“多学科协作诊疗模式”应用初探

摘要

There are many problems in traditional medical personnel training model. The artificial division of specialities and subspecialities could make the trainees informed within the specialty/subspecialty but not beyond.This consequently results in biases and narrowed vision in their diagnosis and treatment of some illness. And what is even worse,this could be passed on from clinicians to medical students.In this paper,we introduce a novel model of medical teaching at Chinese PLA General Hospital,in which multidisciplinary team (MDT) work is involved.We found the MDT model beneficial not only to the patients but also the medical students.%医院专科或亚专科划分导致专业的人为分家,不仅使不同专科之间产生了技术隔离,导致专科医师之间产生职业偏见,而且使专科教育出来的医学生临床思维局限且狭隘,与快速发展的现代医学很不协调,严重影响了医学人才梯队的培养.解放军总医院于2008年成立了“肝脏肿瘤多学科诊疗中心”,明显提高了医院肝脏肿瘤诊治水平.同时,针对目前传统医学教育因单一专科教育导致的先天不足,采取了“多学科协作诊疗模式”的教学方法,使得医学生的临床诊断思维、处理策略抉择、操作基本功、临床经验、与患者沟通技巧等多个方面的综合能力得到了很大的提高,既改善了教学的效果,也提高了教学的质量.