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我国住院医师制度的雏形是1921年由北京协和医院实行的24小时住院医师和总住院医师负责制。为规范住院医师培训工作,卫生部于1993年颁发了《住院医师规范化培训试行办法》,1995年又发布了《临床住院医师规范化培训大纲》。住院医师培训制度从推出之日起就争议不断,有人认为该制度的初衷是好的,是个正确的发展方向,应该坚持;也有人认为该制度已成为对新一代医学生的残酷剥削。该制度的设置是否合理?各大医院在住院医师培训时所采取的方式和方法是否得当?该如何进一步完善?本文邀请嘉宾进行了探讨。
The prototype of China’s resident physician system was the 24-hour resident and total resident physician accountable system implemented by Beijing Union Medical College Hospital in 1921. In order to standardize the training of residents, the Ministry of Health issued the “Trial Measures for Standardized Training of Resident Physicians” in 1993 and the “Outline of Standardized Training for Resident Physicians” in 1995. The resident training system has been controversial since its launch. Some people think that the original intention of the system is good, it is a correct direction of development, and it should be insisted on; others also think that this system has become a cruel exploitation of a new generation of medical students. Whether the setting of this system is reasonable and whether the methods and methods adopted by major hospitals in the training of resident physicians are appropriate? How can this be further improved? This paper invites guests to discuss.