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住院医师规范化培训中关于体格检查能力培养的思考

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体格检查在病情的判断及疾病的诊治中具有不可替代的重要价值,是每名临床医师必须掌握的基本技能.住院医师规范化培训作为医生正式踏入临床工作的第一阶段,是熟练并掌握体格检查的关键时期.然而随着辅助医疗器械的不断进步,大部分住院医师在临床工作中往往对体格检查日常操作和训练不够重视.文章通过分析现阶段住院医师体格检查培养中存在的问题,从激发住院医师内在动力,加强教学医院体格检查培训,完善体格检查考核制度等多角度思考,探讨如何提高住院医师体格检查水平.加强落实住院医师临床工作中体格检查的实施及培训对改善医患关系,提高诊疗水平等医疗工作具有重要的意义.
Reflection on the Physical Examination Skill Cultivation Involved in the Standardized Training of Resident Physicians
Physical examination,a basic skill that every physician requires,plays an irreplaceable role in clinical diagnosis and treatment.As the first stage of doctors'clinical work,standardized training of resident physicians is a critical period for doctors to become proficient in physical examination.However,with the wide utilization of auxiliary medical devices,most residents neglect the routine practice and training of physical examination in their clinical work.By analyzing the issues in the physical examination training,this article discusses how to improve the physical examination skills for residents from the perspectives of stimulating the internal motivation of residents,strengthening the training of physical examination in teaching hospitals,and improving the feed back system of physical examination.It is of great significance to strengthen the implementation and training of physical examination in the clinical work of residents,which can ameliorate the doctor-patient relationships and improve clinical diagnosis and treatment.

physical examinationstandardized training of resident physiciansclinicianskill trainingexamination system

苏婷婷、赖三川、陈洪潭、龙艳芹、俞静华

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浙江大学医学院附属第一医院消化内科,浙江杭州 310003

浙江大学医学院附属第二医院消化内科,浙江杭州 310009

体格检查 住院医师规范化培训 临床医师 技能培训 考核制度

国家自然科学基金项目浙江省基础公益计划项目

82200560LQ22H030010

2024

中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
年,卷(期):2024.16(2)
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