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中华肥胖与代谢病电子杂志 ›› 2019, Vol. 05 ›› Issue (04) : 235 -239. doi: 10.3877/cma.j.issn.2095-9605.2019.04.014

所属专题: 指南与规范 文献 指南共识

多学科交流

全科住院医师规范化培训的技能教学探索——以成人体重管理为例
张小洁1, 连笙壹1, 杨阮阮1, 李芳芬1, 曾慧璇1, 朱丽君1, 李崇文1, 曾慧兰1, 王丹1, 罗良平1, 龚晓兵1,()   
  1. 1. 510632 广州,暨南大学附属第一医院全科医学科
  • 收稿日期:2019-11-01 出版日期:2019-11-30
  • 通信作者: 龚晓兵
  • 基金资助:
    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)

Clinical skills training for general practice residency: A case study of adult weight management

Xiaojie Zhang1, Shengyi Lian1, Ruanruan Yang1, Fangfen Li1, Huixuan Zeng1, Lijun Zhu1, Chongwen Li1, Huilan Zeng1, Dan Wang1, Liangping Luo1, Xiaobing Gong1,()   

  1. 1. Department of General Practice, the First Affiliated Hospital of Jinan University, Guangzhou 510000, China
  • Received:2019-11-01 Published:2019-11-30
  • Corresponding author: Xiaobing Gong
  • About author:
    Corresponding author: Gong Xiaobing, Email:
引用本文:

张小洁, 连笙壹, 杨阮阮, 李芳芬, 曾慧璇, 朱丽君, 李崇文, 曾慧兰, 王丹, 罗良平, 龚晓兵. 全科住院医师规范化培训的技能教学探索——以成人体重管理为例[J]. 中华肥胖与代谢病电子杂志, 2019, 05(04): 235-239.

Xiaojie Zhang, Shengyi Lian, Ruanruan Yang, Fangfen Li, Huixuan Zeng, Lijun Zhu, Chongwen Li, Huilan Zeng, Dan Wang, Liangping Luo, Xiaobing Gong. Clinical skills training for general practice residency: A case study of adult weight management[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2019, 05(04): 235-239.

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.

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