The health ministry office for about the all-around doctor standardization training

Base to identify and management measures (draft) of opinion

Who do we medical tube [2012] no. 60

        The relevant units:

        For the thorough implementation "the state council about building the general practitioner of the system guidance (guo fa [2011] no. 23) spirit, and strengthen the general practitioner of the education base of recognition and management work, our organization draft" all-around doctor standardization training base to identify and management measures (draft) (from the health ministry web site "medical supervision" column download). Now open for advice, please in February 2012 to 10 will be sent to the designated electronic feedback mailbox.

        United is: the department of health, medical GuoJiangWei van crystal

        The telephone number: 010-68792622, 68792791

        The true: 010-68792790

        E-mail: qkysjd@163.com

        ○ 2 January 29,, just a little

The general practitioner that standardization training base and management methods

(drafts)

        The first chapter is always

        Article 1 in order to strengthen the general practitioner standardization training base management, according to "the state council about building the general practitioner of the system guidance (guo fa [2011] no. 23), these measures.

        Article 2 the general practitioner standardization training base (hereinafter referred to as general base) is the general practitioner standardization training, job-transfer training and examination examination of the main places, including clinical training base and practice base.

        Article 3 the general base in principle in level 3 general hospital and set the appropriate conditions level 2 general hospital, the practice base in principle in conditional set basic medical and health institutions (community health service center, rural hospitals, similarly hereinafter) and professional public health institutions. The construction of base of general to make full use of the present resources, according to "TianPingBuJi" principle.

        Article 4 each general base and so on shall be 2 basic medical and health institutions and 1 so the professional public health institutions to establish the cooperation relations training for the practice base for the general practitioner basic-level medical and public health service training practice, practice base shall have corresponding training conditions.

        Article 5 the general base grading the dynamic management. The health ministry in conjunction with the ministry of education, national development and reform commission, human resources social security, the Chinese medicine bureau and other departments responsible for establishing general base standard, identification and management measures, selective examination organization supervision. Each provincial administrative departments of public health education and development together with social security reform, human resources, traditional Chinese medicine management department is responsible for general recognition and management base and organize regular steering evaluation.

The second chapter authentication conditions and procedures

        Article 6 the general base should have meet the needs of training the general practitioner secondary subject setting, the individual specialized subject setting, and 1-two specialized subject hospital joint, as a collaboration to complete the training base of the general practitioner task.

        Article 7 apply for recognition of the hospital for general base (hereinafter referred to as the declaration hospital), it shall comply with the general standard base (see appendix 1), disease species were basic covers related discipline common diseases (see appendix 2 list of diseases), have to meet the requirements of the cultivation standard of teachers' team.

        Article 8 comply with this regulation of medical institution to the conditions of local provincial public health administrative department proposed general base to maintain application.

        Article 9 as general base as follows procedures:

        (1) from review and to maintain application. According to the related documents and declare hospital standard, to the hospital, cooperation, and practice base from review, complete self-evaluation report, fill in "all-around doctor standardization training base form of, and according to the requirements of the relevant materials to declare, with the provincial health service to put forward to maintain application.

        (2) form review. Provincial public health administrative department shall, jointly with the related departments according to the "all-around doctor standardization training base standard" and these regulations, to declare material review form, and in the application within 30 days after receiving the make whether or not to accept the application of reply.

        (3) on the review. Provincial public health administrative department or the entrusted by the relevant industrial associations, based on the general standard base, organize the related experts to meet the application conditions of the field hospital evaluation, form the opinion that, according to develop capacity to determine the training scale. The results of the basic standard and standard and points is below standard. One standard base have all-around doctor training qualification; Basic standards, and shall, according to the results of the review in the provision of time and again to rectification elective review; Substandard, to improve the conditions apply again.

        (4) the results public and released. The results of the general base by provincial public health administrative department shall, jointly with the related departments in the health information web site published. Through the review of the general base list and the recruitment of students scale by provincial public health administrative department announced the ministry of unity and record.

        In the third chapter base management and supervision article 10 of the industry general base Dec. management. The health ministry shall, jointly with the related departments shall be responsible for the management of general base of supervision over the work of the guidance. Provincial public health administrative department shall, jointly with the related departments shall be responsible for the general base within the jurisdiction of recognition and management, establishing and implementing training plan, and relying on the industry association, organize the training examination, to monitor the training quality and maintain training work order.

        Article 11 the general bases of dynamic management, determine the cycle for 3 years. General base before the end of the period shall be made six months that apply for review, provincial public health administrative department shall, jointly with the related departments to check the review, before the end of this cycle to check that conclusion, the ministry and the record.

        Article 12 the general base shall strictly perform their functions and duties in accordance with the relevant state regulations, strengthen the base construction, the construction of the teaching staff, gradually improving relevant conditions, strengthen the training of process management and training of quality evaluation.

        Article 13 the general base shall, in accordance with regulations do training process management. By completing the general practitioner training registration handbook, record daily clinical medical content, self learning evaluation, guide doctors evaluation, director of the base observation evaluation, evaluation, regular check and also a variety of forms such as guarantee training quality.

        Article 14 after the assessment that general base can recruit general direction of resident, carry out standardized training. Without acknowledgment or confirmed not qualified medical and health institutions, as well as not to submit the application and review review that the base has not been approved shall not carry out the general practitioner standardized training. Already listed in the national all-around doctor clinical training base construction project unit, in general conditions andmeasures base with, on the basis of the approved general base for the qualifications, relevant departments at the provincial level shall be clearly the cultivation and all-around doctor's responsibility and obligation.

        Article 15 during the reporting process to cheat the declaration of the hospital, shall be immediately terminate review, and three years that will not accept the application.

        Article 16 without authorization, expand the general practitioner general base training scale, not according to education standards implementing training activities, organization management confusion, cannot guarantee the quality of training, student reflects a strong opinion, give criticized and rectification within a time limit. If the circumstances are especially serious, or fails to make corrections, cancel its general base qualification, 3 years no longer accept its cognizance application.

        Article 17 the provincial public health administrative department and the general base will be recognized for all-around doctor training quality as an important index into hospital evaluation, evaluation index system.

        Article 18 the provincial public health administrative department shall, jointly with the related departments in accordance with the related regulations, regular this area general base inspection and evaluation for training standard, good quality, innovative features general base and guide doctors give commend.

The fourth chapter is attached

        Article 19 the traditional Chinese medicine and management measures that general base by the state administration of traditional Chinese medicine shall, jointly with the related departments develop.

        Article 20 the general practitioner of the national standardization training demonstration base of recognition and management measures shall be formulated separately.

        Article 21 the measures in conjunction with the ministry of education by the ministry of public health, national development and reform commission, human resources social security bureau, traditional Chinese medicine and other departments responsible for the explanation.

        Article 22 the measures on the day of its promulgation.

        Accessories: 1. The general practitioner standardization training base standards

        2. The general practitioner clinical training base of name were common diseases

        Annex 1

        The general practitioner standardization training base standards

        A, clinical training base standards

        (1) the basic conditions

        1. 2 class of first-class and above general hospital, set up complete department, at least set the following department: internal medicine, surgery, gynecology and obstetrics, and pediatrics, emergency service, general all-around-doctors (with general medical function of the department, such as old department and general health care division, etc), skin, eye, ear, nose and throat, psychiatric, dr. Irus, occupational disease division, medical imaging division (including radiation, ultrasonic and nuclear medicine), medical test branch, rehabilitation all-around-doctors, etc. Not set gynecology and obstetrics, paediatrics, psychiatric, dr. Irus, occupational disease division with related specialized subject hospital joint declaration.

        2. The hospital scale:

        (1) the total ChuangWeiShu quartile 1200 copies; Years MenZhenLiang quartile 1.5 million people, and the fluctuation in frequency over 80000, 50000 people in the third discharge frequency.

        (2) the diseases should satisfy the number were the general practitioner cultivation standard rules requirements.

        (3) department of the need to have medical equipment: meet the general practitioner cultivation standard requirements of the detailed rules.

        (4) medical workload: internal medicine, surgery, gynecology and pediatrics and other major training department of each take to teach guidance physician in ward work management five beds above, outpatient service working days accepts more than 20 patients, emergency working days above 15 patients became.

        3. The hospital must be approved by the competent leadership general medical knowledge training on the general medical discipline has a clear and comprehensive understanding.

        (2) teachers conditions

        1. The personnel:

        (1) guidance physicians and trainees proportion is 1:2.

        (2) there is no less than five responsible for general medical teaching the backbone of teachers; Teachers in more than four and professional technical position ratio not less than one-third.

        2. Guidance physicians conditions:

        (1) base in the administrative offices guidance physicians should be accepted and the health administrative department at or above the provincial level or general medical training center of teacher training, and obtain the teacher training certificate.

        (2) theory class teaching teacher have bachelor or above degree, associate chief physician and more titles; Practice and teaching teachers should have bachelor or above degree, the attending physician qualification.

        (3) have clinical teaching practice, master and familiar with training rules requirements.

        (4) has the strong sense of responsibility.

        (3) the organization and management requirements

        1. The organization: have the general practitioner of management institution and the standardization training professionals, part-time management personnel (including hospital, department two level all-around doctor training management agencies and personnel).

        2. Management team: full-time and part-time management personnel familiar with the general medical philosophy, trained, and a medical or bachelor degree.

        3. Management system: the general practitioner into resident standardization training training system, there is all-around doctor training plan, outline, improve the training management system and the general practitioner rotation training plan, to practice base personnel business training and instruction.

Second, the standard practice base

        (1) the basic standard of medical institutions

        1. The basic conditions:

        (1) for the administrative department of public health under the set, in local demonstration role with the community health service center or rural hospitals, with general all-around-doctors. Subject to the general practitioner standardization training base of the management, according to the general practitioner training standards and the requirements of clinical training base, completes the practice teaching task.

        (2) service area population in principle should not be less than 50000; Every name doctors often contact service guide objects are not less than 200 people.

        (3) community health service perfect function, can be used in a general medical philosophy, the use of community health service appropriate technology, provide a comprehensive, the primary medical treatment of the continuous service and basic public health service.

        (4) is responsible for the health and residents within the jurisdiction of information collection, statistics, analysis and report to work.

        (5) be community health promotion network, can use of community resources for developing community health services.

        (6) with the hospital has established cooperation relationship or designated two-way referral relationship.

        (7) have good doctor-patient relationship, have higher patient and service crowd satisfaction.

        (8) the classroom (conference room), library, the blackboard, projectors, computers and other necessary teaching equipment conditions; The library at least 10 or general medical, community health and other related areas of academic journals, more than 20 kinds of common reference books or reference books.

        (9) medical equipment should meet the general practitioner of cultivation standard requirements.

        2. Teachers conditions:

        (1) a specialist university and above, the attending physician and of professional technical position, and have 3 years or above working experience in community; To implement general medical service model; Has the general medical teaching consciousness and practical; Work attitude seriously rigorous; Love the general medical career and take to teach work; Good interpersonal skills and teaching ability.

        (2) should have more than five doctors received guidance and the health administrative department at or above the provincial level or general medical training center of teacher training, and obtain the teacher training certificate.

        (3) guidance doctors should has the team cooperation spirit.

        (4) guidance physicians average daily services not less than 20 people.

        (5) at least 10 cases of general medical typical teaching cases above.

        3. The organization and management requirements:

        (1) a person for the general practitioner practice base daily management work.

        (2) has regular gp practice training management system.

        (3) and the general practitioner clinical training base a clear division, cooperation closely.

        (2) professional public health agency standard

        1. Have the report and treatment of infectious diseases in the endemic, prevention, chronic non-communicable disease management, maternal and child health management, occupational disease prevention, public health emergency treatment and health education and work ability and the condition.

        2. With epidemic and infectious diseases prevention and control, immune preventive, public health, AIDS prevention and control of occupational disease prevention, venereal diseases, health inspection and education, physical and chemical and microbiological test and professional department.

        3. Talent team is reasonable, senior above title personnel quartile 30%, bachelor degree or above personnel quartile 40%, bear the advanced medical colleges and universities public health teaching and practice tasks.

        4. With atomic absorption spectrophotometer, gas chromatography and high performance liquid chromatography (HPLC) analyzer, portable infrared gas analyzer, infrared spectrophotometer, formaldehyde detector, plasma emission spectrum mass spectrometer, automatic biochemistry analyzer, high precision electronic balance, automatic water quality analyzer, B ultrasonic machine, multi-function perspective photography systems and other equipment, equipment complete cold chain system.

        Attachment 2

The general practitioner clinical training base of name were common diseases

        A, medicine

        (1) the cardiovascular system: high blood pressure, coronary heart disease, angina, myocardial infarction, congestive heart failure, arrhythmias (including sinus atrial tachycardia, period before contractive, atrial tachycardia, atrial flapping, atrial fibrillation, ventricular period before contractive, ventricular tachycardia, ventricular flapping, ventricular fibrillation, sinus bradycardia, atrioventricular block), etc.

        (2) the respiratory system: upper respiratory tract infection, and bronchial asthma, chronic bronchitis, chronic obstructive pulmonary disease, pneumonia, sleep apnea hypopnea syndrome, acute pulmonary infarction, etc.

        (3) the digestive system: chronic gastritis, peptic ulcer disease, gastrointestinal hemorrhage, acute and chronic diarrhea, infection and the inflammatory bowel disease, gastroesophageal reflux disease, liver cirrhosis, liver encephalopathy, etc.

        (4) of the urinary system: the acute and chronic urinary tract infection, acute and chronic glomerulonephritis, secondary glomerular disease (including diabetic nephropathy hypertension, renal artery sclerosis), chronic renal transplantation.

        (5) the endocrine and metabolic system: diabetes, dyslipidemia, lipoprotein abnormal hematic disease, gout, thyroid function hyperthyroidism, hypothyroidism, thyroid crises, etc.

        (6) rheumatoid disease: systemic lupus erythematosus, rheumatoid arthritis, etc.

        (7) the blood system: anemia (including iron deficiency anemia, aplastic anemia, nutrition not benign anemia, hemolytic anemia), hemorrhagic disease (including allergic purpura and thrombocytopenic purpura), the acute and chronic leukaemia, etc.

        (8) diseases of aging: osteoporosis, the prostate gland proliferation, dementia, incontinence, constipation, etc.

        (9) nervous system: transient ischemic attack, atherosclerosis sex cerebral thrombosis, cerebral embolism, of lacunar cerebral infarction and cerebral hemorrhage, subarachnoid hemorrhage, high blood pressure encephalopathy, other illnesses, such as vascular dementia and alzheimer's disease, Parkinson's, facial palsy, migraine, brain tumors, meningitis, etc.).

        Second, pediatric

        (1) of child growth.

        (2) newborn common diseases: neonatal asphyxia, newborn babies, jaundice, pneumonia newborn babies, sepsis blood out.

        (3) nutritional diseases: malnutrition, simple obesity, infantile rickets anemia, and baby brothers tetany, etc.

        (4) the system disease: the respiratory disease (including feeling, asthma, laryngitis, pneumonia, etc), infantile diarrhea, abdominal pain, infantile infantile convulsion, epilepsy, acute nephritis, nephrotic syndrome, congenital heart disease, diabetes, infantile viral myocarditis, children acute leukemia, etc.

        (5) children common acute infectious disease: chicken pox, measles, mumps, rubella, foot and mouth disease, polio, scarlet fever.

        Three, surgical

        (1) a surgical infection: sepsis, the symptom such as purulent blood disease, tetanus, local festering infection, gas gangrene, etc.

        (2) water, electrolyte and acid-base disorders.

        (3) the neck disease: thyroid neoplasm, neck mass, etc.

        (4) mammary gland disease: acute RuXianYan, breast abscess, mammary gland hyperplasia, nipple discharge fluid, such as breast cancer.

        (5) abdominal disease: the abdominal hernias, appendicitis (including the acute and chronic appendicitis and children, old age, ectopic pregnancy, special type appendicitis), intestinal obstruction (including pure sex, strangulation, and acute intestinal obstruction), ulcers perforation, patients with acute cholecystitis, acute suppurative cholangitis, cholelithiasis and biliary tapeworm disease, acute and chronic pancreatitis, pancreatic cancer, pot of abdominal cancer, cancer of the stomach, colorectal cancer, liver cancer and so on.

        (6) anal rectum disease: anal fissure, anal, hemorrhoids, etc.

        (7) peripheral vascular disease: the varix, thromboangiitis obliterans, lower limb of deep venous inflammation, cystic lymphoma, etc.

        (8) the urinary tract disease: acute urinary retention, urinary stones, prostatitis, the prostate gland hyperplasia, prostate cancer and so on.

        (9) bone and joint disease, waist and leg pains, neck shoulder pain, acute and chronic blood-borne osteomyelitis, degenerative joint disease, GuJieHe, benign and malignant bone tumors, etc.

        Four, gynecology and obstetrics

        (1) common gynecologic disease: cervical and vaginal inflammation, vaginal abnormal bleeding, hysteromyoma, ovarian cyst.

        (2) the disease causes acute abdominal pain, ectopic pregnancy, acute pelvic inflammation, ovarian cyst's turn, etc.

        (3) the perinatal period care: the pregnancy, early, middle and late diagnosis, prenatal care, postpartum health care, high-risk pregnancy, abnormal ChanRu, postpartum depression, etc.

        (4) menopause health care: including the menopausal transition syndrome, menopause, osteoporosis, etc.

        (5) family planning: all kinds of contraceptive methods, contraceptive failure remedial measures, abortion after operation and its complications, drug abortion and its common complications, etc.

        Dr. Irus five,

        Bacterial dysentery, other infectious diarrhea, viral hepatitis, tuberculosis, and other common infectious and parasitic diseases (epidemic cerebrospinal meningitis, epidemic hemorrhagic fever, cholera, human acquired immune deficiency syndrome (AIDS), common parasitic disease, leprosy, new hair infectious diseases and local infectious diseases), etc.

        Six, emergency aid

        Cardiac arrest, acute airway obstruction, acute respiratory failure, acute respiratory distress syndrome (ARDS), spontaneous pneumothorax, angina, acute myocardial infarction, shock, upper gastrointestinal bleeding, acute kidney failure, epileptic state, poisoning and accident injury (including common poisoning, heat, flooded drowned, animal bites, etc.), acute abdominal disease, trauma (including multiple trauma, head trauma, pneumothorax, pulmonary contusion, fractured ribs, cervical spinal cord injury, trauma, merger, paraplegic, extremities fractures, hand injury, burns), etc.

        Seven, skin

        Eczema (including severe eczema), contact dermatitis (including intensive contact dermatitis), drug rashes (including severe drug), and urticaria (including the acute and chronic and special type), psoriasis (including the unusual type and special type), skin fungal infections (including shallow fungus, brothers tinea, tinea, tinea capitis body, JiaXuan and tinea versicolor), herpes simplex and shingles, all kinds of warts (unusual warts, flat warts, contagious soft wart), sexually transmitted disease (syphilis, gonorrhea, blame drenchs urethritis of bacteria, genital herpes and acuteness wet wart, etc) and dermatitis, acne, etc.

        Eight, ophthalmology

        Eyelid gland inflammation (sty common), eyelid board gland cyst (graupel bead swollen), conjunctivitis, cataract (mainly for senile cataract), glaucoma, etc.

        Nine, otolaryngology examination

        The trauma, ent, bleeding from the nose, foreign rhinitis, sinusitis, acute or chronic tonsillitis, and its complications, sudden deafness, otitis media, the adenoids, ent common tumors, etc.

        Ten, psychiatric

        Common mental symptoms (such as hallucinations, delusions, depression, anxiety, delirium state, etc.), anxiety, depression, schizophrenia, typical acute mental drug poisonings, common body disease, mental disorder due to wine and drug dependence, etc.

        11, rehabilitation medicine

        Cerebrovascular disease caused by dysfunction, bone joint disease, all kinds of common damage, etc.

        Twelve, general

        Commonly used traditional Chinese medicine, traditional Chinese medicine appropriate technology community indication and use principle, Chinese medicine diagnosis and treatment of basic rule, thinking of the common clinical symptoms pattern identification and treatment, Chinese medicine diet and health knowledge.