外科住院医师规范化培训中手术意识培养现状与策略

摘要

住院医师规范化培训已成为合格医师培养的必需途径。为了统一培训标准、规范管理及提高培训效果，国家相关部门先后出台了一系列文件，但规培过程中仍存在很多“不规范”的情况。特别是外科住院医师规范化培训中，仅注重学员的手术技能训练；而对“是否手术、什么时候手术、实施何种手术、手术效果如何等”手术意识灌输不足。现基于某校附属医院外科住院医师临床学习和工作中出现的问题，探讨行之有效的外科住院医师规范化培训策略。%Standardized training of resident doctors has become a necessary way to train qualified doctors. In order to unify the training standards, standardize management and improve the training effect, the relevant state departments have issued a series of documents, but there are still many regulations in the process of "non-standard" situation. Especially in surgical inpatients of standardized training of residents, we only pay attention to the training of students' operation skills but infusion of the operation consciousness such as "whether the surgery should be done, when operation should be done, what kind of surgery should be implemented as well as operative effect " is insufficient. Based on the problems existing in the clinical study and work of the surgical residents in the affiliated hospital of a university, we discuss the effective strategies for the standardized training of surgical residents.