摘要
美国住院医师规范化培训体系的建立和完善经历了从1889年第一个住院医师住培基地的诞生到如今的100多年的路程。在经历了多年的萌芽期、统一领导的过渡期后,全美住院医师住培的统一管理始于1981年美国毕业后医学教育认证委员会(ACGME)的建立。ACGME统管全美的26个住院医师培训专业,目前管理认证800个培训机构中的150个专业和亚专业的10 000个左右培训基地。美国住院医师住培体系通过循序渐进的教学和评估系统,专业理论年度考试和住院医住培后资质认证考试,6大核心能力和里程碑的建立,新的住培基地认证系统和统一监管,以达到培养全美同质化的能独立行医的临床医师为住培的主要目的。美国的住院医师住培体系是目前世界上最完备的住院医师规范化培训系统。
The first America medical resident training program started in1889,and it went through early developmental stage and later transitional national coordinating stage until the establishment of ACGME(Accreditation Council for Medical Education)in1981.It took more than100years for the system to mature into currently satisfactory stage.ACGME manages all26medical training specialties.ACGME accredited more than800institutions,150specialties and subspecialties with around10000Residency and Fellowship program in the USA.Resident training system succeeds through multiple steps such as,gradually increased responsibility for resident,360evaluation system,resident in service examination,specialties board examination,six core competencies curriculum and milestones achievement,next accreditation system and survey,assuring each resident's development of the skills,knowledge and attitudes required to enter the unsupervised practice of medicine.US medical resident training system is among the most comprehensive in the world.
作者
姜众
陈雄鹰
钱湘
蔡晖
Zhong Jiang;Xiong-ying Chen;Xiang Qian;Hui Cai(Department of Pathology, University of Massachusetts Medical Center, Worcester, MA 01655 U.S.A;Hospitalist Program, Jackson Hospital, Montgomery, AL 36117 U.S.A;Stanford University Pain Management Center, Redwood City, CA 94063 U.S.A;Renal Division, Emory University School of Medicine, Atlanta, GA 30322 U.S.A)
出处
《中国毕业后医学教育》
2017年第1期71-76,共6页
Chinese Journal of Graduate Medical Education
关键词
医学毕业后教育
住院医师规范化培训
美国毕业后医学教育认证委员会
6大核心能力
里程碑
新认证系统
住院医师配对系统
医学专业资质认证考试
Graduate Medical Education (GME)
Standardized residency training
Accreditation Council for Graduate Medical Education (ACGME)
Six Core Competencies
Milestones
Next Accreditation System (NAS)
National Resident Matching Program
Specialty Board Examinations
