摘要
目的目前国内的全科住培医师教育主要集中在疾病的诊断与治疗上,对慢性病管理教学较为缺乏,本文将以成人体重管理为例探讨住院医师规范化培训中的技能教学。方法与结果借鉴国内外有关超重、肥胖诊疗指南、临床实践从三方面制定教学内容:(1)提高学员们对肥胖患者的识别能力;(2)树立正确的诊断意识;(3)应用"ABCDEF"体重管理策略;并结合住院医师规范化培训的门诊教学,以教师示范-学员实践-师生反馈的方式制定教学实践计划。结论全科住院医师规范化培训将成为我国全科医生输出的最大体系,因此体重管理技能教学应是规范化培训内容的重要组成部分,尽管该教学方法的临床适应性仍需探索,但它定能促进全科教学技能的发展,为未来的"健康守门人"赋予更强大的岗位胜任力。
Objective The hardcore of Chinese general practice residency (GPR) program is diagnosis and treatment.The training of specific clinical skills is scant.As aging population is on growth,chronic disease management should been shed more lights on.For such reason,this article aims to elaborate the clinical skill training for GPR with the case of adult weigh management (AWM).Methods and Results Referring to the Obesity Guidelines for Clinicians,the authors raise up three approaches to address the issue.Namely,(1) enhancing the sensitivity to obesity and overweight;(2) improving the ability to diagnose obesity and overweight;(3) integrating "ABCDEF" strategy into syllabus and constructing a "mentor demonstration-mentee practice-feedback loop" in training.Conclusions Although the applicability of clinical training of AWM has still been tested,the implementation of it will definitely inspire future general practice physician who plays a major role as community’s health gate keeper.
出处
《中华肥胖与代谢病电子杂志》
2019年第4期235-239,共5页
Chinese Journal Of Obesity and Metabolic Diseases：Electronic Edition
基金
2019年暨南大学本科教学团队“全科医学教学团队课程建设”项目(TD2019040)
