家庭医学培训时长的争论：理想主义与现实主义？
Length of training debate in family medicine: idealism versus realism?
作者信息
Orientale Eugene
出版信息
J Grad Med Educ. 2013 Jun;5(2):192-4. doi: 10.4300/JGME-D-12-00250.1.
How long a resident must train to achieve competency is an ongoing debate in medicine. For family medicine, there is an Accreditation Council for Graduate Medical Education (ACGME)-approved proposal to examine the benefits of lengthening family medicine training from 3 to 4 years. The rationale for adding another year of residency in family medicine has included the following: (1) overcoming the effect of the duty hour limits in further reducing educational opportunities, (2) reversing the growing number of first-time takers of the American Board of Family Medicine primary board who fail to pass the exam, (3) enhancing the family medicine training experience by "decompressing" the ever-growing number of Residency Review Committee requirements to maintain accreditation, and (4) improving the overall quality of family medicine graduates.
住院医师必须培训多长时间才能达到胜任能力，这在医学领域一直是个争论不休的问题。对于家庭医学而言，毕业后医学教育认证委员会（ACGME）批准了一项提案，以研究将家庭医学培训从3年延长至4年的益处。在家庭医学中增加一年住院医师培训的理由如下：（1）克服工作时间限制对进一步减少教育机会的影响；（2）扭转美国家庭医学委员会初级考试首次报考者中未通过考试人数不断增加的趋势；（3）通过“解压”为维持认证而不断增加的住院医师评审委员会要求，来提升家庭医学培训体验；（4）提高家庭医学毕业生的整体质量。
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