医学教育认证委员会(ACGME)提出医师需具备6项胜任力(病人服务、医学知识、基于实践的学习和进步、人际沟通技巧、专业精神和基于系统的实践),并提出开发和实施各专科基于胜任力住院医师教育评价框架——Milestones。浙江大学医学院附属第一医院(浙大一院)全科医学科参照ACGME Milestone方案,打造我国独特的全科医生Milestones——导航式全科医生培养模式(GP-S)方案,对如何培养优秀的全科医生人才进行了深度探索,本文就浙大一院全科医学科GP-S方案路线图的构成和内容及保障期运行的教学评价体系进行介绍,旨在结合我国目前的全科医疗特征,培养具有不同岗位胜任力的全科医生。更多还原

【Abstract】 Post-graduate education is an important part of the training of medical talents. Guiding Opinions of the State Council on Establishing the System of General Practitioners points out general practitioners training will be gradually standardized as " 5 + 3" model to improve the clinical and public health practice ability. The establishment of competency-based training model has become the main purpose of post-graduate medical education. The American Accreditation Council for Graduate Medical Education( ACGME) puts forward that physicians need to have 6 competencies( patient service,medical knowledge,practice-based learning and progress, interpersonal skills, professional spirit and system-based practice), and proposed the development and implementation of the specialist competency-based education evaluation framework of resident doctor in all specialties——Milestones. In reference to Milestone scheme of ACGME,Department of General Practice in the First Affiliated Hospital of Zhejiang University builds our unique Milestones of general practitioners——scheme of navigated general practitioner training model( GP-S),and explores how to cultivate outstanding general practice talents in-depth. The paper introduces the composition and content of the GP-S program map and the teaching evaluation system of the operation in guarantee period of Department of General Practice in the First Affiliated Hospital of Zhejiang University,aims to train the general practitioners with different post competencies combining the current general medical characteristics in our country.更多还原