我國專科醫師分類研究初探_《中國循證醫學雜志》

作者：

李幼平 ¹² , 陶鐵軍 ¹ , 孫丁 ¹ , 何林 ¹³ , 石應康 ³ , 劉進 ³ , 殷大奎 ⁴ , 楊鏡 ⁴ , 謝啟麟 ⁴ , 王瑩 ⁴ , 洪雪丹 ⁴

1. 四川大學華西醫院中國循證醫學中心,成都,6100412. 四川大學華西醫院衛生部移植工程與移植免疫重點實驗室3. 四川大學華西醫院4. 中國醫師協會,北京,100016;

關鍵詞：

專科醫師分類醫師培養循證決策衛生事業管理

視頻：

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　調查國內外專科醫師培養的歷史、現狀、問題和對策,為建立國際接軌、符合中國國情的專科醫師分類設置提供決策依據和建議.
方法　應用廣義循證醫學的原理和方法,系統檢索2003年12月31日以前來自PubMed、中文生物醫學文獻數據庫、各國衛生主管部門官方網站、常用搜索引擎、多種雜志和醫學著作的文獻,制定統一標準,篩選并評定文獻質量,綜合分析后得出結論.
結果　初篩得到外文文獻1298篇,中文文獻21篇,其中和分類相關的文獻僅6篇.綜合美國、加拿大、英國、新加坡、澳大利亞及我國(包括香港和臺灣)的官方網站信息發現,我國專科設置數量最多,美國次之.我國專科分類總數＞學科分類總數＞住院醫師培養分類總數.某些專科重復設置現象嚴重,某些特色專科不便與國際接軌.
建議　我國專科分類應綜合考慮國際趨勢、人才培養和學科發展的特點,同時兼顧我國目前的分類現狀,分階段平穩過渡.首先試點住院醫師培養較規范、成熟,專科醫師需求明確、培養條件好的專業/專科,積累經驗后再逐漸推廣和完善.

引用本文： 李幼平,陶鐵軍,孫丁,何林,石應康,劉進,殷大奎,楊鏡,謝啟麟,王瑩,洪雪丹. 我國專科醫師分類研究初探. 中國循證醫學雜志, 2004, 04(3): 173-180. doi: 復制

1.	［1］Wang JQ, LIU YF, QI GM. Training and admittance of medical specialist in China: current situation, program and strategies [J] . Chinese Journal of Evidence-based Medicine,2002;4 (2) :116-121.
2.	王錦倩,劉雁飛,祁國明.我國專科醫師培養與準入的現狀、問題與對策[J].中國循證醫學雜志,2002;4(2):116-121.
3.	［2］SextonJS , Hennigar GR. Forensic pathology - the hidden specialty: A survey of forensic pathology training available to medical students and residents[J]. J Forensic Sci, 1979; 24(2): 275-281.
4.	［3］American Association of Public Health Dentists . Position statement of Executive Council. Subject: "proposed revision of criteria for recognition of specialty areas of dental practice"by Council on Dental Education, Commission on Dental Accreditation[J]. J Public Health Dent, 1982; 42(4) :360-362.
5.	［4］DeLisa JA , Hammond MC . Acceptance of spinal cord medicine as a subspecialty by the Accreditation Council of Graduate Medical Education ( ACGME ) [ J ]. J Spinal Cord Med, 1996; 19(3):175.
6.	［5］Krarup C . Concerning the Danish National Committee for Continuing Medical Education and its decision of discontinuation of the subspecialty of clinical neurophysiology[J]. Ugeskr Laeger, 2002; 164(12): 1 667-1 668.
7.	［6］High KP, Clayton CP, Woolard N, Regenstreif DI, Lundebjerg N, Hazzard WR. Expanding geriatrics into subspecialty internal medicine healthcare, research and education: caring for older adults and the T. Franklin Williams Career Development Awards[J]. Am J Med, 2002; 113 (6): 533-536.
8.	［7］Vorstands der Deutschen Gesellschaft fur Psychiattie, Psychotherapie und Nerveheilkunde. The German Physician’s Congress in Cologne and the amendment of the regulations on continuing education. An occasion for reassessing the position of the specialty "psychiatry/psychotherapy[J]. Nervenarzt, 2003; 74(7): 633-638.
9.	［8］Management Regulation of Healthcare Department , State Council, No. 149, Feb. 26, 1994.
10.	國務院令第149號發布<醫療機構管理條例>,1994年2月26日.
11.	［9］List of Healthcare Department, Ministry of Health, 1994.
12.	衛生部發布<醫療機構診療目錄>,1994年.
13.	［10］Temporary Byelaw of Examination for Medical Doctor Certification, Ministry of Health, July 16, 1999.
14.	衛生部發布<醫師資格考試暫行辦法>,1999年7月16日.
15.	［11］Inform of pharmaceutist training program in hospital ,Department of Science, technology and Education, MOH,Nov. 10, 1999.
16.	衛生部科教司關于實施醫院藥師規范化培訓大綱的通知,1999年11月10日.
17.	［12］Fundamental Requirement of General Medicine Clinical & Community training center, Department of Science,technology and Education, MOH, Mar. 27, 2000.
18.	衛生部科教司關于印發全科醫學臨床和社區培訓基地基本要求,2000年3月27日.
19.	［13］Temporary Byelaw of Licensed Doctor’s Practice Field, MOH,State Administration of Traditional Chinese Medicine, Jun.21,2001.
20.	衛生部、中醫藥管理局下發<關于醫師執業注冊中執業范圍的暫行規定>,2001年6月21日.
21.	［14］Management of Medical beautician, MOH, No. 19, Jan. 22, 2002衛生部令第19號<醫療美容服務管理方法>,2002年1月22日.
22.	［15］Temporary Byelaw of Institute &Deparment of Medical beautician,MOH, Apr. 14, 2002.
23.	衛生部印發<美容醫療機構、醫療美容科(室)基本標準(試行)>,2002年4月14日.
24.	［16］List of Subject & specialty group in technologist database for Medical accident identify, MOH, State Administration of Traditional Chinese Medicine, Aug. 5, 2002.
25.	衛生部、中醫藥管理局醫療事故技術鑒定專家庫學科專業組名錄(試行),2002年8月5日.
26.	［17］Department and Code of Health care, MOH, Sep. 17, 2003.
27.	衛生部<醫療機構診療科目及代碼>,2003年9月17日.

1. ［1］Wang JQ, LIU YF, QI GM. Training and admittance of medical specialist in China: current situation, program and strategies [J] . Chinese Journal of Evidence-based Medicine,2002;4 (2) :116-121.
2. 王錦倩,劉雁飛,祁國明.我國專科醫師培養與準入的現狀、問題與對策[J].中國循證醫學雜志,2002;4(2):116-121.
3. ［2］SextonJS , Hennigar GR. Forensic pathology - the hidden specialty: A survey of forensic pathology training available to medical students and residents[J]. J Forensic Sci, 1979; 24(2): 275-281.
4. ［3］American Association of Public Health Dentists . Position statement of Executive Council. Subject: "proposed revision of criteria for recognition of specialty areas of dental practice"by Council on Dental Education, Commission on Dental Accreditation[J]. J Public Health Dent, 1982; 42(4) :360-362.
5. ［4］DeLisa JA , Hammond MC . Acceptance of spinal cord medicine as a subspecialty by the Accreditation Council of Graduate Medical Education ( ACGME ) [ J ]. J Spinal Cord Med, 1996; 19(3):175.
6. ［5］Krarup C . Concerning the Danish National Committee for Continuing Medical Education and its decision of discontinuation of the subspecialty of clinical neurophysiology[J]. Ugeskr Laeger, 2002; 164(12): 1 667-1 668.
7. ［6］High KP, Clayton CP, Woolard N, Regenstreif DI, Lundebjerg N, Hazzard WR. Expanding geriatrics into subspecialty internal medicine healthcare, research and education: caring for older adults and the T. Franklin Williams Career Development Awards[J]. Am J Med, 2002; 113 (6): 533-536.
8. ［7］Vorstands der Deutschen Gesellschaft fur Psychiattie, Psychotherapie und Nerveheilkunde. The German Physician’s Congress in Cologne and the amendment of the regulations on continuing education. An occasion for reassessing the position of the specialty "psychiatry/psychotherapy[J]. Nervenarzt, 2003; 74(7): 633-638.
9. ［8］Management Regulation of Healthcare Department , State Council, No. 149, Feb. 26, 1994.
10. 國務院令第149號發布<醫療機構管理條例>,1994年2月26日.
11. ［9］List of Healthcare Department, Ministry of Health, 1994.
12. 衛生部發布<醫療機構診療目錄>,1994年.
13. ［10］Temporary Byelaw of Examination for Medical Doctor Certification, Ministry of Health, July 16, 1999.
14. 衛生部發布<醫師資格考試暫行辦法>,1999年7月16日.
15. ［11］Inform of pharmaceutist training program in hospital ,Department of Science, technology and Education, MOH,Nov. 10, 1999.
16. 衛生部科教司關于實施醫院藥師規范化培訓大綱的通知,1999年11月10日.
17. ［12］Fundamental Requirement of General Medicine Clinical & Community training center, Department of Science,technology and Education, MOH, Mar. 27, 2000.
18. 衛生部科教司關于印發全科醫學臨床和社區培訓基地基本要求,2000年3月27日.
19. ［13］Temporary Byelaw of Licensed Doctor’s Practice Field, MOH,State Administration of Traditional Chinese Medicine, Jun.21,2001.
20. 衛生部、中醫藥管理局下發<關于醫師執業注冊中執業范圍的暫行規定>,2001年6月21日.
21. ［14］Management of Medical beautician, MOH, No. 19, Jan. 22, 2002衛生部令第19號<醫療美容服務管理方法>,2002年1月22日.
22. ［15］Temporary Byelaw of Institute &Deparment of Medical beautician,MOH, Apr. 14, 2002.
23. 衛生部印發<美容醫療機構、醫療美容科(室)基本標準(試行)>,2002年4月14日.
24. ［16］List of Subject & specialty group in technologist database for Medical accident identify, MOH, State Administration of Traditional Chinese Medicine, Aug. 5, 2002.
25. 衛生部、中醫藥管理局醫療事故技術鑒定專家庫學科專業組名錄(試行),2002年8月5日.
26. ［17］Department and Code of Health care, MOH, Sep. 17, 2003.
27. 衛生部<醫療機構診療科目及代碼>,2003年9月17日.

《中國循證醫學雜志》

我國專科醫師分類研究初探

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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《中國循證醫學雜志》

我國專科醫師分類研究初探

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料