Residency standardized training is the basic stage of cultivating the comprehensive clinical ability of physicians, but also the necessary stage of the growth of clinical medical talents. The implementation of standardized residency training system is the inevitable requirements of the development of medical science and the law of growth of medical personnel, is to promote the reform and development of health undertakings and improve the quality of medical services. In order to further improve the overall level of the province's clinical physician team, increase the training of practical clinical personnel, to provide people with safe, high-quality, efficient health care services, in accordance with the "General Office of the Ministry of Health on the implementation of the pilot work of specialist training notice" (Health Office of the Science and Education Development [20XX] No. 27), it was decided to carry out standardized residency training work in the province from 20XX onwards.
I. Objectives and Progress
Explore the actual mode of resident training, admission and management suitable for our province, explore the establishment of province - city - county three-level training network with our province's characteristics, comprehensively promote the standardized training of residents, and enhance the overall quality of the team of clinicians.
Overall divided into two phases:
Phase I (20XX): standardized residency training pilot work and provincial residency training base assessment work
1, the province has been carried out for many years of residency training work systematized and integrated into the provincial unified management.
2. Establishing and improving the rules and regulations of standardized residency training.
3. Starting and completing the evaluation of standardized residency training bases. According to the scale of training in our province, to determine the number of training bases, and training bases to declare, evaluation and recognition.
4, the standardized training bases for resident physicians and management personnel training work.
5, the end of 20XX to fully start the provincial standardized training bases for residents and county hospitals resident training work.
The second phase (20XX-20XX) to fully launch the province's standardized training of residents
Summarize the training experience, and comprehensively promote the standardized training of residents
1, the province's training bases from the end of 20XX to start the enrollment of training work.
2, 20XX began to enter the three hospitals above the bachelor's degree or above professional and technical personnel, if they are engaged in the profession belongs to the Ministry of Health has announced the scope of general specialties, must participate in the standardized training of residents.
3. Specialists and technicians who have entered county hospitals since 20XX must participate in standardized residency training if their specialties fall within the scope of general specialties that have been announced by the Ministry of Health.
4, 20XX (including 20XX) before entering the county hospital and 20XX has not been promoted to the intermediate technical title of professional and technical personnel of specialties and above, should participate in the Liaoning Provincial Specialist Physician Standardized Training Center stipulated and organized by the corresponding training program.
After three years of initiating the standardized training of resident physicians, the Certificate of Competence in Standardized Training of Resident Physicians will be taken as one of the necessary conditions for the promotion of health professionals and technicians to intermediate technical titles in tertiary hospitals and county hospitals, and the specific requirements are as follows:
1. Starting from the year of 20XX, all health professionals who have entered into medical and health care affiliated with the provincial-level residency training bases of Liaoning province in the year of 20XX and afterward shall be required to participate in the corresponding training programs stipulated and organized by the Liaoning Provincial Specialist Training Center. Health technicians who are engaged in clinical work in the institutions, when applying for intermediate technical titles, must obtain the Certificate of Qualification for Standardized Training of Resident Physicians issued by the Provincial Health Department.
2. From 20XX onwards, all the health technicians who entered the county hospitals in 20XX and after to engage in clinical work, when applying for the intermediate technical title, they must obtain the Certificate of Competence of Standardized Residency Training issued by the Provincial Department of Health.
Two, the scope of training
The province's three or more general (specialty) hospitals, county hospitals. In accordance with the Ministry of Health announced 18 general specialties (including general medicine) and intensive care medicine specialties standard rules for standardized training.
Three, organization and management
(a) Liaoning Provincial Department of Health post-graduation medical education committee (hereinafter referred to as the "Provincial Graduation Education Committee") is responsible for the overall guidance of the training work. Establishment of the Liaoning Provincial Specialist Standardization Training Center, the overall organization and management of the planning, implementation, evaluation and assessment of standardized training of residents. The responsibilities of the center are:
1, implement the guidelines and policies of the Bi Education Committee of the Ministry of Health and the Bi Education Committee of Liaoning Province on post-graduation medical education, and carry out the work in accordance with the specific conditions of the province;
2, study and formulate the planning of standardized training of residents in the province;
3, formulate the implementation plan of the province's standardized training of resident doctors, relevant management system
4, organizing and carrying out the training of teachers and management cadres for the standardized training of residents;
5, organizing the declaration and evaluation of the standardized training bases for residents across the province, and supervising and managing the training bases that have been identified;
6, supervising, checking and evaluating the standardized training of residents across the province, and publishing It is responsible for monitoring, inspecting and evaluating the standardized training of residents, publishing relevant information, organizing seminars and experience exchange activities;
7. It is in charge of the graduation examination of standardized training of residents, and considering the issuance of the Certificate of Competence of Standardized Training of Residents;
8. It undertakes the tasks entrusted by the Bi-education Committee of the Ministry of Health and the Bi-education Committee of the province, and accepts the guidance and supervision of the Bi-education Committee of the Ministry of Health and the Bi-education Committee of the province;
9. The Provincial Bi Education Committee's decisions and assignments.
(2) Each city shall organize and implement the local standardized training of residents by the corresponding organization and management departments and full-time management personnel; formulate supporting policies and measures to guarantee the smooth implementation of the training work.
(3) The hospital where the training base is located is responsible for the implementation of management by the Steering Committee for Standardized Residency Training, which is equipped with full-time and part-time staff members, implements the training-related management system, provides the necessary working and living conditions for the trainees, strengthens the construction of the training base, cultivates the instructors, and undertakes the training tasks for the society.
(4) The management and assessment team of the training base for standardized training of residents, undertake the whole process of organization and management of the training tasks of the specialty to ensure the quality of training.
Four, training base
(A) training base declaration principle
Training base to clinical general specialties as a unit, the hospital for unified declaration. Declaration of training bases in principle for the third-class general hospitals, a hospital can declare multiple training bases at the same time. One of the general practitioner training base by the general hospital related clinical general specialties and community health service organizations **** with the composition of the general hospital application. In principle, each city should establish a training base.
(B) training base review process
Residency standardized training bases: set up by the general hospital and the clinical departments in accordance with the general specialties classification directory, by the hospital to submit a written application, after passing the review, by the provincial specialists standardized training center to organize experts on-site review identified.
Liaoning Provincial Department of Health in accordance with the "Ministry of Health Specialist training base identified management approach" and "Ministry of Health Specialist training base standards", the development of "Liaoning Province, the standardized training base for residents identified management approach" (for trial implementation).
V. Recruitment Objects and Recruitment Methods
(1) Recruitment Objects
Persons applying to participate in the standardized training of resident physicians should meet the following conditions:
1. Physician's qualification certificate, required to receive training.
2. General medicine is a clinical secondary discipline, according to the "Ministry of Health Management Measures for the Standardized Training of General Practitioners", the recruitment of community health centers have been hired by the undergraduate degree or above in clinical medicine graduates or graduates who have obtained the qualification of practicing physicians.
(2) recruitment method
1, the provincial Bi Education Commission each year the training base of the year's enrollment plan and the scale of the unified announcement by the municipal health bureau to organize the implementation of the delivery of training programs.
2, the training base is located in the medical and health institutions, should be based on the approved training base categories and scale, develop recruitment conditions and procedures for the province's open recruitment of trainees, and strictly control the scale of training in accordance with the implementation of training standards.
The training bases should complete the recruitment of training trainees before August 30 each year, and report the relevant information to the provincial Bi Education Commission before September 30 of that year.
Sixth, training mode
(A) training requirements
1, political ideology: adhere to Deng Xiaoping Theory and the "Three Represents" important ideas, love for the motherland, abide by national laws and regulations, and implement the party's health work policy. Have a strong sense of professional responsibility and good professional ethics and interpersonal communication skills. Respect the legitimate rights and interests of patients. Love the cause of clinical medicine, wholeheartedly for the people's health services.
2. Professional theory: According to the requirements of the standard rules for the standardized training of residents, students should learn the relevant professional theoretical knowledge, master the basic theories of their own disciplines, and understand the basic knowledge of related disciplines.
3. Clinical skills: master the basic diagnostic and treatment techniques of the discipline, as well as the etiology, pathogenesis, clinical manifestations, diagnosis and differential diagnosis of the major diseases of the discipline, methods of treatment, outpatient and emergency treatment, medical record writing and other clinical knowledge and clinical skills. Master the basic knowledge of prevention and treatment of key infectious diseases, and be able to report cases of infectious diseases in a timely and correct manner.
4. Master the theories and methods of evidence-based medicine, have the ability to read and analyze professional journals, and can write a literature review or case report of a certain level.
The training bases should carefully formulate and implement training programs, and study and formulate practical training management systems. Residency standardized training work to implement the training base director responsibility system. In the stage of standardized training of residents, training bases should be organized with qualified physicians to form a faculty, training students to teach and guide.
(2) training time
The standardized training stage of resident physicians is generally three years. Graduate students who have obtained a degree, professional degree doctoral students shall receive one year of standardized residency training, professional degree master's degree students shall receive two years of standardized residency training, science degree doctoral and master's degree students shall be assessed by the training base of the clinical practice ability, and based on the results of the assessment and the previous participation in the clinical practice, to determine the training stage and the duration of the year that they should enter. In addition to statutory holidays, vacation and public holidays, sick and personal leave during the training period of more than three months, the training period is extended by one year.
(C) training content
Strictly in accordance with the "Specialist Training Standards (Trial)" stipulates the training content, standards and requirements for students. The training content includes political ideology, medical ethics, clinical practice, specialized theoretical knowledge and foreign languages and other five aspects. The standardized training for residents is based on clinical practice by participating in relevant departmental rotations, and a 24-hour accountability system is implemented according to resident status.
(4) examination and assessment
Subdivision of public **** subject examination, daily assessment, discharge assessment, annual assessment, and final assessment.
1. Examination of public **** subjects: the examination is conducted according to the public **** subjects required in the general rules of the residency training standards, and the content and organization of the examination are determined by the Provincial Bi Education Committee. Residents should pass the public **** subject examination at the stage of standardized residency training.
2. Daily assessment: the training instructor is responsible for. Trainers are assessed on their daily clinical workload, types of diseases and cases admitted, skills operation, medical record writing, medical ethics, labor discipline, etc., and the assessment results are recorded in the Residency Standardized Training Manual.
3. Discharge assessment: including theoretical examination and clinical skills assessment. After completing the required three-level disciplinary rotational training, the management and assessment team of the base's standardized training for residents will conduct daily comprehensive assessment and discharge assessment for the participants before discharge, and send the assessment results to the competent department of the training hospital for record.
4. Annual assessment: After completing each year's training, the hospital's standardized residency training steering committee organizes a unified annual assessment for the whole hospital. It adopts various methods such as reviewing the training manual and the results of discharge assessment, professional theory examination, clinical skills assessment, etc., and records the comprehensive assessment results in the Residency Standardized Training Manual.
5. Completion assessment: including professional theory examination and clinical skills assessment.
After the end of the standardized training of residents, the provincial Bi Education Commission will organize a unified final assessment of the whole province. Residents participating in the final assessment must obtain a license to practice medicine, and through each out of the examination and annual assessment.
Annually in April-May, the organization of clinical skills assessment, June-July, the organization of professional theory and public *** subjects of the written examination.
(E) Issuance of Certificate
Those who have completed the standardized training of resident doctors and passed the examination will be issued the Certificate of Qualification for Standardized Training of Resident Doctors by the Provincial Bi Education Committee, which is uniformly printed by the Ministry of Health.
VII. Guarantee measures
(A) Personnel management
Fresh graduates directly participate in the training, before obtaining the qualification to practice, according to the trainee doctor for the management, one year later should be examined to obtain the qualification certificate of the licensed medical practitioner.
The unit selected to participate in the training base of the trainees, the original unit should sign an agreement with them, responsible for the management of their personnel files, registration and registration of the licensing examination for medical practitioners, the training period of the wages, benefits and social security. After the end of training in accordance with the agreement, the training base shall not be retained.
The training years of the trainees are counted in their personal files, and their professional and technical qualifications are evaluated and treated the same as those of physicians of the same seniority.
(B) financial security
Residency standardized training funds to implement individual sharing, unit support, government funding, social contributions and other multi-channel approach to raising funds. And take the special management of earmarked funds.
The basic salary of residents and the corresponding social security funds should be borne by the government or sending units.
Each training base and its medical institution shall provide the necessary teaching facilities, working conditions and corresponding expenses
The expenses for prolonging the training or repeating the training for personal reasons shall be borne by the training subjects.
The administrative costs of training, including the development of relevant standards, the construction of training bases, teacher training, examination and quality assessment, etc., shall be included in the project budget by the finances at all levels.
The use of training funds in accordance with the earmarked way for special management. Encourage all sectors of society and individual contributions, the funds raised should be entrusted to specialized agencies to manage.
(C) other
1, residents as a hospital mobile layer of dynamic management.
2. After the completion of residency training, each training hospital may recommend qualified personnel on the basis of merit to participate in master's degree course assessment and training.
Episode 2: standardized residency training implementation plan
In order to further strengthen the construction of the hospital's talent team, standardize and improve the newly admitted undergraduate, master's degree, doctoral graduates engaged in the professional and technical capabilities of clinical physician staff. By participating in a comprehensive, standardized, systematic clinical residency training, and strengthen the management of the training process of specialists so that after completing the training program for general practitioners and specialists, they are able to meet the requirements of the Ministry of Health's "standardized residency training" to achieve the level of physicians as stipulated in the "Trial Regulations on the Positions of Health Personnel".
I. Training Objects
1, the newly admitted five-year and seven-year clinical medical graduates engaged in hospital clinical medical staff.
2. Newly admitted three-year (master's and doctoral) graduate students engaged in hospital clinical medical staff. If they have no work experience, they will be directly included in the standardized residency training. If they have some work experience, they are required to take the appropriate level of assessment and will be included in different stages of residency training according to their assessment results.
3. Residents transferred from outside organizations are required to participate in the appropriate level of assessment and will be included in different phases of residency training based on the results of the assessment.
Two, training planning
<a> training arrangements:
Residency standardized training is carried out in two phases (proposed 2 + 3 program).
The first phase lasts for two years and focuses on rotations within secondary specialties. The aim is to expand clinical knowledge and strengthen clinical skills and emergency treatment capabilities. To prepare for the next stage of specialist training.
The second phase lasts three years. Specialist training in a subspecialty. Become a junior specialist, laying a solid foundation for professional development
1, medical school undergraduates enter our hospital, from the first year of work that is to enter the full stage of residency training training.
2. Graduates of various seven-year clinical medicine programs from medical schools are included in the second year of the first phase of training.
3. Clinical medicine graduates from five-year degree programs who go on to master's degree programs are included in the second year of the first phase of residency training.
4. Clinical medicine graduates from the five-year master's degree program are included in the second year of the first phase of residency training.
5. Graduates of master's and doctoral programs in clinical medicine with clinical experience are included in the second year of residency training.
6. Residents transferred from other units must first participate in the comprehensive assessment of clinical skills organized by the hospital. If it is determined through the assessment that the resident has actually reached the level of clinical skills, the resident will be included in the second stage of training.
<two> rotation program:
Clinical medical and surgical residents into the hospital first medical and surgical categories. Specific departments do not carry out rotations. The end of the first phase of training into the second phase of training. Other departments such as pediatrics, obstetrics and gynecology, ultrasound, radiology, multisensory, ophthalmology and other departments will start with the corresponding rotation training in accordance with the requirements of specialist training.
<III> Training requirements:
Comprehensive quality training, basic theory and clinical skills training.
Three, training assessment:
1, daily assessment
2, rotation assessment
3, annual assessment
4, stage assessment
Treatment during training:
1, residents in the period of standardized training, enjoy the treatment of serving employees. Those who pass the monthly daily appraisal will be given the full amount of bonus for that month. Those who fail in the assessment of the month will be deducted the bonus of the month according to the actual situation.
2. The first phase of the bonus is organized by the Medical Department, and the second phase of the bonus is issued by the department.
Four, organizational assessment:
1, the establishment of the standardized training of residents assessment team, by the deputy dean in charge of the head, the director of the Medical Office, Director of Personnel Office, Director of Science and Education, Director of the Office of Quality Supervision and Control of the deputy head of the team, *** with the same participation in the management. The daily specific work of standardized training of residents is the overall responsibility of the Medical Affairs Office.
2, the director of the department as the main person in charge of the department of resident training work, must pay attention to and support this work, the hospital has been included in the work of the department director assessment of an important indicator.
3, in order to achieve the quality of training, each department is required to set up a resident training team, the department director as the first person in charge, set up an expert assessment team, to hire experts from inside and outside the hospital as a resident skills assessment experts, the resident's clinical skills from time to time assessment.
Fifth, the first phase of training in the medical and surgical specialties (the first two years) specific implementation plan
1, the purpose of training:
Through the rotation training of the second level of disciplines, aims to lay a good foundation for clinical work, strengthen the clinical skills, and improve the ability of clinical processing, requires the ability to accurately ask, write a medical history, conduct a comprehensive physical examination, and be familiar with the rotating departments. Familiarize yourself with the diagnosis and treatment routines (including diagnosis and treatment techniques) of each rotating department. It is also necessary to master the diagnosis and treatment of common diseases in emergency medicine, so as to be prepared for the next stage of becoming a specialist physician.
2. Requirements for rotation arrangement:
First year. Compulsory specialties in internal medicine system: Cardiology (2 months), Respiratory Medicine (2 months), Gastroenterology (2 months), Neurology (2 months), Emergency Department (1 month), Medical Service (1 month), Pediatrics (1 month), Emergency Medicine (1 month).
Mandatory specialties in the surgical system: General Surgery (5 months), Cardiothoracic Surgery (2 months), Orthopedic Surgery (2 months), Emergency Department and Emergency Surgery (1 month each) (***2 months), Medical Services (1 month).
Second year. Compulsory specialties in the medical-surgical system in the case of qualification as an occupational physician: anesthesiology (3 months), EKG (1 month), general radiology (1 month), ultrasound (1 month), CT room (1 month), ICU (1 month), MRI (1 month), and elective for 3 months (neurosurgery, emergency surgery, pathology, etc. in the surgical system, and infectious disease, emergency medicine, renal medicine, etc. in the internal medicine system .)
This year's program focuses on strengthening clinical skills and requires proficiency in various clinical operation skills, including electrocardiography, film reading, cardiopulmonary resuscitation, use of ventilator, tracheal intubation, various types of puncture, and non-invasive monitoring techniques.
3, training methods:
1), the implementation of the mentor responsibility system (attending title or above), specializing in teaching, out of the assessment by the Medical Department.
2), the first year residents must all book large medical records (our hospital electronic medical records?).
2), the first year residents must all book large medical records (our hospital electronic medical records?), at least five copies per month. The second year can be rewritten admission record, and registered in the register, ready for inspection and examination.
3), each section shall not be less than five beds
4, assessment:
The first year, the assessment content to the basic clinical skills, including the quality of medical records, physical examination, theoretical knowledge assessment. The time is June every year.
The second year, the assessment is based on skills assessment, including film reading, EKG, cardiopulmonary resuscitation, skills operation and theoretical knowledge assessment. The time is July every year.
Members of the assessment expert pool: internal medicine group: Hu Zhitao, Wei Hong, Tang Haitao, Zhang Shiqun, Wang Xiufen, Weng Yunlong, Yu Long
Surgical group: Xu Hao, Xie Wei, Sun Liangye, Huo Qianlun, Xie Yixiang , Li Jiakuan
Medical technology group: Zhang Weifen, Wang Wensheng, Zhou Zugang, Xu Jiameng, Kan Xiaojie, Wu Zongshan
Sixth, medical and surgical specialties, the second phase of training Specific implementation plan
1, training purposes: through two years of training in various disciplines, to further consolidate the specialty knowledge, proficiency in the specialty of common diseases, common diseases, diagnosis and treatment routines (including diagnostic and treatment techniques), pay attention to specialty clinical practice, gradually accumulate experience, expand and improve the ability of specialty diagnosis and treatment, and be able to complete the specialty specialty year of residency work. At the same time, they are able to undertake in-hospital consultations and take interns on room visits to reach the level of specialist.
2. Rotation arrangement: mainly in the specialty department to complete, in the undergraduate department outpatient, emergency room, sick room rotation, but also can choose in this specialty related to other specialties for appropriate rotation. Of which complete a total of 12 months inpatient and 6 months outpatient and emergency.
3, training methods:
1), mentor responsibility system, specializing in teaching (associate senior title or above)
2), medical record writing based on the admission record
4, appraisal:
Annual examination: the basic theory of the specialty and operational skills. Including theoretical knowledge assessment and operational skills assessment (those who have completed the year's training)
Assessment time: July each year (departmental organization of the assessment, the training team supervision)
Stage assessment: based on the comprehensive ability, including case analysis, skills assessment, theoretical knowledge assessment
Assessment time: July each year (the training office to organize the assessment)
Subject of assessment: those who have completed the second stage of specialist training
5. Appraisal expert group
Annual appraisal team members: members of the appraisal expert pool and the chiefs of all relevant departments
Stage appraisal team members: members of the appraisal expert pool and the chiefs of all relevant departments
Extension of the third: implementation of the standardized training program of residents
Clinical Residents Standardized training is an important part of post-graduation education for graduates of higher medical schools, and is of great significance in improving the quality of clinicians and cultivating high-quality talents. According to the Ministry of Health's "Trial Measures for Standardized Training of Clinical Residents" and Guangdong Province's "Implementation Plan for Standardized Training of Clinical Residents", the city began to carry out standardized training of clinical residents in third-level hospitals on a pilot basis in XX; in XX, it formulated the "Implementation Measures for Standardized Training of Clinical Residents in Shenzhen City", and, on the basis of the pilot, comprehensively rolled out the training in the city's hospitals of second-level and above; Since 20XX, the standardized training of clinical residents has been carried out comprehensively in all levels and types of medical institutions in the city. According to the city's clinical residency training work practice, combined with the future development trend of specialist training work, is now the "Shenzhen Clinical Residency Training Implementation Measures" to be revised and issued.
I. Scope of training
(1) Medical institutions above the second level:
1. Residents who graduated from medical undergraduate or specialist schools in XX and later and are assigned to clinical work in medical institutions.
2. Non-higher medical school graduates, XX years and later to obtain the title of physician, engaged in clinical work.
(2) Medical institutions below the second level: medical undergraduate or specialist graduation in 20XX and later assigned to medical institutions, engaged in clinical work of the resident.
(3) Residents of general hospitals in the Chinese medicine category, combined Chinese and Western medicine category, and Western medicine category in Chinese medicine hospitals shall participate in the corresponding training according to the level of their medical institutions.
(4) The standardized training of Chinese medicine residents in hospitals of traditional Chinese medicine, Chinese and Western medicine residents in hospitals of traditional Chinese medicine, in accordance with the requirements for standardized training of Chinese medicine residents is implemented separately.
II. Training Objects
(1) Residents who graduated from medical schools with bachelor's degree and specialties: they enter the standardized training from the first year of starting clinical work; residents who graduated from specialties are required to extend the training time of the first stage by two years.
(2) Seven-year master's degree graduates in clinical medicine: enter the third year of the first phase of residency training.
(3) Master of clinical medicine graduates: directly into the second stage of training. Those who have been engaged in clinical work in their own disciplines for more than two years before enrolling in the master's degree program in clinical medicine can enter the second year of training in the second stage directly after the assessment of their hospitals.
(4) Master's or Doctor's degree in medical sciences: those who have not served as residents before graduation shall enter the first year of the first stage of residency training; those who have served as residents and participated in standardized residency training before graduation shall enter the first or the second stage of the corresponding year of training according to their working hours; if they have served as residents before graduation but have not participated in the standardized residency training, they shall be assessed by their hospitals and Those who have worked as resident doctors before graduation but have not participated in the standardized training of resident doctors shall enter the first or second stage of the corresponding years of training after the assessment of their hospitals.
(5) residents transferred from other units, in the original unit has been standardized training, shall be reviewed by the hospital training information, into the first or second stage of the corresponding years of training; training information is incomplete or did not participate in the standardized training, by the hospital assessment, according to the actual level of entry into the corresponding years of training.
Three, training objectives
Residents after standardized training, to meet the requirements of the basic conditions of the attending physician stipulated in the "Trial Regulations on the Positions of Health Personnel", as follows:
(a) adhere to Deng Xiaoping Theory, the "Three Represents" important thought and the scientific concept of development, love of the motherland, abide by the law and abide by the law, love of the motherland, abide by the law and abide by the law. Love for the motherland, abide by the law, implement the party's health policy, have good medical ethics, love of clinical medicine, wholeheartedly for the people's health services.
(2) Master the basic theories of the discipline, be familiar with the basic theories of related disciplines, have a more systematic knowledge of the discipline, understand the new progress of the discipline both at home and abroad, and be able to use it to guide practical work.
(3) Have rich clinical experience in this discipline and strong clinical thinking ability, more skillful mastery of the clinical skills of this discipline, can independently deal with the discipline of common diseases and some of the difficult cases, can be the lower level of the physician business guidance, as a certain clinical teaching work.
(4) Initial mastery of clinical research methods, can be closely integrated with clinical practice, write academic papers of a certain level.
(E) master a foreign language, can read foreign books and journals in this discipline more skillfully, and have good listening, speaking and writing skills.
Fourth, the content of training
including political ideology and medical ethics, clinical ability, professional theory, professional foreign language, scientific research and teaching ability.
(1) Political ideology and professional ethics: to cultivate the idea of wholeheartedly serving patients and excellent medical ethics, and to establish a rigorous and realistic scientific attitude.
(2) Clinical ability, professional theory of the training in accordance with the requirements of the training rules of each discipline.
(3) Professional foreign language: self-study-based, reading monographs in foreign languages related to various disciplines and relevant literature, professional journals. In the first stage, the students should be able to translate more than 2,500 printed characters per hour; in the second stage, the students should be able to translate more than 3,000-3,500 printed characters per hour, and have good listening, speaking and writing skills.
(4) Scientific research ability: Combined with clinical practice, have certain scientific research ability under the guidance of superior physicians. The first stage should have the ability to read and analyze professional journals, and complete a literature review or case report or case analysis of a certain level; the second stage should master the basic clinical scientific research methods, and complete an academic paper of a certain level.
(E) teaching ability: the lower level of the physician business guidance, higher medical school clinical teaching base of physicians need to undertake certain clinical teaching tasks.
Residents in the training process should fill in the "registration manual for standardized training of clinical residents", and truthfully record the clinical practice activities and related scientific research and teaching activities, as an important basis for training and assessment.
V. Training time
The training time is five years, the first three years for the first stage, the last two years for the second stage. Specialty graduates of the first phase of residency training needs to be extended for 2 years.
The first stage is the general practice training stage, by completing the rotation of the main specialty departments of the discipline and related specialty departments. Which should be arranged for no less than 1 year, the implementation of 24-hour resident responsibility work, arranged for no less than 3-6 months, to participate in grass-roots or community health work practice. The purpose is to master the basic theory, basic knowledge and basic skills of the discipline.
The second stage is the stage of specialty oriented training, mainly in the future orientation of the tertiary disciplines work study, while completing the second level of the discipline of the total residency training, the time is generally 1 year, at least not less than 8 months. The purpose is to lay a solid foundation for professional development and improve the level of professional theory and clinical ability. The second stage does not have the conditions of specialty training units need to send the resident out to the provincial health department accredited residency standardized training base for training.
Sixth, the training base
Conforms to the "Guangdong Province, clinical residency training base standard" requirements of the discipline can apply for clinical residency training bases, by the Municipal Health Bureau of the initial examination, the provincial Department of Health review and approval.
Recognized training bases are required to develop training programs and strictly implement them in accordance with the requirements of the training syllabus. Training base in addition to the unit of resident training, but also need to undertake external units sent to the resident training tasks.
In accordance with the requirements of the training program must be rotated disciplines, such as the unit has not been established, the residents need to be sent to other medical institutions for training; not to obtain the qualifications of the training base disciplines, in accordance with the program of residency training, has completed the first phase of the training of residents, should be sent to the training base should be planned to carry out the second phase of specialty-oriented training for a period of not less than one year.