新华社上海８月１６日电（记者 仇逸）“两年来，我既是复旦大学医学院研究生，又是正在接受培训的住院医师，已经轮转了１０多个科室，大考小考无数次。”正在复旦大学中山医院接受全科住院医师规范化培训的李娅玲告诉记者，“只有经历了这段‘摸爬滚打’，我才能说自己在临床上真正具备了从医资格。”

    Shanghai, aug. 16 (xinhua)（Reporter QiuYi）“Two years，I fudan university school of medicine is graduate，Is is training of resident，Have rotary for more than 10 departments，Final exam quiz countless times。”Is zhongshan hospital of fudan university general resident standardization training LiYaLing told reporters，“Only through this period‘me.but’，I can say that his real working in clinic with qualification。”

    李娅玲２０１０年毕业于宁夏医科大学，“本科最后一年也安排了实习，但是忙于找工作或考研，真正用心在临床的很少。现在我很幸运得到了一流的培训和锻炼，将来无论到哪个医院工作，都有了一份底气。”她说。

    LiYaLing in 2010, graduated from YuNingXia medical university，“Undergraduate course last year also arranged for practice，But busy looking for a job or one's deceased father grind，Really work hard on the clinical less。Now I'm lucky to get the best training and exercise，In the future no matter to which hospital work，Have a bottom spirit。”She said。

    记者从上海市教委和卫生局了解到，上海在国内率先推出以临床实践能力为核心的临床医学人才“５＋３”培养模式，即５年临床医学本科教育加上３年住院医师规范化培养。作为最早开展的国家教育体制综合改革项目之一，复旦大学、上海交通大学、同济大学和上海中医药大学等试点高校迄今已经招录了３届共计１１１２名临床医学硕士专业学位、住院医师研究生，李娅玲就是其中之一。

    Reporter from the Shanghai municipal education commission and health bureau to know，Shanghai first in China to launch to clinical practice ability as the core of clinical medical talents“5 + 3”Training mode，That is five years clinical medical undergraduate education add 3 years resident standardization training。As the first to carry out national education system comprehensive reform one of the project，Fudan university、Shanghai jiaotong university、Tongji university and Shanghai university of traditional Chinese medicine and pilot college so far has ZhaoLu three session of a total of 1112 clinical medicine master major degree、Resident doctor graduate student，LiYaLing is one of them。

    如今在上海，未经过住院医师规范化培养的医学院校毕业生不能在临床工作。２０１０年，上海在全国率先建立了省级层面的住院医师规范化培训制度，全市挑选出３９家优秀医疗机构作为培训基地，开展以临床实践为主的规范化、高标准培训，作为推动医改、为未来培养合格医生的重要举措。

    Now in Shanghai，Not after resident standardization training of medical colleges and universities graduates can't in clinical work。In 2010,，Shanghai in the lead in the established provincial level resident standardization training system，The selected at 39 outstanding medical institutions as a training base，Carry out clinical practice primarily standardized、High standard training，As a tool to promote reform、The training of qualified doctors for the future of the important measures。

    除了对培训对象和基地给予一系列保障、扶持外，上海紧接着启动了“临床医学硕士专业学位教育与住院医师规范化培训结合的改革试验”。有关高校和培训医院共同组织研究生招生及住院医师招录。在培训期间，培训对象与培训医院签订培训暨劳动合同，被高校录取的临床医学硕士专业学位研究生以“定向”身份获得研究生学籍。

    In addition to training objects and base to give a series of security、Outside support，Shanghai and then launched“Clinical medicine master major degree education and resident standardization training combined with the reform of the test”。The universities and training hospital organized of graduate student recruit students and resident ZhaoLu。During the training，The training object and training hospital sign training and labor contract，Be the admission of clinical medical master major degree graduate student to“directional”Identity obtain a graduate student status。

    记者在采访中发现，“很苦但是能学到本领”已成为１１１２名临床医学硕士专业学位、住院医师研究生的普遍感受。学员们得到了培训基地和有关医学院校的双重培养，毕业时合格者可以获得“四证”，即研究生毕业证书、硕士学位证书、住院医师规范化培训证书、执业医师执照。

    Reporter in the interview found，“Very bitter but can learn skills”Has become 1112 clinical medicine master major degree、Resident doctor graduate student's general feelings。The students got the training base and the relevant medical institutions of double training，Graduate eligible can get“Four card”，Namely graduate certificate、Master's degree certificate、Certificate of resident standardization training、Practising doctor's license。

    “过去我们培养的医学硕士生、博士生会‘养小白鼠’，但不会开方开刀。”上海市教委副主任印杰告诉记者，“上海的这项改革为配合医改适时推出，在推进中又促进了教改，有利于推动我国硕士生教育由以培养学术型人才为主向培养学术型和应用型人才并重的战略转变。”

    “In the past we cultivate medical master、Doctoral student will‘Keep mice’，But won't root operation。”Deputy director of the Shanghai municipal education commission, print jie told reporters，“Shanghai the reform to cope with properly with the medical reform，In the development of the reform and promote，To promote the education master to develop academic type talent persons to cultivate academic type and applied talents and strategic transformation。”

    “一个合格医生的培养，必然是以在临床磨炼的时间为代价的。”上海瑞金医院临床医学院副院长邵洁表示，“过去哪怕是硕士、博士，毕业后到了临床，也可能不胜任岗位需要，很多医生做插管时要请麻醉科医生会诊，骨穿时要请血液科会诊。现在经过住院医师规范化培训的医生动手的能力都大大增强，而这正是做一个好医生的基础。”

    “A qualified doctor training，Is inevitable in clinical trial of the cost of time。”Shanghai ruijin hospital clinical medical college, vice President of the ShaoJie said，“If the past is a master、doctor，After the graduation to clinical，Also may not competent for post needs，Many doctors do to please when intubation anesthesia department doctors consultation，Bone wear to please hematology department consultation。Now after resident standardization training of doctors begin ability are greatly enhanced，And this is what is to become a good doctor's foundation。”

    今年５月，教育部、卫生部联合下发了《关于实施临床医学教育综合改革的若干意见》，明确了“构建‘５＋３’为主体的临床医学人才培养体系”作为全国临床医学教育改革的重点之一。业内人士表示，这将有利于改变我国医学人才培养学制和水平参差不齐、重科研轻临床等弊端，从而更契合临床医生成长规律和医学教育规律。

    In may this year，The ministry of education、The ministry of health jointly issued the《Concerning the implementation of clinical medical education comprehensive reform certain opinions》，Made clear“construct‘5 + 3’As the main body of the clinical medical personnel training system”As the national clinical medical education reform is one of the key。The personage inside course of study says，This will help change our country medical personnel training system and different levels、Heavy research light clinical such shortcomings，Thus the more fit clinical doctor growth law and medical education law。