住院医师规范化培训中的医德教育研究—以苏州大学附属儿童医院为例摘要规范化培训是医学生向合格住院医师转变的关键阶段，住院医师规范化培训中，良好医德的养成直接关系到临床医师的培养质量和未来的医疗服务质量。本文认为住院医师规范化培训中医德教育存在以下问题：1、医院和住院医师对医德教育目标的理解单一；2、医德教育内容和课程设计有缺陷；3、医德教育方法和手段落后；4、医德教育效果难以量化。造成这些问题的原因是：1、国家政策的影响；2、医院对医德教育重视度不够；3、住院医师自身的原因。在此基础上，提出改进措施：1、在全球医学教育最低基本要求（GMER）背景下对医德教育理念重塑；2、医德教育内容的优化与教育方法的改进；3、医德教育效果测评的量化。进而通过选取苏州大学附属儿童医院儿科、儿外科、超声科、放射科、麻醉科五个国家级住院医师规范化培训专业基地的2015—2017级共248名在培住院医师进行问卷调查，全方位地做了当前我国参加规范化培训的住院医师的医德状况的抽样调查和统计分析，最终形成了适合我国国情的儿科住院医师的医德评价量表，旨在改善或提升住院医生规范化培训的医德教育水平，这对推进我国医学人文教育改革，促进规培医师提高自身医学人文素养，提升医疗服务质量，构建和谐医患关系有着积极的现实意义。关键词:住院医师，规范化培训，医德教育，量表AbstractStandardizedtrainingisthekeystageofthetransformationofmedicalstudentstoqualifiedresidents,inthestandardizedtrainingofresidents,thecultivationofgoodmedicalethicsisdirectlyrelatedtothequalityofclinicalphysiciansandthequalityofmedicalserviceinthefuture.Thispaperholdsthatthemedicalethicseducationinthestandardizedtrainingofresidentresidentshasthefollowingproblems:1,Thehospitalandresidentshaveasingleunderstandingoftheobjectiveofmedicalethicseducation;2,thecontentofmedicalethicseducationandcurriculumdesignhavedefects;3,medicalethicseducationmethodsandmeansbackward;4,Theeffectofmedicalethicseducationisdifficulttoquantify.Thecausesoftheseproblemsare:1,theimpactofnationalpolicy;2,thehospital’sattentionstomedicalethicsisnotenough;3,reasonsofresidentstheirown.Onthisbasis,theimprovementmeasuresareputforward:1,inthebackgroundofglobalmedicaleducationminimumbasicrequirements(GMER)toreshapetheconceptofmedicalethicseducation;2,theoptimizationofthecontentofmedicalethicseducationandtheimprovementofeducationalmethods;3,thequantificationoftheevaluationoftheeffectofmedicalethicseducation.AndthenthroughtheselectionoftheChildren'sHospitalofSoochowUniversitypaediatric,pediatricsurgery,ultrasound,radiology,anesthesiology,fivenationalstandardizedprofessionaltrainingbaseforresidentsofthe2015-2017levelofatotalof248residentsinaquestionnairesurvey,Wehavedoneasamplingsurveyandstatisticalanalysisofthemedicalethicsstatusoftheresidentwhoparticipateinthestandardizedtraining,andfinallyformedthemedicalethicsevaluationscalewhichissuitableforourcountry'snationalconditions,aimingatimprovingorenhancingthemedicalethicseducationleveloftheresidentdoctors'standardizedtraining,whichpromotesthereformIthasapositivepracticalsignificancetopromotethetrainingofphysicianstoimprovetheirmedicalhumanities,improvethequalityofmedicalserviceandbuildaharmoniousrelationshipbetweendoctorsandpatients.Keywords:resident,standardizedtraining,medicalethicseducation,scale目录绪论一、选择依据（一）选题背景（二）理论意义和研究价值二、文献综述三、研究内容和方法四、创新点第一章住院医师规范化培训中医德教育存在的问题第一节医院和住院医师对医德教育目标的理解单一（一）医德教育的内涵与目标1医生职业与医德教育2医德教育与“好医生”（二）医德教育历史...
