美英加澳急診專科醫師培養模式比較研究_《中國循證醫學雜志》

作者：

余中光 ² ,  陳校云 ¹ , 李祥文 ² , 朱雅蘭 ² , 李戰國 ³ , 張國強 ⁴

1. 中日友好醫院科研處（北京 100029）；2. 北京中醫藥大學管理學院（北京 100029）；3. 中日友好醫院院辦（北京 100029）；4. 中日友好醫院急診科（北京 100029）;

關鍵詞：

急診專科醫師培養模式

DOI：

10.7507/1672-2531.20120161

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導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　通過分析美國、英國、加拿大和澳大利亞四國急診專科醫師培養目標、對象、過程、內容與考核評估的特點，為我國急診專科醫師培養提供參考建議。
方法　計算機檢索Ovid、Proquest和MDConsoult等數據庫以及各國急診醫學相關網站，納入美英加澳四國急診專科醫師教育和培養方面的指南、文件等文獻，而后按照循證科學的原理和方法進行分級和統計分析。
結果　最終納入40篇文獻，其中協會指南和文件12篇，綜述2篇，研究性文獻26篇。統計分析結果顯示，美英加澳四國急診專科醫師培訓準入管理制度健全，尤其是以勝任力為核心，設計培訓內容、課程以及考核評估體系，提高了急診專科醫師綜合素質和能力。
結論　與發達國家相比，我國在急診專科醫師培養方面存在一定的滯后性，尚需借鑒國外發達國家經驗，規范急診專科醫師培養，完善急診專科醫師培養內容和課程設置，加強準入管理和相關考評制度建設，著力培養具有崗位勝任力的急診專科醫師。

引用本文： 余中光,陳校云,李祥文,朱雅蘭,李戰國,張國強. 美英加澳急診專科醫師培養模式比較研究. 中國循證醫學雜志, 2012, 12(9): 1038-1040. doi: 10.7507/1672-2531.20120161 復制

1.	姜士偉. 淺析人才培養模式的概念、內涵及構成. 山東省青年管理干部學院, 2008, (02): 77-80.
2.	Research Directions Conference: Research directions in emergency medicine consensus report. Acad Emerg Med, 1996, 3: 274-276.
3.	Jones J, Dougherty J, Cannon L, et al. Teaching research in the emergency medicine residency curriculum. Ann Emerg Med, 1987, 16: 347-353.
4.	Taylor DM, Jelinek GA. A comparison of Australasian and United States emergency medicine training programs. Academic Emergency Medicine, 1999, 6(4): 324-330.
5.	The Core Curriculum and Education Committee for the International Federation for Emergency Medicine .International Federation for Emergency Medicine model curriculum for emergency medicine specialists. CJEM, 2011, 13(2): 109-121.
6.	ABEM, ACEP, CORD, EMRA, RRC-EM and SAEM. 2009 Model of the Clinical Practice of Emergency Medicine. 2012-4-25. Available from: URL: http://www.acep.org/content.aspx?id= 29580.
7.	Chapman DM, Hayden S, Sanders AB, et al. Integrating the Accreditation Council for Graduate Medical Education core competencies into The Model of the Clinical Practice of Emergency Medicine. Ann Emerg Med, 2004, 43: 756-769, and Acad Emerg Med, 2004, 11: 674-685.
8.	Stewart MG. Core Competencies. 2012-4-25. Available from: URL: http://www. Acg me. org/ acwebsite/ RRC_280/280_corecomp.asp.
9.	American Board of Emergency Medicine. Certification Policies and Procedures 2011. 2012-4-26. Available from: URL: http://www.abem.org/PUBLIC/_Rainbow/Documents/2011%20Policy%20&%20Procedures%20Book%20w%20Cover.pdf.
10.	The College of Emergency Medicine. Guidance for applicants to Emergency Medicine training in 2011. 2012-5-5. Available from: URL: www.collemergencymed.ac.uk/code/documen t.asp?ID=5084.
11.	The College of Emergency Medicine. The Emergency Medicine Operational Handbook (The Way Ahead). 2012-4-26. Available from: URL: http://secure.collemergencymed.ac.uk/Deve lopment/Policy%20and %20Service%20Development/The%20Way%20Ahead%202011/.
12.	The College of Emergency Medicine. Curriculum and Assessment Systems For Core Specialty Training ACCS CT1-3 & Higher Specialty Training ST4-6 Training Programmes. 2012-4-26 Available from: URL: http://www.gmc-uk.org/EMC_post_CAS_main.pdf_33072951.pdf.
13.	The College of Emergency Medicine. Emergency Medicine Assessment System. 2012-4-26 Available from: URL: http://www.collemergencymed.ac.uk/code/document.asp?ID= 6092.
14.	Steiner P. Emergency medicine practice and training in Canada. CMAJ, 2003, 168 (12): 1549-1550.
15.	The College of Family Physicians of Canada. Specialty Training Requirements in Emergency Medicine. 2012-4-26. Available from: URL: http://rcpsc.Medical.org/residency/certifi cation/training/emergme de.pdf.
16.	Duncan S. National Guidelines: Family Medicine - Emergency Medicine Residency Programs. [2012-4-26]. Available from: URL: http://www.cfpc.ca/uploadedFiles/Education/Family Med-EMResidencyPrograms(1).pdf.
17.	The Royal College of Physicians and Surgeons of Canada. CanMEDS 2005 Framework. 2012-4-26. Available from: URL: http://rcpsc.medical.org/canmeds/CanMEDS2005/index.php.
18.	Sabbah S. The impact of hospital overcrowding on postgraduate education: an emergency medicine resident’s perspective through the lens of CanMEDS. CJEM, 2009, 11(3): 247-249.
19.	John M, Paul L. Opportunities for emergency medicine training in Australia. Accid Emerg Med, 1997, 14: 36-39.
20.	Australasian College for Emergency Medicine. Policy on recognition of prior learning and credit transfer. 2012-4-26. Available from: URL: www.acem.org.au /media/policies.../T A113_v01_RPL___credit_transfer. pdf.
21.	Australasian College for Emergency Medicine. Training & Examination Handbook. 2012-4-26. Available from: URL: http://www.acem.org.au/education.aspx?docId=42.2011-9/2012-4-29.
22.	Australasian College for Emergency Medicine. Australasian College for Emergency Medicine Review of the Training and Assessment Program. 2012-4-26. Available from: URL: www. acem.org.au /.../ training /Training_Assessment_ Review_ Aug_2010. pdf.
23.	Anwar RAH. A longitudinal study of residency-trained emergency physicians. Annals of Emergency Medicine, 1983, 12(1): 20-24.
24.	Cydulka RK, Korte R. Career Satisfaction in Emergency Medicine: The ABEM Longitudinal Study of Emergency Physicians. Annals of Emergency Medicine, 2008, 51(6): 714-722.
25.	Huang DT, Osborn TM, Gunnerson KJ, et al. Critical Care Medicine Training and Certification for Emergency Physicians. Annals of Emergency Medicine, 2005, 46(3): 217-223.
26.	Louis J, Thompson B, Richard R, et al. Emergency Medicine in the Medical School Curriculum. Academic Emergency Medicine, 1997, 4(11): 1070-1077.
27.	Stven A, David D, David P. Human simulation in emergency medicine training-a model curriculum. Academic Emergency Medicine, 2002, 9(11): 1310-1318.
28.	Ginde AA, Sullivan AF, Camargo Jr CA. National Study of the Emergency Physician Workforce, 2008. Annals of Emergency Medicine, 2009, 54(3): 349-359.
29.	Sanders AB, Criss E, Witzke D, et al. Survey of undergraduate emergency medical education in the United States. Annals of Emergency Medicine, 1986, 15(1): 1-5.
30.	Barbara J, Louis S, Julian M. The Emergency Physician and Knowledge Transfer-Continuing Medical Education, Continuing Professional Development, and Self-improvement. Acad Emerg Med, 2007, 14(11): 1003-1007.
31.	Munger BS, Danzl DF, Reinhart MA. The Future of the Certification System in Emergency Medicine. Annals of Emergency Medicine, 1997, 30(6): 776-778.
32.	Kilroy D. Aspects of higher training in emergency medicine. Postgrad Med J, 2003, 79: 458-462.
33.	Glen B. Emergency medicine health advocacy:foundations for training and practice. Can J Emerg Med, 2003, 5(5): 336-342.
34.	Cherri H, Venkataraman A, Glen B, et al. International Federation for Emergency Medicine model curriculum for medical student education in emergency medicine. CJEM, 2009, 11(4): 349-354.
35.	James K, Eric S, Ron M, et al. Incorporating simulation into a residency curriculum. CJEM, 2010, 12(4): 349-353.
36.	Riyad B. Emergency medicine certification in Canada: the years march on but the questions remain the same. CJEM, 2008, 10(2): 101-103.
37.	Halpern P, Ivan P. Development of emergency medicine programs in Israel and Canada a tale of two countries. CJEM·JCMU, 2002, 4(3): 218-223.
38.	Jeremy E, Grant I, James C, et al. Development, implementation and reliability assessment of an emergency physician performance evaluation tool. CJEM·JCMU, 2000, 2(4): 237-245.
39.	Ivan S. Emergency medicine training in Canada: a different perspective. CJEM·JCMU, 1999, 1(2): 91-92.
40.	Tim R. Emergency medicine training in Canada learning from the past to prepare for the future. CJEM·JCMU, 2008, 10(2): 108-110.
41.	Peter A, David A, Richard A. Emergency Medicine in Australia. Annals of Emer6ency Medicine, 1996, 28(3): 342-346.
42.	李春盛. 急診專科醫師培訓與準入制度是急診醫學發展的重要保證. 中華急診醫學雜志, 2008, 17(1): 5-6.
43.	Atzema C, Bandiera G, Schull MJ. Emergency Department Crowding: The Effect on Resident Education. Annals of Emergency Medicine, 2005, 45(3): 276-281.
44.	徐騰達, 王仲, 王厚, 等. 急診專科醫師培養構想. 中華急診醫學雜志, 2007, 16(2): 217-220.

1. 姜士偉. 淺析人才培養模式的概念、內涵及構成. 山東省青年管理干部學院, 2008, (02): 77-80.
2. Research Directions Conference: Research directions in emergency medicine consensus report. Acad Emerg Med, 1996, 3: 274-276.
3. Jones J, Dougherty J, Cannon L, et al. Teaching research in the emergency medicine residency curriculum. Ann Emerg Med, 1987, 16: 347-353.
4. Taylor DM, Jelinek GA. A comparison of Australasian and United States emergency medicine training programs. Academic Emergency Medicine, 1999, 6(4): 324-330.
5. The Core Curriculum and Education Committee for the International Federation for Emergency Medicine .International Federation for Emergency Medicine model curriculum for emergency medicine specialists. CJEM, 2011, 13(2): 109-121.
6. ABEM, ACEP, CORD, EMRA, RRC-EM and SAEM. 2009 Model of the Clinical Practice of Emergency Medicine. 2012-4-25. Available from: URL: http://www.acep.org/content.aspx?id= 29580.
7. Chapman DM, Hayden S, Sanders AB, et al. Integrating the Accreditation Council for Graduate Medical Education core competencies into The Model of the Clinical Practice of Emergency Medicine. Ann Emerg Med, 2004, 43: 756-769, and Acad Emerg Med, 2004, 11: 674-685.
8. Stewart MG. Core Competencies. 2012-4-25. Available from: URL: http://www. Acg me. org/ acwebsite/ RRC_280/280_corecomp.asp.
9. American Board of Emergency Medicine. Certification Policies and Procedures 2011. 2012-4-26. Available from: URL: http://www.abem.org/PUBLIC/_Rainbow/Documents/2011%20Policy%20&%20Procedures%20Book%20w%20Cover.pdf.
10. The College of Emergency Medicine. Guidance for applicants to Emergency Medicine training in 2011. 2012-5-5. Available from: URL: www.collemergencymed.ac.uk/code/documen t.asp?ID=5084.
11. The College of Emergency Medicine. The Emergency Medicine Operational Handbook (The Way Ahead). 2012-4-26. Available from: URL: http://secure.collemergencymed.ac.uk/Deve lopment/Policy%20and %20Service%20Development/The%20Way%20Ahead%202011/.
12. The College of Emergency Medicine. Curriculum and Assessment Systems For Core Specialty Training ACCS CT1-3 & Higher Specialty Training ST4-6 Training Programmes. 2012-4-26 Available from: URL: http://www.gmc-uk.org/EMC_post_CAS_main.pdf_33072951.pdf.
13. The College of Emergency Medicine. Emergency Medicine Assessment System. 2012-4-26 Available from: URL: http://www.collemergencymed.ac.uk/code/document.asp?ID= 6092.
14. Steiner P. Emergency medicine practice and training in Canada. CMAJ, 2003, 168 (12): 1549-1550.
15. The College of Family Physicians of Canada. Specialty Training Requirements in Emergency Medicine. 2012-4-26. Available from: URL: http://rcpsc.Medical.org/residency/certifi cation/training/emergme de.pdf.
16. Duncan S. National Guidelines: Family Medicine - Emergency Medicine Residency Programs. [2012-4-26]. Available from: URL: http://www.cfpc.ca/uploadedFiles/Education/Family Med-EMResidencyPrograms(1).pdf.
17. The Royal College of Physicians and Surgeons of Canada. CanMEDS 2005 Framework. 2012-4-26. Available from: URL: http://rcpsc.medical.org/canmeds/CanMEDS2005/index.php.
18. Sabbah S. The impact of hospital overcrowding on postgraduate education: an emergency medicine resident’s perspective through the lens of CanMEDS. CJEM, 2009, 11(3): 247-249.
19. John M, Paul L. Opportunities for emergency medicine training in Australia. Accid Emerg Med, 1997, 14: 36-39.
20. Australasian College for Emergency Medicine. Policy on recognition of prior learning and credit transfer. 2012-4-26. Available from: URL: www.acem.org.au /media/policies.../T A113_v01_RPL___credit_transfer. pdf.
21. Australasian College for Emergency Medicine. Training & Examination Handbook. 2012-4-26. Available from: URL: http://www.acem.org.au/education.aspx?docId=42.2011-9/2012-4-29.
22. Australasian College for Emergency Medicine. Australasian College for Emergency Medicine Review of the Training and Assessment Program. 2012-4-26. Available from: URL: www. acem.org.au /.../ training /Training_Assessment_ Review_ Aug_2010. pdf.
23. Anwar RAH. A longitudinal study of residency-trained emergency physicians. Annals of Emergency Medicine, 1983, 12(1): 20-24.
24. Cydulka RK, Korte R. Career Satisfaction in Emergency Medicine: The ABEM Longitudinal Study of Emergency Physicians. Annals of Emergency Medicine, 2008, 51(6): 714-722.
25. Huang DT, Osborn TM, Gunnerson KJ, et al. Critical Care Medicine Training and Certification for Emergency Physicians. Annals of Emergency Medicine, 2005, 46(3): 217-223.
26. Louis J, Thompson B, Richard R, et al. Emergency Medicine in the Medical School Curriculum. Academic Emergency Medicine, 1997, 4(11): 1070-1077.
27. Stven A, David D, David P. Human simulation in emergency medicine training-a model curriculum. Academic Emergency Medicine, 2002, 9(11): 1310-1318.
28. Ginde AA, Sullivan AF, Camargo Jr CA. National Study of the Emergency Physician Workforce, 2008. Annals of Emergency Medicine, 2009, 54(3): 349-359.
29. Sanders AB, Criss E, Witzke D, et al. Survey of undergraduate emergency medical education in the United States. Annals of Emergency Medicine, 1986, 15(1): 1-5.
30. Barbara J, Louis S, Julian M. The Emergency Physician and Knowledge Transfer-Continuing Medical Education, Continuing Professional Development, and Self-improvement. Acad Emerg Med, 2007, 14(11): 1003-1007.
31. Munger BS, Danzl DF, Reinhart MA. The Future of the Certification System in Emergency Medicine. Annals of Emergency Medicine, 1997, 30(6): 776-778.
32. Kilroy D. Aspects of higher training in emergency medicine. Postgrad Med J, 2003, 79: 458-462.
33. Glen B. Emergency medicine health advocacy:foundations for training and practice. Can J Emerg Med, 2003, 5(5): 336-342.
34. Cherri H, Venkataraman A, Glen B, et al. International Federation for Emergency Medicine model curriculum for medical student education in emergency medicine. CJEM, 2009, 11(4): 349-354.
35. James K, Eric S, Ron M, et al. Incorporating simulation into a residency curriculum. CJEM, 2010, 12(4): 349-353.
36. Riyad B. Emergency medicine certification in Canada: the years march on but the questions remain the same. CJEM, 2008, 10(2): 101-103.
37. Halpern P, Ivan P. Development of emergency medicine programs in Israel and Canada a tale of two countries. CJEM·JCMU, 2002, 4(3): 218-223.
38. Jeremy E, Grant I, James C, et al. Development, implementation and reliability assessment of an emergency physician performance evaluation tool. CJEM·JCMU, 2000, 2(4): 237-245.
39. Ivan S. Emergency medicine training in Canada: a different perspective. CJEM·JCMU, 1999, 1(2): 91-92.
40. Tim R. Emergency medicine training in Canada learning from the past to prepare for the future. CJEM·JCMU, 2008, 10(2): 108-110.
41. Peter A, David A, Richard A. Emergency Medicine in Australia. Annals of Emer6ency Medicine, 1996, 28(3): 342-346.
42. 李春盛. 急診專科醫師培訓與準入制度是急診醫學發展的重要保證. 中華急診醫學雜志, 2008, 17(1): 5-6.
43. Atzema C, Bandiera G, Schull MJ. Emergency Department Crowding: The Effect on Resident Education. Annals of Emergency Medicine, 2005, 45(3): 276-281.
44. 徐騰達, 王仲, 王厚, 等. 急診專科醫師培養構想. 中華急診醫學雜志, 2007, 16(2): 217-220.

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美英加澳急診專科醫師培養模式比較研究

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《中國循證醫學雜志》

美英加澳急診專科醫師培養模式比較研究

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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