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丹麦研究生教育培训的规模确定

Dimensioning of the postgraduate educational training in Denmark.

作者信息

Christensen H, Bundgaard H, Frederiksen K, Bech K

出版信息

Cah Sociol Demogr Med. 2001 Jul-Dec;41(3-4):305-11.

PMID:11859636
Abstract

BACKGROUND

Postgraduate medical training in Denmark consists of basic training, offered to all medical doctors, followed by specialist training. The National Board of Health is responsible for the overall frame of medical training in Denmark and determines the number of trainee positions for each of the 42 specialities available. The total number of positions and their distribution between specialities are based on demand, supply and demographic considerations. Approximately 85% of medical doctors finalise specialist training.

METHODS

Denmark is divided into three educational regions: North, South and East. Each region consists of counties, with their own administration. The National Board of Health approves each position for postgraduate training. All new positions and changes of existing positions are evaluated before approval by The National Board of Health. An updated version of the list of educational positions is available on the internet.

CONCLUSION

The Danish governmental authorities have an efficient tool to control the dimensioning of the postgraduate medical education and thereby the production of specialists. Medical doctors can easily get information about where to obtain trainee positions. The majority of hospital departments improve their recruitment potential by participating in medical training. A number of structural changes, for instance establishing of medical centres and corporations within larger entities across an extended geographic area, specialisation between hospitals and reduced number of hospitals, calls for decentralisation of the administration in order to improve flexibility in the organisation of postgraduate medical training. However, the National Board of Health will still co-ordinate at the national level.

摘要

背景

丹麦的研究生医学培训包括面向所有医生的基础培训,之后是专科培训。丹麦国家卫生局负责丹麦医学培训的总体框架,并确定42个可用专科中每个专科的培训职位数量。职位总数及其在各专科之间的分配基于需求、供应和人口统计学因素。约85%的医生完成专科培训。

方法

丹麦分为三个教育区域:北部、南部和东部。每个区域由若干郡组成,各有其行政管理机构。丹麦国家卫生局批准每个研究生培训职位。所有新职位和现有职位的变动在经丹麦国家卫生局批准前都要进行评估。教育职位列表的更新版本可在互联网上获取。

结论

丹麦政府当局拥有一个有效的工具来控制研究生医学教育的规模,从而控制专科医生的培养。医生能够轻松获取有关何处获得培训职位的信息。大多数医院科室通过参与医学培训来提高其招聘潜力。一些结构上的变化,例如在更大的实体中跨更大地理区域设立医疗中心和机构、医院之间的专业化以及医院数量的减少,要求行政管理权力下放,以提高研究生医学培训组织的灵活性。然而,丹麦国家卫生局仍将在国家层面进行协调。

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