Department of Internal Medicine, University of Chicago Medical Center, Chicago, IL, USA.
Department of Medicine, Zhongnan Hospital, Wuhan University, Wuhan, China.
Perspect Med Educ. 2018 Feb;7(1):50-53. doi: 10.1007/s40037-017-0378-5.
China formally established a system of national standardized medical residency training in 2014, which affects the health of its 1.4 billion people. Accompanying this system were new guidelines and standards for internal medicine residency training. However, the majority of the standards focused on process measurements, such as minimum case requirements of diseases and procedural skills, rather than describing broader physician competencies in the domains of professionalism, patient care, communication, teamwork, quality improvement, and scholarship. While China has taken a large step forward with standardization of certain aspects of internal medicine residency training, the next step should focus on outcome measures and creating a system that is competency-based.
中国于 2014 年正式建立了国家标准化的住院医师规范化培训体系，这影响了其 14 亿人民的健康。伴随该体系的是内科住院医师培训的新指南和标准。然而，大多数标准都侧重于过程测量，如疾病的最低病例要求和程序技能，而不是描述更广泛的医生在专业精神、患者护理、沟通、团队合作、质量改进和学术方面的能力。虽然中国在某些方面的内科住院医师规范化培训标准化方面迈出了一大步，但下一步应该侧重于结果测量，并创建一个基于能力的系统。
