Standardized training of residents is the basic stage of cultivating doctors' clinical comprehensive ability, and it is also the necessary stage for the growth of clinical medical talents. Carrying out the standardized training system for residents is an inevitable requirement of the development of medical science and the growth law of medical talents, and an important way to promote the reform and development of health undertakings and improve the quality of medical services. In order to further improve the overall level of clinicians in our province, strengthen the training of clinical practical talents, and provide safe, high-quality and efficient medical and health services for the people, according to the Notice of the General Office of the Ministry of Health on Launching the Pilot Work of Specialist Training (No.20xx [20xx]), it is decided to carry out standardized training for residents in the province from 20xx.
I. Work objectives and progress
Explore the training, admission and management mode suitable for residents in our province, explore the establishment of a three-level training network with the characteristics of our province, comprehensively promote the standardized training of residents, and improve the overall quality of clinicians.
The whole process is divided into two stages:
The first stage (20XX years): the pilot work of standardized resident training and the evaluation of provincial resident training bases.
1, systematize the resident training that has been carried out in our province for many years and bring it into the unified management of the whole province.
2, establish and improve the rules and regulations of standardized training of residents.
3, start and complete the evaluation of standardized training base for residents. According to the training scale of our province, determine the number of training bases, and carry out the declaration, evaluation and identification of training bases.
4. To train the teachers and managers in the standardized training base for residents.
At the end of 5.20XX, the standardized resident training base at the provincial level and the resident training in county hospitals were fully launched.
In the second stage (20XX-20XX), the standardized training of residents in our province began.
Summing up training experience and comprehensively promoting standardized training of residents
1. All training bases in the province began enrollment training at the end of 20XX.
2, 20XX years began to enter the tertiary hospitals of undergraduate professional and technical personnel, such as their major belongs to the scope of the Ministry of health has announced the general specialist, must participate in the standardized training of residents.
3, 20XX began to enter the county hospital specialist and above professional and technical personnel, such as their major belongs to the scope of the Ministry of health has announced the general specialist, must participate in standardized training for residents.
4, 20XX years ago (including 20XX years) to enter the county hospital and 20XX years without promotion to intermediate technical titles, professional and technical personnel with college education or above should participate in the corresponding training programs stipulated and organized by Liaoning Provincial Specialist Standardized Training Center.
After three years of standardized training for residents, the certificate of standardized training for residents will be one of the necessary conditions for health technicians in tertiary hospitals and county hospitals to be promoted to intermediate technical titles. The specific requirements are as follows:
From 1 and 20XX, all health technicians who enter the medical and health institutions affiliated to the provincial resident training base in Liaoning Province for clinical work in 20XX and later must obtain the certificate of standardized resident training issued by the Provincial Health Department when applying for intermediate technical titles.
2, who entered the county hospital in 20XX and later engaged in clinical work of health technical personnel, enter oneself for an examination for intermediate technical titles, must obtain the certificate of standardized training of residents issued by the provincial health department.
Second, the scope of training
Comprehensive (specialist) hospitals and county hospitals above Grade III in the province. Standardized training was conducted in accordance with the 18 standard rules for general specialties (including general medicine) and critical medicine specialties published by the Ministry of Health.
Third, the organization and management
(a) Liaoning Provincial Health Department after graduation medical education committee (hereinafter referred to as the "provincial education committee") is responsible for the overall guidance of training. Establish a standardized training center for specialists in Liaoning Province, and comprehensively organize and manage the planning, implementation, evaluation and examination of standardized training for residents. The responsibilities of the center are:
1, implement the principles and policies of the Ministry of Health and the Liaoning Provincial Education Commission on medical education after graduation, and carry out the work according to local conditions in combination with the specific situation of our province;
2. Study and formulate the standardized training plan for residents in the province;
3. Formulate the implementation plan, relevant management systems, standards and norms of standardized training for residents in the province;
4. Organize standardized training for residents, teachers and management cadres;
5, responsible for the organization of the province's standardized training base for residents to declare and review the work, supervision and management of the training base has been identified;
6. Supervise, inspect and evaluate the standardized training of residents in the province, release relevant information, and organize seminars and experience exchange activities;
7, responsible for the standardized training of residents graduation exam, review and issue the "standardized training of residents certificate";
8 to undertake the tasks assigned by the Ministry of Health and the Provincial Education Commission, and accept the guidance and supervision of the Ministry of Health and the Provincial Education Commission;
9, the implementation of the provincial education commission's decision and tasks assigned.
(two) cities by the corresponding organization and management departments and full-time management personnel to organize the implementation of standardized training for local residents; Formulate supporting policies and measures to ensure the smooth development of training.
(III) The hospital where the training base is located is managed by the Steering Committee for Standardized Training of Residents, equipped with full-time and part-time staff, implementing the management system related to training, providing students with necessary working and living conditions, strengthening the construction of training bases, training instructors, and undertaking training tasks for the society.
(four) the standardized training management and assessment team of residents in the training base is responsible for organizing and managing the whole process of the professional training task and ensuring the training quality.
Fourth, training base.
(A) the principle of training base declaration
The training base is based on the clinical general specialty, and the hospital declares it uniformly. In principle, the declared training base is a three-level general hospital, and a hospital can declare multiple training bases at the same time. Among them, the general practitioner training base consists of general clinical specialties related to general hospitals and community health service institutions, and is applied by general hospitals. In principle, every city should establish a training base.
(2) Evaluation procedure of training base
Standardized training base for residents: the clinical departments of general hospitals and hospitals are set according to the classification catalogue of general specialties, and the hospitals where they are located submit written applications. After passing the examination, the provincial standardization training center will organize experts to conduct on-site evaluation and confirmation.
The Health Department of Liaoning Province has formulated the Administrative Measures for the Accreditation of Standardized Training Bases for Residents in Liaoning Province (for Trial Implementation) according to the Administrative Measures for Accreditation of Specialist Training Bases and the Standards for Specialist Training Bases of the Ministry of Health.
Verb (abbreviation of verb) recruitment object and method
(1) Recruitment target
Applicants for standardized training of residents should meet the following conditions:
1, who has a bachelor's degree or above in medical major in colleges and universities (college degree or above in county-level hospitals) and intends to engage in clinical medical personnel; Personnel who are engaged in clinical medical work and have obtained the qualification certificate of medical practitioners and need training.
2. General practice belongs to clinical two disciplines. According to the Administrative Measures for Standardized Training of General Practitioners issued by the Ministry of Health, we recruit fresh graduates with bachelor degree or above in clinical medicine who have been employed in community health service centers or previous graduates who have obtained the qualification of practicing doctors.
(2) recruitment methods
1, the provincial education commission will announce the recruitment plan and scale of each training base in the same year, and the municipal health bureaus will organize the implementation of the training plan.
2. The medical and health institutions where each training base is located shall formulate recruitment conditions and procedures according to the approved training base category and scale, openly recruit students for the whole province, strictly control the scale, and implement training according to the training standards.
Each training base should complete the recruitment of students before August 30th of each year, and report the relevant information to the Provincial Education Commission before September 30th of that year.
Training mode of intransitive verbs
(1) Training requirements
1. Political ideology: stick to Deng Xiaoping Theory and Theory of Three Represents, love the motherland, abide by national laws and regulations, and implement the Party's health work policy. Have a strong sense of professional responsibility and good professional ethics and interpersonal communication skills. Respect the legitimate rights and interests of patients. Love clinical medicine and serve people's health wholeheartedly.
2. Professional theory: according to the requirements of the Detailed Rules for the Standardized Training of Residents, learn the theoretical knowledge of related majors, master the basic theory of this discipline, and understand the basic knowledge of related disciplines.
3. Clinical skills: master the basic diagnosis and treatment techniques of this discipline, as well as clinical knowledge and skills such as etiology, pathogenesis, clinical manifestations, diagnosis and differential diagnosis, treatment methods, first aid and medical record writing of major diseases in this discipline. Master the basic knowledge of prevention and treatment of key infectious diseases, and be able to report infectious disease cases timely and correctly.
4, master the theory and method of evidence-based medicine, have the ability to read and analyze professional journals, can write a certain level of literature review or case report.
All training bases should carefully formulate and implement training plans and study and formulate practical training management systems. Standardized training for residents is implemented by the director of the training base. In the standardized training stage of residents, the training base should organize qualified doctors to form a teaching team to teach and guide the students.
(2) Training time
The standardized training cycle for residents is generally 3 years. Postgraduates with master's degrees, doctoral students with professional degrees should receive standardized training for residents 1 year, postgraduates with professional degrees should receive standardized training for residents for 2 years, and doctoral students with scientific degrees should be assessed for their clinical practice ability at the training base. According to the assessment results and the time they have participated in clinical practice in the past, the training stage and duration are determined. Except for statutory holidays and public holidays, if the sick leave or personal leave exceeds three months during the training period, the training period will be extended by one year.
(III) Training contents
The trainees are trained in strict accordance with the training contents, standards and requirements stipulated in the Training Standards for Specialists (Trial). The training content includes five aspects: political thought, medical ethics, clinical practice, professional theoretical knowledge and foreign languages. The standardized training of residents is mainly based on the clinical practice of participating in the rotation of relevant departments, and the 24-hour responsibility system is implemented according to the identity of residents.
(4) Examination and evaluation
* * * Subject examination, daily assessment, graduation assessment, annual assessment and graduation assessment.
1. Public subject examination: The examination shall be conducted according to the public subjects required by the General Rules of Resident Training Standards, and the examination content and organization form shall be determined by the Provincial Education Commission. Residents should pass the public examination in the standardized training stage of residents.
2. Daily evaluation: the training instructor is responsible. Assess the students' daily clinical workload, treatment types and cases, skill operation, medical record writing, medical ethics and labor discipline, and record the assessment results in the Standardized Training Manual for Residents.
3. Examination: including theoretical examination and clinical skill examination. Complete the prescribed three-level discipline rotation training. Before leaving the hospital, the standardized training management and assessment team of residents in the base will conduct daily comprehensive assessment and evaluation of the students, and send the assessment results to the competent department of the training hospital for the record.
4. Annual assessment: After the annual training is completed by the Steering Committee for Standardized Training of Hospital Residents, the hospital will organize a unified annual assessment. Review the training manual and test results, professional theory test, clinical skills test and other ways, and record the comprehensive evaluation results in the standardized training manual for residents.
5. Graduation exams: including professional theory exams and clinical skills exams.
After the standardized training of residents, the provincial education commission will organize the unified graduation examination in the whole province. Residents who take the graduation examination must obtain the qualification certificate of practicing doctors and pass all the examinations and annual examination.
Organize clinical skill examination from April to May every year, and organize written examination of professional theory and public subjects from June to July.
(5) Issuing certificates
Complete the standardized training of residents, and those who pass the examination will be awarded the standardized training certificate of residents uniformly printed by the Ministry of Health by the Provincial Education Commission.
Seven. safeguard measure
personnel management
The fresh graduates who directly participate in the training shall be managed as interns before obtaining the qualification, and obtain the qualification certificate of practicing doctors one year later.
The original unit should sign an agreement with the trainees selected by the unit to participate in the training at the training base, and be responsible for the personnel file management, registration and registration of the qualification examination for practicing doctors, wages, welfare benefits and social security during the training period. After the training, it shall be handled according to the agreement, and the training base shall not be reserved.
The training years of the trainees are included in the personal files, and their professional and technical titles are treated equally with those of the current year.
(2) Funding guarantee
The funds for standardized training of residents should be raised through individual sharing, unit support, government funding and social donations. And adopt a special management method of earmarking.
The basic salary of residents and the corresponding social security funds shall be borne by the government or the dispatched units.
All training bases and their medical institutions shall provide necessary teaching facilities, working conditions and corresponding expenses.
The expenses for extending training or repeating training for personal reasons shall be borne by the trainees.
Management expenses of training work, including formulation of relevant standards, construction of training base, teacher training, examination and quality evaluation, etc. , included in the project budget by governments at all levels.
The use of training funds shall be subject to special management. Encourage donations from all walks of life and individuals, and entrust the funds raised to specialized agencies for management.
(3) Others
1, residents as the mobile layer of the hospital implement dynamic management.
2. After the residency training, the training hospitals can recommend qualified personnel to participate in postgraduate course assessment and training.
The second part: the implementation plan of standardized training for residents.
In order to further strengthen the construction of hospital talent team, standardize and improve the professional and technical ability of newly admitted undergraduate, master and doctoral graduates engaged in clinical work. By participating in comprehensive, standardized and systematic clinical resident training, we will strengthen the management of specialist training process, so that after completing the training program for general practitioners and specialists, they can meet the requirements of the Ministry of Health's Standardized Resident Training and reach the level of doctors stipulated in the Regulations on the Trial Implementation of Health Technicians' Posts.
First, training objectives
1. Newly enrolled five-year and seven-year clinical medical graduates are engaged in hospital clinical medical staff.
2. Newly admitted three-year (master's and doctor's) graduate students are engaged in hospital clinical medical staff. Those who have no work experience are directly included in the standardized training of residents. If you have certain work experience, you need to participate in the corresponding level of assessment, and be included in different resident training stages according to the assessment results.
3. Residents transferred from other units should participate in the corresponding level of assessment, and be included in different resident training stages according to the assessment results.
Second, the training plan
& lt 1. Training arrangement:
The standardized training of residents is divided into two stages (2+3 plan).
The first phase lasts for two years, mainly rotating within the scope of secondary colleges. It aims to expand clinical knowledge and strengthen clinical skills and first aid ability. Prepare for the next stage of specialist training.
The second phase lasts for three years. Cultivate experts in sub-disciplines. Become a junior specialist and lay a solid foundation for professional development.
1, medical college graduates enter our hospital and enter the whole process of standardized training for residents from the first year of work.
2. All kinds of seven-year clinical medical graduates from medical colleges are included in the first and second years of training after admission.
3. Graduates majoring in clinical medicine who directly study for a master's degree after five-year graduation will be included in the first stage of residency training in the second year after entering the hospital.
4. Five-year master's degree and doctor's degree graduates majoring in clinical medicine will be included in the first-stage second-year training of residents after admission.
5, master of medicine, doctoral graduates, if they have clinical work experience, will be included in the second phase of residency training.
6. Residents transferred from other units must first participate in the comprehensive assessment of clinical skills organized by the hospital. Those who have actually reached the level of clinical skills through assessment will be included in the second stage of training.
< second > rotation scheme:
When clinical and surgical residents enter the hospital, they should first classify internal and surgical departments. Certain departments may rotate. After the first stage of culture, enter the second stage of culture. Other departments, such as pediatrics, obstetrics and gynecology, ultrasound, radiology, ENT, ophthalmology and other departments, have carried out corresponding rotation training according to the training requirements of specialists from the beginning.
< third > training requirements:
Comprehensive quality training, basic theory and clinical skills training.
Third, the training assessment:
1, daily evaluation
2. Rotation evaluation
3. Annual evaluation
4. Stage evaluation
Treatment during training:
1, residents enjoy the treatment of employees during standardized training. Those who pass the examination on the day of each month will receive a full bonus for that month. Those who fail to pass the examination in the current month will be deducted the bonus of the current month according to the actual situation.
2. The first bonus will be distributed by the Medical Department, and the second bonus will be distributed by the department.
Iv. organizational evaluation:
1, set up an assessment team for standardized training of residents, with the vice president in charge as the team leader, the director of medical department, the director of personnel department, the director of science and education department and the director of quality control office as the deputy team leader, and * * * participated in the management. The medical department is fully responsible for the daily specific work of standardized training for residents.
2. As the main person in charge of resident training in the department, the director of the department must attach importance to and support this work, and the hospital has incorporated this work into the important indicators of the director's assessment.
3. In order to realize the training quality, all departments are required to set up a resident training team, with the director as the first person in charge, and an expert assessment team, and experts from inside and outside the hospital are hired as resident skill assessment experts to conduct irregular assessment on the clinical skills of residents.
V. Specific implementation plan of the first stage of internal surgery professional training (1-2 years).
1, cultural purpose:
The rotation training of the two disciplines aims at consolidating the foundation of clinical work, strengthening clinical skills and improving clinical processing ability. It requires accurate inquiry and writing of medical history, comprehensive physical examination, and familiarity with routine diagnosis and treatment (including diagnosis and treatment technology) in various rotation departments. Master the diagnosis and treatment of common diseases in emergency department, and prepare for becoming a specialist in the next stage.
2. Requirements for rotation arrangement:
Compulsory majors of internal medicine system in the first year: cardiology (2 months), respiratory medicine (2 months), gastroenterology (2 months), neurology (2 months), emergency department (1 month), internal medicine (1 month) and pediatrics (1 month).
Compulsory majors in surgical system: general surgery (5 months), cardiothoracic surgery (2 months), orthopedics (2 months), emergency department and emergency surgery 1 month (***2 months), internal medicine (1 month).
In the second year, under the condition of obtaining professional doctor qualification, the required majors of internal surgery system are anesthesiology (3 months), EKG( 1 month), general radiotherapy (1 month), B-ultrasound (1 month), CT room (1 month) and ICU. )
This year, clinical skills are mainly strengthened, and it is required to master various clinical operation skills, including electrocardiogram, film reading, cardiopulmonary resuscitation, ventilator use, tracheal intubation, various puncture and non-invasive monitoring techniques.
3. Training methods:
1), the tutor responsibility system (above the attending title), specialized teaching, the examination by the medical department.
2), the first year residents must all make an appointment for big medical records (electronic medical records in our hospital? ), at least five books a month. In the second year, you can rewrite the admission record and register it for future reference.
3), each department in charge of beds shall not be less than 5.
4. Assessment:
In the first year, the assessment content is mainly based on clinical basic skills, including medical record quality, physical examination and theoretical knowledge assessment. The time is June every year.
In the second year, the assessment content is mainly skill assessment, including film reading, EKG, cardiopulmonary resuscitation, skill operation and theoretical knowledge assessment. The time is July every year.
Members of evaluation expert database: Internal Medicine Group: Hu Zhitao, Wei Hong, Tang Haitao, Zhang Shiqun, Wang Xiufen, Weng Yunlong and Yu Long.
Operation group: Wei Xie, Sun Liangye, Huo Qianlun, Xie and Li Jiakuan.
Medical technology group: Zhang, Zhou Zugang, Xu Jiasheng, Kan Xiaojie, Wu.
Six, the specific implementation plan of the second stage training of internal and surgical specialty
1. training purpose: through two years of training in various disciplines, we will further consolidate our professional knowledge, master the routine of diagnosis and treatment of common and frequently-occurring diseases (including diagnosis and treatment techniques), attach importance to clinical practice, gradually accumulate experience, expand and improve our diagnosis and treatment ability, and complete the work of residents in colleges. At the same time, I can undertake in-hospital consultation and take interns to make rounds, reaching the specialist level.
2. Rotation arrangement: it is mainly done in specialized departments, rotating in departments, emergency rooms and wards, or selecting other specialties related to this specialty for proper rotation. The total hospitalization time was 12 months, and the emergency department was 6 months.
3. Training methods:
1), tutor responsibility system, specialist teaching (above the title of associate senior)
2), medical record writing is given priority to with admission.
4. Assessment:
Annual assessment: based on the basic theory and operational skills of the college. Including theoretical knowledge assessment and operational skills assessment (students who completed that year)
Assessment time: July every year (assessment is organized by the department and supervised by the training group).
Stage assessment: based on comprehensive ability, including case analysis, skill assessment and theoretical knowledge assessment.
Assessment time: July every year (organized by the Training Office)
Appraisal object: personnel who have completed the second-stage specialist training.
5. Evaluation Expert Group
Members of the annual evaluation team: members of the evaluation expert database and heads of relevant departments.
Members of stage evaluation team: members of evaluation expert database and heads of relevant departments.
Chapter III: Implementation plan of standardized training for residents.
Standardized training of clinical residents is an important part of post-graduation education for medical college graduates, which is of great significance to improve the quality of clinicians and cultivate high-quality talents. According to the Ministry of Health's "Trial Measures for Standardized Training of Clinical Residents" and Guangdong Province's "Implementation Plan for Standardized Training of Clinical Residents", our city began to carry out standardized training of clinical residents in tertiary hospitals in XX. In XX, the Implementation Measures for Standardized Training of Clinical Residents in Shenzhen was formulated. On the basis of the pilot, the training work was fully rolled out in hospitals above the second level in the city. Since 20XX, standardized training of clinical residents has been carried out in various medical institutions at all levels in the city. According to the practice of standardized training of clinical residents in our city and the development trend of specialist training in the future, the implementation measures of standardized training of clinical residents in Shenzhen are revised and issued.
I. Scope of training
(a) medical institutions above the second level:
1 later. In xx years, medical undergraduate or junior college graduates were assigned to be clinical residents in medical institutions.
2. A physician who graduated from a non-medical college, obtained the title of physician in XX years and later, and engaged in clinical work.
(2) Medical institutions below the second level: residents who graduated from medical undergraduate or junior college in 20XX and later and assigned to medical institutions to engage in clinical work.
(3) Residents of traditional Chinese medicine, integrated traditional Chinese and western medicine in general hospitals and western medicine in traditional Chinese medicine hospitals participate in corresponding training according to the level of their medical institutions.
(four) the standardized training of Chinese medicine and integrated traditional Chinese and Western medicine residents in Chinese medicine hospitals shall be implemented separately in accordance with the requirements of standardized training of Chinese medicine residents.
Second, the training object
(1) Residents who graduated from medical colleges: entered standardized training from the first year of clinical work; The first training period of residents who graduated from junior college needs to be extended for two years.
(2) Seven-year medical master graduates: enter the first stage of the third year of residency training.
(3) medical master graduates: directly enter the second stage of training. Those who have been engaged in clinical work in this discipline for more than 2 years before studying for a master's degree in medicine can directly enter the second stage of training in the second year after examination in their hospital.
(4) Master's degree or doctor's degree in medicine: those who have not been residents before graduation will enter the first year of residency training; Those who are engaged in resident work and participate in standardized training for residents before graduation will enter the first or second stage of training according to their working hours; If you used to be a resident before graduation, but did not participate in the standardized training of residents, you must be evaluated by your hospital and decide to enter the first or second stage of training; Those who obtain a doctorate in medicine after graduating from a seven-year master's degree should enter the first stage of the third-year training.
(5) Residents transferred from other units to receive standardized training in the original unit will enter the first or second stage of training after the training materials are reviewed by the hospital; Those who have incomplete training materials or have not participated in standardized training will enter the corresponding training period according to the actual level after being audited by the hospital.
Third, the training objectives
After standardized training, residents have reached the basic requirements of attending doctors stipulated in the Regulations on the Trial Implementation of Health Technicians' Positions, as follows:
(a) adhere to Deng Xiaoping Theory, Theory of Three Represents and Scientific Outlook on Development, love the motherland, abide by the law, implement the party's health policy, have good medical ethics, love clinical medicine, and serve the people's health wholeheartedly.
(two) master the basic theory of this discipline, familiar with the basic theory of related disciplines, have a systematic understanding of this discipline, understand the new progress of this discipline at home and abroad, and use it to guide practical work.
(3) Have rich clinical experience and strong clinical thinking ability in this discipline, master clinical skills in this discipline, be able to independently handle common diseases and some difficult diseases in this discipline, give professional guidance to junior doctors, and undertake certain clinical teaching work.
(four) master clinical research methods, closely combined with clinical practice, write a certain level of academic papers.
(five) to master a foreign language, be proficient in reading foreign language books and periodicals in this subject, and have good listening, speaking and writing skills.
Fourth, the training content
Including political thought and medical ethics, clinical ability, professional theory, professional foreign language, scientific research and teaching ability.
(1) political thoughts and professional ethics: cultivate the idea of serving patients wholeheartedly and excellent medical ethics, and establish a rigorous and realistic scientific attitude.
(two) the training of clinical ability and professional theory is carried out according to the requirements of the training rules of various disciplines.
(3) Specialized foreign languages: mainly self-study, reading foreign language monographs, related documents and professional magazines related to various disciplines. In the first stage, it should be able to translate more than 2500 printed words of foreign professional books and periodicals per hour; In the second stage, I can translate more than 3000-3500 printed words of foreign professional books and periodicals every hour, and I have good listening, speaking and writing skills.
(4) Scientific research ability: combined with clinical practice, I have certain scientific research ability under the guidance of superior doctors. In the first stage, you should have the reading and analysis ability of professional journals, and complete 1 article with a certain level of literature review or case report and case analysis; In the second stage, we should master the basic clinical research methods and complete 1 academic papers with a certain level.
(5) Teaching ability: provide professional guidance to junior doctors, and doctors in clinical teaching bases of medical colleges should undertake certain clinical teaching tasks.
During the training process, residents should fill in the Registration Manual for Standardized Training of Clinical Residents, and truthfully record clinical practice and related scientific research and teaching activities as an important basis for training and assessment.
Verb (abbreviation for verb) training time
The training period is five years, with the first three years as the first stage and the second two years as the second stage. The first-stage training of residents who graduated from junior college needs to be extended for two years.
The first stage is the general training stage, which is completed through the rotation of the main professional departments and related professional departments of this discipline. Among them, it is necessary to arrange for no less than 1 year, implement the 24-hour resident responsibility system, and arrange for no less than 3-6 months to participate in grassroots or community health work practice. The purpose is to master the basic theory, knowledge and skills of this subject.
The second stage is the specialized orientation training stage, which mainly aims at the work and study of the future tertiary disciplines, and completes the training of general practitioners in both disciplines at the same time. The time is usually 1 year, with a minimum of 8 months. The purpose is to lay a good foundation for professional development and improve professional theoretical level and clinical ability. In the second stage, units that do not have specialist training conditions need to send residents to the standardized training base for residents approved by the Provincial Health Department for training.
Sixth, training base.
Subjects that meet the standard requirements of Guangdong Provincial Clinical Resident Training Base may apply for a clinical resident training base, which shall be examined and approved by the Municipal Health Bureau.
The recognized training base shall formulate a training plan according to the requirements of the training outline and strictly implement it. In addition to training the residents of the unit, the training base also needs to undertake the resident training tasks sent by other units.
According to the requirements of the training program, if the unit is not established, residents need to be sent to other medical institutions for training; For disciplines that have not obtained the qualification of the training base, residents who have completed the first-stage training should be sent to the training base in a planned way for the second-stage professional orientation training, and the time should not be less than 1 year.