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欧洲物理医学与康复医学白皮书。第 9 章。教育与持续专业发展:塑造 PRM 的未来。

White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 9. Education and continuous professional development: shaping the future of PRM.

出版信息

Eur J Phys Rehabil Med. 2018 Apr;54(2):279-286. doi: 10.23736/S1973-9087.18.05153-5.

DOI:10.23736/S1973-9087.18.05153-5
PMID:29565110
Abstract

In the context of the White Book of Physical and Rehabilitation Medicine (PRM), this paper deals with the education of PRM physicians in Europe. To acquire the wide field of competence needed, specialists in Physical and Rehabilitation Medicine have to undergo a well organised and appropriately structured training of adequate duration. In fact they are required to develop not only medical knowledge, but also competence in patient care, specific procedural skills, and attitudes towards interpersonal relationship and communication, profound understanding of the main principles of medical ethics and public health, ability to apply policies of care and prevention for disabled people, capacity to master strategies for reintegration of disabled people into society, apply principles of quality assurance and promote a practice-based continuous professional development. This paper provides updated detailed information about the education and training of specialists, delivers recommendations concerning the standards required at a European level, in agreement with the UEMS rules of creating a Common Training Framework, that consists of a common set of knowledge, skills and competencies for postgraduate training. The role of the European PRM Board is highlighted as a body aimed at ensuring the highest standards of medical training and health care across Europe and the harmonization of PRM physicians' qualifications. To this scope, the theoretical knowledge necessary for the practice of PRM specialty and the core competencies (training outcomes) to be achieved at the end of training have been established and the postgraduate PRM core curriculum has been added. Undergraduate training of medical students is also focused, being considered a mandatory element for the growth of both PRM specialty and the medical community as a whole, mainly in front of the future challenges of the ageing population and the increase of disability in our continent. Finally, the problems of continuing professional development and medical education are faced in a PRM European perspective, and the role of the European Accreditation Council of Continuous Medical Education (EACCME) of UEMS is outlined.

摘要

在物理医学与康复医学白皮书的背景下,本文涉及欧洲物理医学与康复医学医师的教育问题。为了获得所需的广泛能力领域,物理医学与康复医学专家必须接受组织良好且结构适当的、具有足够时长的培训。事实上,他们不仅需要发展医学知识,还需要掌握患者护理、特定程序技能、人际交往和沟通态度、对主要医学伦理和公共卫生原则的深刻理解、为残疾人应用护理和预防政策的能力、掌握残疾人重新融入社会的策略的能力、应用质量保证原则以及促进基于实践的持续专业发展的能力。本文提供了有关专家教育和培训的最新详细信息,根据创建共同培训框架的 UEMS 规则,就欧洲层面所需的标准提出了建议,该框架由研究生培训的共同知识、技能和能力组成。欧洲物理医学与康复医学委员会的作用被强调为一个旨在确保整个欧洲最高医疗培训标准和保健水平以及协调物理医学与康复医学医师资格的机构。为此,确定了物理医学专业实践所需的理论知识和培训结束时要实现的核心能力(培训成果),并增加了研究生物理医学核心课程。还重点关注医学生的本科培训,认为这是物理医学专业和整个医学界发展的必要因素,特别是在面对我们大陆人口老龄化和残疾人数增加的未来挑战时。最后,从欧洲物理医学的角度探讨了继续职业发展和医学教育的问题,并概述了 UEMS 欧洲继续医学教育认证委员会(EACCME)的作用。

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