住院医师规范化培训中科研能力培养现状与路径探索
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科技创新2030—“癌症、心脑血管、呼吸和代谢性疾病防治研究”重大专项(2023ZD0501600),国家自然科学基金(82300627,82673633),国家博士后创新人才支持计划(BX20230482),上海市东方英才计划拔尖项目(BJKJ2025002),上海市东方英才计划青年项目(QNWS2024108),上海市自然科学基金面上项目(23ZR1478700),上海市启明星培育计划扬帆专项(23YF1458600),上海市教委与上海市教育发展基金晨光计划(22CGA42),上海市卫生健康委员会卫生行业临床研究专项(20244Y0231)


Current status and pathways for cultivating scientific research capability among resident physicians during standardized residency training
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Supported by Science and Technology Innovation 2030—National Science and Technology Major Project for Cancer, Cardiovascular and Cerebrovascular, Respiratory and Metabolic Disease Prevention and Treatment (2023ZD0501600), National Natural Science Foundation of China (82300627, 82673633), China National Postdoctoral Program for Innovative Talents (BX20230482), Top Talent Project of Shanghai Eastern Talent Plan (BJKJ2025002), Youth Project of Shanghai Eastern Talent Plan (QNWS2024108), General Program of Natural Science Foundation of Shanghai (23ZR1478700), Shanghai Rising Star Program—Sailing Program (23YF1458600), Chenguang Program of Shanghai Education Development Foundation of Shanghai Municipal Education Commission (22CGA42), and Special Program for Clinical Research in Health Industry of Shanghai Municipal Health Commission (20244Y0231).

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    摘要:

    在当今创新驱动发展、科技引领未来的时代背景下,科研能力已成为临床医学人才岗位胜任力的重要组成部分。临床医师只有兼具临床能力和科研能力,实现临床诊疗和创新科研协同发展,才能满足新时代复合型医学人才培养的必然要求。近几年“科研反哺临床、临床驱动科研”的双向互动理念深入人心,高质量科学研究不仅推动临床实践诊疗技术的进步,亦有助于增强年轻医师职业认同感与发展动能,提高医学院校和机构的专业影响力。然而,当前我国住院医师规范化培训体系中普遍存在临床与科研工作难以兼顾的困境。本文就此现状进行梳理,通过对比分析国内外住院医师规范化培训制度的异同,剖析当前我国住院医师规范化培训面临的深层困境,并结合我院消化内科科研能力培养模式,从构建智能化科研平台、健全导师遴选培养机制、打造梯队式科研团队、完善激励评价体系4个维度提出系统化的策略,为培养综合性医学人才提供理论依据和实践参考。

    Abstract:

    In the contemporary era defined by innovation-driven development and technology-led progress, scientific research capability has emerged as a pivotal component of professional competence for clinical medical practitioners. To align with the imperatives of modern medical education, clinicians must cultivate dual proficiency in clinical practice and scientific inquiry, thereby fostering the synergistic evolution of diagnostic-therapeutic excellence and research innovation. In recent years, the paradigm of bidirectional interaction, characterized by “research informing clinical practice and clinical challenges driving scientific discovery”, has gained substantial traction. High-quality scientific research not only drives advancements in clinical diagnostics and therapeutics, but also reinforces the professional identity of early-career physicians and amplifies the academic stature of medical institutions. However, within China’s current standardized residency training (SRT) system, a pronounced imbalance persists, wherein clinical skills are prioritized at the expense of research training. We systematically elucidate this disparity through a comparative analysis of Chinese and international SRT frameworks, critically examining the structural dilemmas confronting Chinese resident physicians. Drawing upon the research competency cultivation model implemented in Department of Gastroenterology at our institution, we propose a comprehensive strategic framework encompassing 4 dimensions: (1) developing an intelligent research infrastructure, (2) the optimization of mentor selection and development mechanisms, (3) the establishment of echelon-based research teams, and (4) the refinement of incentive and evaluation systems. These strategies aim to provide both theoretical underpinnings and practical guidelines for cultivating versatile, high-caliber medical professionals.

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  • 收稿日期:2024-05-27
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  • 在线发布日期: 2026-09-21
  • 出版日期: 2026-09-20
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