中南大學(xué)臨床醫(yī)師臨床業(yè)務(wù)能力考核標(biāo)準(zhǔn)
提供者:配置組
發(fā)布時(shí)間:2010/06/23 12:00
總  則
一、 基本要求
(一) 主任醫(yī)師、副主任醫(yī)師
1、 申報(bào)者應(yīng)精通本專(zhuān)業(yè)理論,掌握國(guó)內(nèi)外本專(zhuān)業(yè)技術(shù)發(fā)展動(dòng)態(tài),并能吸取最新科研成果應(yīng)用于臨床醫(yī)療工作;
2、 有豐富的臨床工作經(jīng)驗(yàn),能熟練地掌握本專(zhuān)科技術(shù)操作,解決本專(zhuān)科復(fù)雜的疑難?。?/DIV>
3、 能熟練指導(dǎo)本專(zhuān)科臨床醫(yī)療業(yè)務(wù)工作,能培養(yǎng)住院醫(yī)師;
4、 熟練掌握申報(bào)專(zhuān)科各病種的診斷和處理方法。熟練掌握本專(zhuān)科各種臨床技能操作(外科系列包括相應(yīng)的手術(shù))。
(二) 主治醫(yī)師
具體要求參見(jiàn)《中南大學(xué)臨床住院醫(yī)師與專(zhuān)科醫(yī)師培訓(xùn)實(shí)施細(xì)則》。
二、 臨床醫(yī)療工作時(shí)間要求
考慮到本校醫(yī)療機(jī)構(gòu)醫(yī)務(wù)人員既要參加臨床醫(yī)療工作,又要承擔(dān)科研教學(xué)任務(wù),本標(biāo)準(zhǔn)對(duì)病房、門(mén)診、急診工作時(shí)間的要求在衛(wèi)生部有關(guān)文件的基礎(chǔ)上進(jìn)行了調(diào)整,但必須達(dá)到如下要求:
1、 每年臨床醫(yī)療工作時(shí)間要求與時(shí)間分配要求(見(jiàn)表1)。表中時(shí)間安排按下列因素測(cè)算。
2、 副主任醫(yī)師晉升主任醫(yī)師的時(shí)間段內(nèi),臨床醫(yī)療工作時(shí)間按全部工作時(shí)間的65%計(jì)算,另外的35%工作時(shí)間用于教學(xué)與科研工作。
3、 主治醫(yī)師晉升副主任醫(yī)師的時(shí)間段內(nèi),臨床醫(yī)療工作時(shí)間按全部工作時(shí)間的75%計(jì)算,另外的25%工作時(shí)間用于教學(xué)與科研工作。
表1.  晉升高級(jí)技術(shù)職稱(chēng)醫(yī)師醫(yī)療工作時(shí)間參考表(年)
晉升職務(wù)
醫(yī)療工作
時(shí)間(周)
臨床工作時(shí)間分配
病房(周)
門(mén)急診(周)
機(jī)動(dòng)時(shí)間
副主任醫(yī)師
36-37
21
14
1
主任醫(yī)師
32-33
23
9
1
4、 在申報(bào)專(zhuān)科現(xiàn)有技術(shù)職稱(chēng)的崗位上從事臨床醫(yī)療工作5年以上(含5年)。
三、 本標(biāo)準(zhǔn)適應(yīng)全校醫(yī)療機(jī)構(gòu)晉升臨床主治醫(yī)師、副主任醫(yī)師、主任醫(yī)師職務(wù)的人員。與此標(biāo)準(zhǔn)有沖突者,以此標(biāo)準(zhǔn)為準(zhǔn)。
本標(biāo)準(zhǔn)解釋權(quán)歸中南大學(xué)醫(yī)院管理處。
 
 
全科醫(yī)學(xué)專(zhuān)業(yè)
擬晉升技術(shù)職稱(chēng):全科副主任醫(yī)師
一、 病種及例數(shù)要求
病種
例數(shù)≥
備注
常見(jiàn)傳染病
10
 
心力衰竭
10
 
慢性阻塞性肺病
15
 
支氣管哮喘
15
 
肺炎
10
 
自發(fā)性氣胸
10
 
心律失常
10
 
消化性潰瘍
10
 
慢性膽囊炎
10
 
腎小球腎炎
5
 
慢性腎衰竭
2
 
貧血
10
 
糖尿病
10
 
甲狀腺機(jī)能亢進(jìn)
5
 
痛風(fēng)
5
 
高血壓
15
 
帕金森氏病
5
 
帶狀皰疹
5
 
過(guò)敏性皮膚病
5
 
嬰幼兒腹瀉
15
 
常見(jiàn)感染性眼病
15
 
15
 
闌尾炎
20
 
尿石癥.
10
 
痔病
20
 
乳腺疾病
15
 
腰椎病
20
 
頸椎病
20
 
一般創(chuàng)傷
30
 
 
二、 技術(shù)操作要求
技術(shù)名稱(chēng)
次數(shù)≥
備注
胃腸減壓術(shù)
5
 
導(dǎo)尿術(shù)
15
 
灌腸術(shù)
5
 
腹腔穿刺術(shù)
10
 
胸腔穿刺術(shù)
10
 
無(wú)菌技術(shù)
20
 
膿腫切開(kāi)引流術(shù)
20
 
換藥術(shù)
20
 
清創(chuàng)術(shù)
20
 
 
擬晉升技術(shù)職稱(chēng):全科主任醫(yī)師
一、 病種及例數(shù)要求(除擬晉升副主任醫(yī)師的病種及例數(shù)要求外,還需要增加下列病種與例數(shù))
病種
例數(shù)≥
備注
消化道大出血
5
 
急腹癥的診斷與鑒別診斷
10
 
食物中毒
5
 
燒(燙)傷
5
 
二、 技術(shù)操作要求(除擬晉升副主任醫(yī)師的技術(shù)操作要求外,還需要增加下列技術(shù)操作要求與次數(shù))
技術(shù)名稱(chēng)
次數(shù)≥
備注
心臟徒手復(fù)蘇
10
 
外傷急救技術(shù)
20
(止血、包扎、固定)
常用封閉療法
20
 
肛門(mén)指檢
30
 
 
急診科專(zhuān)業(yè)
擬晉升技術(shù)職稱(chēng):副主任醫(yī)師(外)
一、 掌握病種及例數(shù)要求
病  種
例數(shù)
備注
嚴(yán)重復(fù)合傷 /多發(fā)傷                                                                            
10
 
泌尿系統(tǒng)損傷                                                                                     
5
 
脊柱損傷                                                                                         
5
 
骨盆骨折                                                                                                                                 
5
 
關(guān)節(jié)脫位                                                                                                                                 
5
 
四肢骨折                                                                                                                                
20
 
胸部損傷                                                                                                                                 
5
 
顱腦損傷                                                                                                                                
10
 
急性尿路梗阻                                                                                                                         
5
 
心臟驟停/呼吸驟停                                                                                                               
10
 
休克                                                                                                                                         
10
 
急性胰腺炎                                                                                                                            
8
 
腹部損傷                                                                                                                                 
10
 
燒傷                                                                                                                                        
5
 
急性膽囊炎                                                                                                                             
10
 
急性腸梗阻                                                                                                                            
5
 
胃腸穿孔                                                                                                                                 
5
 
急性梗阻型化膿性膽管炎                                                                                                    
5
 
急性腹膜炎                                                                                                                             
10
 
脂肪栓塞綜合征/擠壓綜合征 
5
 
二、 技術(shù)操作要求
技術(shù)名稱(chēng)
次數(shù)
備注
1.臨床“三基常用技術(shù)操作”:
 
 
心肺復(fù)蘇技術(shù)                                                                                                   
10
 
常見(jiàn)骨折手法復(fù)位、固定、牽引術(shù)                                                          
20
 
止血包扎                                                                                                          
20
 
清創(chuàng)縫合術(shù)                                                                                                       
20
 
熟悉燒傷面積的估算、深度評(píng)估和緊急處理                                              
5
 
胸穿、胸腔閉式引流術(shù),腹穿術(shù)                                                                                   
10
 
體表膿腫切開(kāi)引流術(shù)
10
 
胃腸減壓術(shù)
10
 
2.專(zhuān)科技術(shù)操作:
 
 
氣管內(nèi)插管                                                                                                      
10
 
脊柱外固定術(shù)                                                                                                       
10
 
靜脈切開(kāi)術(shù)或深靜脈插管
10
 
 
擬晉升技術(shù)職稱(chēng):主任醫(yī)師(外)
一、 掌握病種及例數(shù)要求(除擬晉升副主任醫(yī)師的病種及例數(shù)要求外,還需要增加下列病種與例數(shù))
病  種
例數(shù)
備注
創(chuàng)傷(動(dòng)物咬傷、凍傷、電擊傷)                                                                                                                
10
 
消化道大出血                                                                                              
10
 
二、 技術(shù)操作要求(除擬晉升副主任醫(yī)師的技術(shù)操作要求外,還需要增加下列技術(shù)操作要求與次數(shù))
技術(shù)名稱(chēng)
次數(shù)
備注
成功指揮突發(fā)應(yīng)急事件的處理或大量外傷病人搶救                                                                                                                 
3
 
成功腦復(fù)蘇                                                                                             
3
 
參加或組織全院大會(huì)診
3
 
擬晉升技術(shù)職稱(chēng):副主任醫(yī)師(內(nèi))
一、掌握病種及例數(shù)要求
病  種
例數(shù)
備注
驚厥 /昏迷                                                                                                                 
10
 
ARDS/呼吸衰竭                                                                                              
5
 
急性中毒                                                                                                          
10
 
心臟驟停 /呼吸驟停                                                                                                              
20
 
急性冠脈綜合征
20
 
高血壓急癥                                                                                                      
5
 
嚴(yán)重心律失常                                                                                                 
10
 
心力衰竭                                                                                                         
5
 
腦血管意外                                                                                                     
5
 
顱內(nèi)高壓癥                                                                                                     
5
 
肺性腦病                                                                                                          
5
 
哮喘持續(xù)狀態(tài)                                                                                                 
5
 
急性肺栓塞                                                                                                      
5
 
消化道大出血                                                                                                 
10
 
肝昏迷                                                                                                              
5
 
酮癥酸中毒                                                                                                     
5
 
高滲性昏迷                                                                                                     
5
 
腎功能衰竭                                                                                                      
5
 
中暑                                                                                                                 
5
 
各種休克                                                                                                          
10
 
急腹癥                                                                                                             
5
 
大量胸腔積液                                                                                                  
5
 
大咯血                                                                                                             
5
 
溶血性貧血                                                                                                      
5
 
常見(jiàn)急性發(fā)熱                                                                                                 
5
 
重癥肺炎                                                                                                         
5
 
多器官功能衰竭 
5
 
二、技術(shù)操作要求
技術(shù)名稱(chēng)
次數(shù)
備注
1.臨床“三基”常用技術(shù)操作:
 
 
心肺復(fù)蘇                                                                                                         
10
 
除顫?rùn)C(jī)操作                                                                                                      
10
 
人工低溫的應(yīng)用                                                                                             
5
 
洗胃術(shù)                                                                                                             
5
 
動(dòng)脈血?dú)夥治?nbsp;                                                                                                 
5
 
系統(tǒng)的神經(jīng)學(xué)物理檢查                                                                                 
10
 
胸穿
5
 
腹穿
5
 
2.專(zhuān)科技術(shù)操作:
 
 
氣管內(nèi)插管                                                                                                      
10
 
無(wú)創(chuàng)正壓機(jī)械通氣呼吸機(jī)的使用                                                                 
10
 
有創(chuàng)呼吸機(jī)的使用                                                                                          
10