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20 14 what are the management measures for standardized training of residents in Shandong province?
Measures for the implementation of standardized training for residents in Shandong Province

Chapter I General Principles

Article 1 In order to effectively improve the overall professional quality and service ability of doctors in our province, provide high-quality medical and health services for the masses, and meet the growing demand for health services of the masses, these measures are formulated in accordance with the requirements of the state for deepening the reform of the medical and health system on establishing a standardized training system for residents, combined with the actual situation in our province.

Article 2 Standardized training for residents is the main form of medical education after graduation. It means that medical graduates in colleges and universities receive systematic and standardized training focusing on cultivating clinical ability after completing university education. The purpose is to make residents become clinicians with good professional ethics, solid medical theoretical knowledge and clinical skills, and be able to independently undertake the diagnosis and treatment of common diseases in this discipline. The training direction is divided into general direction and specialized direction.

Article 3 The standardized training targets for residents are medical graduates with bachelor degree or above who intend to work in clinical professional posts within the administrative area of Shandong Province; Three-year medical graduates who intend to engage in clinical work in grassroots medical and health service institutions in economically underdeveloped counties.

Article 4 Undergraduate graduates have participated in standardized training for residents for 3 years; Master and doctor can determine the training time according to whether they have clinical experience; According to the relevant provisions of the health administrative department of the State Council and the needs of hospital development, qualified tertiary general hospitals and specialized hospitals audited by the provincial health department can provide specialist training for those who have completed the standardized training of residents for three years.

Chapter II Organization and Management

Fifth standardized training of residents in the province to implement the whole industry localization management.

The Provincial Health Department is in charge of the standardized training and management of residents in the province, and the Municipal Health Bureau is responsible for the standardized training and management of residents in this area.

Article 6 A joint meeting on standardized training of residents in Shandong Province (hereinafter referred to as the "joint meeting") led by the Provincial Health Department and attended by the Provincial Development and Reform Commission, the Department of Finance, the Department of Human Resources and Social Security, the Department of Education and other institutions of higher learning shall be established to lead and coordinate the standardized training of residents in Shandong Province. The director of the provincial health department is the convener of the provincial joint meeting. The joint meeting consists of an office located in the provincial health department, which is responsible for the daily management of standardized training for residents.

Seventh provincial joint meeting set up a provincial medical education expert steering committee to participate in the formulation of training base construction standards, training rules and assessment standards, as well as the evaluation of training quality.

Chapter III Base Management

Eighth standardized training base for residents refers to the place where residents receive systematic and standardized training to improve their clinical ability. It is a medical and health institution recognized and announced by the health administrative department at or above the provincial level to undertake the task of standardized training for residents. Training bases are divided into clinical training bases and community practice bases.

Ninth standardized training of residents must be carried out in the recognized training base. The training base is subject to dynamic management, regular spot checks and supervision, and re-certification every five years. No accredited or unqualified training base may carry out standardized training for residents.

Tenth training base hospitals should set up a leading group for standardized training of residents, to co-ordinate the management of standardized training of residents, and to clarify that functional departments and specific staff are responsible for standardized training of residents.

Eleventh training base hospitals should establish and improve the training management system, implement training in strict accordance with the training standards, strengthen the management of the whole training process, strengthen the construction of clinical disciplines and teacher training, and ensure the quality of training.

Chapter IV Training Management

Twelfth training disciplines according to the provisions of the health administrative department of the State Council and state administration of traditional chinese medicine two disciplines.

The office of the joint meeting of the province may, according to the actual needs, increase or adjust some training disciplines after the approval of the health administrative department of the State Council.

Thirteenth residents standardized training object recruitment in accordance with the principle of "two-way choice, overall deployment". Each training base hospital shall determine the annual recruitment plan of each base before the end of June each year and submit it to the office of the joint meeting of the province, and the office of the joint meeting of the province will uniformly release the standardized training and recruitment plan for residents in the province. Training base hospitals should complete student registration and enrollment before the end of August.

Fourteenth trainees should be trained in public subjects, clinical practice skills and professional theoretical knowledge under the guidance of teachers in the training base and in accordance with the requirements of the training syllabus and training standards. Clinical practical skills are mainly clinical teaching and training, while public subjects and professional theories are mainly self-study.

Fifteenth resident training during the implementation of training information registration management system, training objects, teachers and base management personnel should be timely, accurate and detailed registration of training process and training content, and as an important basis for training assessment.

Chapter V Assessment Management

Sixteenth training assessment is divided into process assessment and graduation assessment. It is a necessary condition to pass the examination and obtain the qualification of medical practitioners in the training process. The assessment results serve as the basis for obtaining the standardized training certificate for residents.

Seventeenth training process assessment is a comprehensive evaluation of resident rotation training process, which is divided into daily assessment, clinical rotation assessment and annual assessment; The assessment contents include medical ethics, attendance, the completion of clinical practice indicators, clinical comprehensive ability and business learning activities.

Eighteenth training completion assessment is divided into written examination and clinical skills assessment. The content of graduation written examination includes medical professional theory, theoretical knowledge of public subjects and clinical thinking ability. Clinical skills assessment focuses on the clinical diagnosis and treatment ability and operational skills of residents with common and frequently-occurring diseases.

Nineteenth training hospitals should organize students who meet the registration conditions of practicing (assistant) doctors to participate in the national medical qualification examination. Obtaining the qualification of medical practitioners during training is a necessary condition for passing the training examination.

Twentieth training assessment by the provincial health department unified organization; The annual assessment is organized by the Municipal Health Bureau; Daily assessment and clinical rotation assessment are organized by the training base hospital.

Twenty-first those who pass the examination shall be issued a unified standardized training certificate for residents by the health administrative department of the State Council. Since 20 16, the certificate of standardized training for residents has been used as the basic condition for doctors in clinical professional posts to apply for the intermediate professional and technical qualification examination of corresponding majors.

Since 20 16, all kinds of medical institutions at all levels should take obtaining the certificate of standardized training for residents as a necessary condition for doctors who newly enter clinical professional positions after 20 13 to appoint intermediate professional and technical positions.

Twenty-second personnel who have obtained the certificate of standardized training for resident doctors may apply to the relevant degree-granting units for corresponding degrees or participate in specialist training as required.

Chapter VI Safeguard Measures

Twenty-third standardized training of residents is an important part of deepening the reform of medical and health system and the construction of health talents, and all localities should incorporate it into the development plan of health undertakings. Health, development and Reform Commission, finance, human resources and social security, education and other departments should perform their respective duties, cooperate closely, formulate corresponding supporting policies and measures, fully guarantee personnel, treatment, funds and teaching resources, and promote the construction of standardized training system for residents.

Twenty-fourth training funds in accordance with the principle of diversified investment, by the government, the training base hospital, the employer and the training object * * *.

Due to personal reasons, the additional training expenses for extended training or repeated training shall be borne by the trainees themselves.

Twenty-fifth during the training period, the relationship between personnel, wages and social insurance of the trainees selected by the unit remains unchanged, and their wages are still paid according to the current administrative affiliation and funding guarantee channels; For the training objects recruited by the society, the training base shall pay the living allowance according to the training agreement (contract).

Twenty-sixth through the standardized training of residents, general practitioners working in community health service institutions and township hospitals can take the national general practice examination for intermediate qualification of health technology one year in advance.

Twenty-seventh training bases should sign corresponding training agreements or contracts with dispatched units and trainees. The training base is responsible for the education and management of trainees during the training period, and the agreement or contract will be terminated naturally after the training.

Twenty-eighth standardized training of residents to take three years of continuous training, training bases, sending units during the training period shall not terminate or interrupt the standardized training of residents to be trained.

Twenty-ninth trainees during the training, must abide by the rules and regulations of the training base hospital, establish a good medical ethics, actively participate in and seriously complete various training and assessment tasks. For violators, depending on their severity, they will be given critical education, postponed training or even terminated training. Termination of training must be reported to the provincial health department for the record.

Chapter VII Supplementary Provisions

Thirtieth basic medical and health service institutions in urban and rural areas engaged in clinical work of medical college graduates standardized training program shall be formulated separately.

Article 31 These Measures shall come into force on July 20 13/day and shall be valid until June 30, 20 1 8.