医师多点执业可实现医疗资源优化配置,推动区域性医疗卫生事业更加均衡发展,促进优质医疗资源下沉,为更多患者提供优质医疗服务.本文以北京市某公立医疗机构医师多点执业现状和管理实践为基础,多角度分析医师多点执业分布情况.26.4%的医师正开展多点执业活动;89.9%的多点医师在二级及以下基层医疗机构开展服务.该院医师多点执业开展情况良好,较好的实现了优质医疗资源下沉和共享,但在医师多点执业管理中仍存在诸多问题.在当前宽松的政策下,医疗机构贯彻落实放管结合政策,完善医师多点执业内部管理,建立并优化医师多点执业申请流程,对促进医师多点执业有序开展具有重要意义.

在欧美国家,沟通技能是医生必备的核心人文技能,也是英国和美国相关医师考试的重要测考内容.我国应在执业医师资格考试中建立沟通技能的有效评价制度,医学院校则应加强医学生沟通技能与意识的培养.

To analyze the learning outcome contents and characteristics at home and abroad in clinical medicine.Thematic framework analysis was conducted with the computer software MAXQDA 2007 via coding,grouping and analyzing the domestic and international education requirements for medicine student and competency for doctor,to build clinical medicine learning outcome framework.Based on competency analysis,the learning outcome framework for clinical medicine students covers skill,academic and career development areas,which containing ten dimensions including clinical skills,practice,communica tion and so on.Medical education should be consistent with the needs of health systems and taking the factor of development into account,making health personnel training and supporting balanced.