中南大学临床医师临床业务能力考核标准
提供者:配置组
发布时间:2010/06/23 12:00
总  则
一、 基本要求
(一) 主任医师、副主任医师
1、 申报者应精通本专业理论,掌握国内外本专业技术发展动态,并能吸取最新科研成果应用于临床医疗工作;
2、 有丰富的临床工作经验,能熟练地掌握本专科技术操作,解决本专科复杂的疑难病;
3、 能熟练指导本专科临床医疗业务工作,能培养住院医师;
4、 熟练掌握申报专科各病种的诊断和处理方法。熟练掌握本专科各种临床技能操作(外科系列包括相应的手术)。
(二) 主治医师
具体要求参见《中南大学临床住院医师与专科医师培训实施细则》。
二、 临床医疗工作时间要求
考虑到本校医疗机构医务人员既要参加临床医疗工作,又要承担科研教学任务,本标准对病房、门诊、急诊工作时间的要求在卫生部有关文件的基础上进行了调整,但必须达到如下要求:
1、 每年临床医疗工作时间要求与时间分配要求(见表1)。表中时间安排按下列因素测算。
2、 副主任医师晋升主任医师的时间段内,临床医疗工作时间按全部工作时间的65%计算,另外的35%工作时间用于教学与科研工作。
3、 主治医师晋升副主任医师的时间段内,临床医疗工作时间按全部工作时间的75%计算,另外的25%工作时间用于教学与科研工作。
表1.  晋升高级技术职称医师医疗工作时间参考表(年)
晋升职务
医疗工作
时间(周)
临床工作时间分配
病房(周)
门急诊(周)
机动时间
副主任医师
36-37
21
14
1
主任医师
32-33
23
9
1
4、 在申报专科现有技术职称的岗位上从事临床医疗工作5年以上(含5年)。
三、 本标准适应全校医疗机构晋升临床主治医师、副主任医师、主任医师职务的人员。与此标准有冲突者,以此标准为准。
本标准解释权归中南大学医院管理处。
 
 
全科医学专业
拟晋升技术职称:全科副主任医师
一、 病种及例数要求
病种
例数≥
备注
常见传染病
10
 
心力衰竭
10
 
慢性阻塞性肺病
15
 
支气管哮喘
15
 
肺炎
10
 
自发性气胸
10
 
心律失常
10
 
消化性溃疡
10
 
慢性胆囊炎
10
 
肾小球肾炎
5
 
慢性肾衰竭
2
 
贫血
10
 
糖尿病
10
 
甲状腺机能亢进
5
 
痛风
5
 
高血压
15
 
帕金森氏病
5
 
带状疱疹
5
 
过敏性皮肤病
5
 
婴幼儿腹泻
15
 
常见感染性眼病
15
 
15
 
阑尾炎
20
 
尿石症.
10
 
痔病
20
 
乳腺疾病
15
 
腰椎病
20
 
颈椎病
20
 
一般创伤
30
 
 
二、 技术操作要求
技术名称
次数≥
备注
胃肠减压术
5
 
导尿术
15
 
灌肠术
5
 
腹腔穿刺术
10
 
胸腔穿刺术
10
 
无菌技术
20
 
脓肿切开引流术
20
 
换药术
20
 
清创术
20
 
 
拟晋升技术职称:全科主任医师
一、 病种及例数要求(除拟晋升副主任医师的病种及例数要求外,还需要增加下列病种与例数)
病种
例数≥
备注
消化道大出血
5
 
急腹症的诊断与鉴别诊断
10
 
食物中毒
5
 
烧(烫)伤
5
 
二、 技术操作要求(除拟晋升副主任医师的技术操作要求外,还需要增加下列技术操作要求与次数)
技术名称
次数≥
备注
心脏徒手复苏
10
 
外伤急救技术
20
(止血、包扎、固定)
常用封闭疗法
20
 
肛门指检
30
 
 
急诊科专业
拟晋升技术职称:副主任医师(外)
一、 掌握病种及例数要求
病  种
例数
备注
严重复合伤 /多发伤                                                                            
10
 
泌尿系统损伤                                                                                     
5
 
脊柱损伤                                                                                         
5
 
骨盆骨折                                                                                                                                 
5
 
关节脱位                                                                                                                                 
5
 
四肢骨折                                                                                                                                
20
 
胸部损伤                                                                                                                                 
5
 
颅脑损伤                                                                                                                                
10
 
急性尿路梗阻                                                                                                                         
5
 
心脏骤停/呼吸骤停                                                                                                               
10
 
休克                                                                                                                                         
10
 
急性胰腺炎                                                                                                                            
8
 
腹部损伤                                                                                                                                 
10
 
烧伤                                                                                                                                        
5
 
急性胆囊炎                                                                                                                             
10
 
急性肠梗阻                                                                                                                            
5
 
胃肠穿孔                                                                                                                                 
5
 
急性梗阻型化脓性胆管炎                                                                                                    
5
 
急性腹膜炎                                                                                                                             
10
 
脂肪栓塞综合征/挤压综合征 
5
 
二、 技术操作要求
技术名称
次数
备注
1.临床“三基常用技术操作”:
 
 
心肺复苏技术                                                                                                   
10
 
常见骨折手法复位、固定、牵引术                                                          
20
 
止血包扎                                                                                                          
20
 
清创缝合术                                                                                                       
20
 
熟悉烧伤面积的估算、深度评估和紧急处理                                              
5
 
胸穿、胸腔闭式引流术,腹穿术                                                                                   
10
 
体表脓肿切开引流术
10
 
胃肠减压术
10
 
2.专科技术操作:
 
 
气管内插管                                                                                                      
10
 
脊柱外固定术                                                                                                       
10
 
静脉切开术或深静脉插管
10
 
 
拟晋升技术职称:主任医师(外)
一、 掌握病种及例数要求(除拟晋升副主任医师的病种及例数要求外,还需要增加下列病种与例数)
病  种
例数
备注
创伤(动物咬伤、冻伤、电击伤)                                                                                                                
10
 
消化道大出血                                                                                              
10
 
二、 技术操作要求(除拟晋升副主任医师的技术操作要求外,还需要增加下列技术操作要求与次数)
技术名称
次数
备注
成功指挥突发应急事件的处理或大量外伤病人抢救                                                                                                                 
3
 
成功脑复苏                                                                                             
3
 
参加或组织全院大会诊
3
 
拟晋升技术职称:副主任医师(内)
一、掌握病种及例数要求
病  种
例数
备注
惊厥 /昏迷                                                                                                                 
10
 
ARDS/呼吸衰竭                                                                                              
5
 
急性中毒                                                                                                          
10
 
心脏骤停 /呼吸骤停                                                                                                              
20
 
急性冠脉综合征
20
 
高血压急症                                                                                                      
5
 
严重心律失常                                                                                                 
10
 
心力衰竭                                                                                                         
5
 
脑血管意外                                                                                                     
5
 
颅内高压症                                                                                                     
5
 
肺性脑病                                                                                                          
5
 
哮喘持续状态                                                                                                 
5
 
急性肺栓塞                                                                                                      
5
 
消化道大出血                                                                                                 
10
 
肝昏迷                                                                                                              
5
 
酮症酸中毒                                                                                                     
5
 
高渗性昏迷                                                                                                     
5
 
肾功能衰竭                                                                                                      
5
 
中暑                                                                                                                 
5
 
各种休克                                                                                                          
10
 
急腹症                                                                                                             
5
 
大量胸腔积液                                                                                                  
5
 
大咯血                                                                                                             
5
 
溶血性贫血                                                                                                      
5
 
常见急性发热                                                                                                 
5
 
重症肺炎                                                                                                         
5
 
多器官功能衰竭 
5
 
二、技术操作要求
技术名称
次数
备注
1.临床“三基”常用技术操作:
 
 
心肺复苏                                                                                                         
10
 
除颤机操作                                                                                                      
10
 
人工低温的应用                                                                                             
5
 
洗胃术                                                                                                             
5
 
动脉血气分析                                                                                                  
5
 
系统的神经学物理检查                                                                                 
10
 
胸穿
5
 
腹穿
5
 
2.专科技术操作:
 
 
气管内插管                                                                                                      
10
 
无创正压机械通气呼吸机的使用                                                                 
10
 
有创呼吸机的使用                                                                                          
10