Objective To evaluate and analyze the achievements of clinical key discipline construction in Shanghai,and to provide reference and advice for the further constructing. Methods The data from each key discipline were collected. The contrastive analysis between previous and present change of the index system were performed,and the index system was used to evaluate each discipline comprehensively. Results During the constructing period,three national key laboratories, fourteen national key disciplines,and four national clinical medical research centers were built. The clinical diagnosis and treatment ability was improved after constructing,and the number of outpatients and emergency visits increased by 20.09%. A total of 21 national clinical guidelines were formulated,and 23 innovative clinical technology projects were developed. A total of 51 papers,whose influencing factor was more than 10,were published in journals listed in Science Citation Index (SCI),and 197 papers in top journals among the field. In terms of teaching and training,1 415 papers written by students were published in journals listed in SCI. A total of 140 national continuing education and training programs were held. A total of 263 people were sent to study abroad. In the class A and class B construction projects,the "domestically first-class" clinical key disciplines accounted for 83.33% and 70.00%,respectively. Conclusion The project has promoted the development of key disciplines and improved the infrastructure,medical service,research and teaching level in clinical key disciplines.%目的 评估分析上海市"重中之重"临床重点学科建设成效,为主管部门筛选下一轮建设单位提供决策参考依据.方法 对各临床重点学科提供的数据进行汇总,分析建设前后指标变化情况,利用指标体系进行综合评分.结果 建设期间,22个临床重点学科新增国家级重点实验室3个、国家重点学科14个、国家临床医学研究中心4个.医疗服务诊疗能力提升,门急诊人次增长20.09%,制定国家临床指南21项,开发临床新技术项目23项.在《科学引文索引》(Science Citation Index,SCI)收录期刊发表影响因子10分以上的论文51篇,该领域顶级期刊论文数量197篇.在读研究生在SCI收录期刊发表论文1415篇,举办国家级继续教育培训项目140项,共派遣263人出国进修.在A类和B类建设项目中达到"国内一流"及以上的临床重点学科分别占83.33%和70.00%.结论 上海市临床重点学科建设项目推动了临床重点学科的发展,提升了临床重点学科的基础设施、医疗服务、科研和教学水平.
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