中新网3月1日电 近日，一份由中国大陆地区百余名医学院教师参与的调查显示，中国全科医生师资培训资源匮乏，医学生的临床思维、人文关怀、团队合作和沟通能力四大能力亟待提高。专家呼吁，中国医学教育改革须进一步顺应医学教育国际化发展趋势、贴近社会需求，以更好的为中国医改服务。

Beijing, March 1 (Reuters) recently,A by mainland China hundred medical college teachers to participate in the survey,The Chinese gp teacher training resources,Medical students' clinical thinking/Humanistic care/Team work and communication ability of the big four needs to be improved.Experts are calling for,China's medical education reform should conform to the trend of internationalization of medical education development/Close to the social needs,To better serve China health reform.

医学教改政策的一致、连贯受关注 Medical reform policy/Coherent concern

　　教育模式陈旧、现代教学信息和研究资源缺乏、课程设置不够合理、临床训练严重不足、全科医生教师培训落后、人文教育羸弱……近日，一份由中国百余名医学院教师参与的调查问卷，集中罗列了中国医学教育存在问题。

Old education mode/Modern teaching and research resources lack of information/The curriculum is not reasonable/A serious shortage of clinical training/General practitioner training behind/Humanities education weak...In recent days,A from China's hundreds of medical college teachers to participate in the questionnaire,Concentrated lists problems Chinese medical education.

　　这份“百名医学教授眼中的中国医学教育”的调查，由威科集团(中国)于2012年11月启动，调查在中国内地50余所医学院，通过问卷调查、电话采访、专家访谈等形式对124名教师(基础和临床)进行了调查。

the"Hundreds of professor of medicine in the eyes of the Chinese medical education"The survey,By the power group(China)Launched in November 2012,Investigation in mainland China more than 50 medical school,Through the questionnaire survey/A phone interview/Expert interviews and other forms of 124 teachers(Basic and clinical)The investigation.

　　这份调查中，受访者认为，在中国医学教育面临最大的挑战因素中，排名第一的是医学教育改革政策的一致性和连贯性(71.8%)。

In the survey,Respondents think,In medical education faces the biggest challenge in China,Number one is medical education reform policy consistency and continuity(71.8%).

　　中国医学教育专家、华中科技大学同济医学院教授文历阳指出，临床医学教育是一个漫长的系统过程，牵扯因素纷繁复杂，医学院和教师们的动力何在，关键取决于相关政策、配套措施及其支撑体系的建设。

Chinese medical education experts/Tongji medical college huazhong university of science and technology professor wen Yang pointed out,Clinical medical education is a long process of the system,Factors are complicated,What is the power of medical school and teachers,Key depends on the policy/The construction of the supporting measures and its supporting system.

　　同时，文历阳称，国内外成功的医学教育改革无一不是经过了科学论证、周密设计、试点推行、持续改进等步骤， 绝不是短时间内可以一蹴而就的。因此，政策和配套支持的一贯性就显得尤为重要。

At the same time,Through Yang wen said,Successful medical education reform at home and abroad all through the scientific argument/Careful design/The pilot implementation of/Continuous improvement, etc, Is not a short period of time can be achieved overnight.so,Policy and the necessary support of consistency is particularly important.

全科医生师资培训资源匮乏 Gp teacher training resources

　　调查中，71%的受访者认为建立和完善“全科医师”的培训制度对于医学教育改革有重要影响。

In the survey,71% of respondents think set up and improve"General practitioner"The training system is important for the medical education reform.

　　2011 年7 月1 日，国务院颁发了《关于建立全科医生制度的指导意见》，明确指出到2020 年，初步建立起充满生机和活力的全科医生制度，基本实现城乡每万名居民有2-3 名合格的全科医生。这对于医学院校来说，面临的首要问题却不是全科医生的培养而是负责培养全科医生的师资的培养。

On July 1, 2011,The state council issued the[Guidance on establishing a GPS system],Clearly points to 2020,Preliminary build GPS system full of vitality and vigor,Basic implementation of urban and rural every 2-3 thousands of residents have qualified general practitioners.This for medical schools,Face rather than the cultivation of general practitioners' first problem is responsible for the cultivation of the teachers cultivation of general practitioners.

　　“我们需要让老师知道，培养全科医生与之前我们培养专科医生的区别在哪里，”北京大学医学部教务处副处长续岩说，从教学大纲到课程整合到师资培训，都对培养全科医生的师资提出了更多更实际的挑战。

"We need to let the teacher know,Culture difference between gp and before we develop a specialist in where,"Beijing university school of medicine, deputy director of the office of the sequel rock said,From the syllabus to integrated into the teacher training course,All teachers to the cultivation of general practitioners with a more better the practical challenges.

　　此外，调查中有46.8%的受访者认为“适应新形势的医学教师队伍建设及能力培养”是医学教育种面临的主要困难之一。培养全科医生的另一项挑战是未来就业问题。

In addition,Survey, 46.8% of respondents thought"Adapt to the new situation of medical teachers team construction and ability training"Medical education is one of the main difficulties facing.Cultivate the gp another challenge is the employment problem in the future.

　　“城乡差别大，医生的就业、晋升等问题如果得不到妥善的解决，无法保证未来到基层工作的全科医生能够留的住，”文历阳说。“目前需要建立的是一个包括帮助全科医生就业、职业发展等政策在内的培养体系，而不仅仅是教育的问题。 实现对全科医生的有效激励，需要一个好的机制，这牵扯对人事、分配、补偿、管理等制度进行综合配套改革”

"Big difference between urban and rural areas,The doctor's job/If not properly solve the problems such as promotion,There is no guarantee that the future to work in grassroots gp can stay live,"Through Yang wen said."Now need to build a including help gp employment/Policies such as career development training system,Not just the education problems. Implementation of effective incentives to gp,Need a good mechanism,It involved the personnel/distribution/The compensation/Management system for the comprehensive reform"

　　此次调整显示， 60.5%的教师认为包括医生未来的职业价值和职业发展规划，54%的教师认为包括医生收入低等因素在内的职业发展不稳定性是影响医学教育未来发展的重要因素。

The adjustment according to, 60.5% of teachers think including the doctor of the future professional value and career development plans,54% of teachers think doctor include low income instability factors, career development is an important factor affecting the development of medical education in the future.

医学生的临床思维、人文关怀能力亟待提高 Medical students' clinical thinking/Humanistic care ability needs to be improved

　　调查显示，在中国医生培养过程中急需提高的能力中，临床能力排第一(74.2%)，紧接着是人文关怀能力(71.8%)、团队合作(71%)和沟通能力(68.5%)。

According to the survey,Doctors in China urgently needs to improve in the process of cultivating ability,Clinical ability first(74.2%),Followed by the humanistic care ability(71.8%)/Team work(71%)And communication skills(68.5%).

　　医学生临床能力水平的高低是评价医学教育质量的重要指标之一，包括准确诊断，作出正确医疗决策因此在医学院老师们的眼中，医生临床能力培养的重要性应该始终摆在首位，管远志教授说。

The level of medical students clinical ability is one of the important index to evaluate the quality of the medical education,Including an accurate diagnosis,To make medical decisions so right in the eyes of medical college teachers,The doctor the importance of clinical ability should always be in the first place,Professor GuanYuanZhi said.

　　随着《医疗事故处理条例》等相关法规的实施和病人自我保护意识的增强，现在志愿作为教学资源的患者越来越少，这给临床实习教学带来很多限制，协和医学院教务处主任管远志说。

Along with the[Medical accident treatment act]Such as the implementation of the relevant laws and regulations and enhance patient ego to protect consciousness,Volunteer patients as a teaching resource less and less now,This caused a lot of restrictions for the clinical practice teaching,Union medical college, director of the office of GuanYuanZhi said.

　　中国现行法律没有明确赋予医学实习生任何医疗活动的权力。因此见习、实习医生并不具备独立工作的权利。

China's existing laws do not explicitly give medical interns any medical activities.So the trainee/Trainee doctors are not the right to work independently.

　　针对排名靠前的人文关怀、团队合作和沟通能力同样被医学教师们认为是成为一个合格医生的重要条件，而目前医患关系紧张的现状更使人文关怀、医患沟通等问题备受瞩目。

On the top of humanistic care/Teamwork and communication skills are also medical teachers think that is one of the important conditions to become a qualified doctor,And the current situation of doctor-patient relationship tense more humanistic care/Doctor-patient communication, etc.

　　中国目前规模化背景培养出来的医生，缺乏系统的人文关怀和沟通技巧方面的指导，四川大学华西临床医学院PBL教研室主任姚巡说，这方面的课堂教学从形式和内容上都显得比较枯燥，效果不是很好。人文关怀和沟通技能涉及的影响因素很多，言传身教和营造氛围，采用“隐蔽”课程持续影响学生，也许效果更好。

China's current large-scale background training of doctors,The lack of humanistic care and guidance on the communication skills,Yao, director of the sichuan university huaxi PBL in clinical medical school teaching and research section patrol said,This aspect of classroom teaching appears dull from the form and content,The effect is not very good.Humanistic care and communication skills, involving the influence of many factors,Precept and create atmosphere,using"hidden"Continue to influence students,Maybe is better.

　　“中国医学教育要充分认识未来中国国情对医务工作者的要求才能把医学教育的理念真正贯彻于教学中。”文历阳在谈到“百名医学教授眼中的中国医学教育”调查结果时说到。

"China's medical education to fully understand the future China's national conditions requirement for medical workers to carry out medical education ideas in the teaching."Wen Yang when it comes"Hundreds of professor of medicine in the eyes of the Chinese medical education"The survey said.