急诊教学于中医全科医学的先导作用

文章信息/Info

• Title:急诊教学于中医全科医学的先导作用

• 卷期:2024年22卷16期

• 作者:郑耿东1，吕柳冰2，李辉3▲

• 1.广州中医药大学第三附属医院急诊科，广东广州，510000；2.江西中医药大学研究生院，江西南昌，330006

• Author(s):Zheng Gengdong1, Lv Liubing2，Li Hui3▲

• 1.Emergency Department of the Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, Guangdong, 510000; 2.Graduate School of Jiangxi University of Traditional Chinese Medicine, Nanchang, Jiangxi, 330006

• 关键词急诊教学；中医全科医学；先导作用

• Keywords:emergency teaching; General Department of Traditional Chinese Medicine; Forerunner action

• 摘要:随着中国社会发展趋势，人民医疗保健的需求与经济同步发展。常规的临床医学诊疗模式主要针对疾病，忽视了疾病预防以及疾病管理的重要性，因此全科医学尤其中医全科医学开始初露锋芒。近年，国家对中医全科人才培养越来越重视，而中医全科医师培养政策尚未完善，全科医师数量存在人才缺口。因此，如何更加系统合理地培养中医全科医师，是我们需要加以探讨的。对于中医全科方向的本科生而言，急诊轮科期间接触的病种、患者种类最广，更加接近社区全科日常工作，有利于全科思维的培养，急诊带教于中医全科医学生的重要性不言而喻，可谓中医全科人才培养的启蒙与先导。                                                                                                                                                                                

• AbstractWith the trend of social development in China, the demand for medical care of the people has developed simultaneously with the economy. The conventional clinical medical diagnosis and treatment mode is mainly aimed at diseases, ignoring the importance of disease prevention and disease management. Therefore, general practice medicine, especially traditional Chinese general practice medicine, has begun to show its strength. In recent years, the state has paid more and more attention to the training of general practitioners of traditional Chinese medicine. However, the training policy of general practitioners of traditional Chinese medicine has not been improved, and there is a talent gap in the number of general practitioners. Therefore, we need to explore how to train TCM general practitioners more systematically and reasonably. For undergraduates in the general practice direction of TCM, the types of diseases and patients contacted during the emergency round are the most extensive, which is closer to the daily work of the general practice in the community, and is conducive to the cultivation of general practice thinking. The importance of emergency teaching for the general practice students of TCM is self-evident, which can be regarded as the enlightenment and precursor of the cultivation of general practice talents of TCM.

  全科医学是以生物-心理-社会医学模式为理论基础，秉承整体观和系统论的医学思维，形成了独特的医学观和方法论，并具有系统的学科理论［１］。中医全科医学是全科医学的一部分，具有全科医学系统性、整体性的特点，同时有中医整体观念和辨证论治的优势。宋·陈无择《三因极一病证方论》言：“夫人禀天地阴阳而生者，盖天有六气，人以三阴三阳而上奉之；地有五行，人以五脏五腑而下应之。”中医治疗因时因地因人论治的个体化治疗优势与全科医学相适应，再加上中医方法简便、经济实惠、适时养生的特点，使中医全科医学更适用于基层社区医疗，更是国家医学发展的需要。