In this part there is an essay in Chinese. Read it carefully and then write a summary of 200 words in English on the ANSWER SHEET. Make sure that your summary covers the major points of the passage.

全科医生培养åŠå‘展æ€è·¯

éšç€åŒ»ç–—å«ç”Ÿäº‹ä¸šçš„䏿–­å‘展,人们对社区å«ç”ŸæœåŠ¡çš„è¦æ±‚也越æ¥è¶Šé«˜ã€‚ç›®å‰æˆ‘国社区å«ç”ŸæœåŠ¡å‘展还ä¸å¹³è¡¡ã€‚高素质的全科医生(general practitioner)ç¼ºä¹æˆä¸ºç¤¾åŒºå«ç”Ÿå‘展滞åŽçš„主è¦åŽŸå› ã€‚è§„èŒƒå…¨ç§‘åŒ»ç”ŸåŸ¹å…»ï¼Œå¤§åŠ›å‘展全科医生培训工作势在必行。全科医生在社区å«ç”ŸæœåŠ¡ä¸­çš„åŠŸèƒ½åŒ…æ‹¬æ²»ç–—ã€ä¿å¥ã€é¢„é˜²ã€æŠ¤ç†ã€å¥åº·è°ƒæŸ¥ã€å’¨è¯¢åŠå¥åº·æ•™è‚²ç­‰ã€‚虽然我国全科医学(general family medicine)å·²ç»å¾—到了普åŠå’Œå‘展,但其教育与培训的总体水平还存在一些问题。本文就全科医生的培养和今åŽçš„å‘展åšä¸€æµ…æžã€‚

全科医生需具备的基本素质

全科医生需è¦è¾ƒå…¨é¢çš„知识。æŸäº›ä¸¥é‡ç–¾ç—…的早期症状å¯èƒ½æ¯”较轻微,与一些常è§ã€å¤šå‘ç—…è¡¨çŽ°å¹¶æ— å¤ªå¤§åŒºåˆ«ã€‚è¿™å°±è¦æ±‚全科医生从众多的疾病中筛选å¯èƒ½çš„æƒ…å†µï¼Œå› æ­¤è¦æ±‚全科医生临床学科知识é¢è¦å¹¿ã€‚社区å«ç”Ÿå·¥ä½œä¸­ï¼Œä¸€ååˆæ ¼çš„全科医生,也应是一å出色的社会工作者。全科医生æœåŠ¡çš„å¯¹è±¡æ˜¯ç¤¾åŒºå†…çš„å±…æ°‘ï¼Œè€Œä¸”æœ‰å¯èƒ½éœ€è¦é•¿æœŸé¢å¯¹ï¼Œå› æ­¤è¦æ±‚å…¨ç§‘åŒ»ç”Ÿè¦æœ‰è‰¯å¥½çš„人际关系ã€å调能力和高度的工作热情,并与患者建立一ç§äº²å¯†è€Œé•¿æœŸçš„勿ƒ…,æˆä¸ºç—…人家庭的良师益å‹ï¼Œè€Œä¸”è¦å…·æœ‰è‰¯å¥½çš„èŒä¸šé“德。

ç›®å‰å…¨ç§‘医生存在的问题

全科医生工作热情ä¸é«˜ã€‚一方é¢ä¸Žä¸“业医生相比,收入与社会地ä½å­˜åœ¨å·®è·ï¼›å¦ä¸€æ–¹é¢å·¥ä½œçŽ¯å¢ƒè¾ƒè‰°è‹¦ï¼ŒåŒ»ç–—è®¾å¤‡è½åŽï¼Œå¯¼è‡´å…¨ç§‘医生的工作热情和人员稳定性ä¸é«˜ã€‚åˆæ ¼çš„全科医生人员ä¸å¤šã€‚由于全科医学专业在我国å‘展历å²è¾ƒçŸ­ï¼Œå¾ˆå¤šåŒ»å­¦é™¢æ ¡è¿‘å¹´åˆšå¼€è®¾å…¨ç§‘åŒ»å­¦çš„ä¸“ä¸šã€‚å…¨ç§‘åŒ»ç”Ÿå®žé™…å·¥ä½œèƒ½åŠ›ä¸Žå±…æ°‘çš„è¦æ±‚还有è·ç¦»ï¼ŒåŒæ—¶ç¤¾åŒºå·¥ä½œä¹Ÿæ˜¯åœ¨é€æ¸æ‘¸ç´¢ã€å®Œå–„的过程中,因此社区å«ç”ŸæœåŠ¡çš„å·¥ä½œå¼€å±•ä»ä¸å¤ªç†æƒ³ã€‚

解决的方法与æ€è€ƒ

制定全科医学相关领域的政策和规划ã€ç¤¾åŒºå«ç”ŸæœåŠ¡å‘å±•ç­–ç•¥å’Œç›¸å…³äººåŠ›èµ„æºæ”¿ç­–,特别是推动全科医学毕业生致力于社区群众æœåŠ¡çš„æ¿€åŠ±æœºåˆ¶ç­‰ï¼Œä¿ƒä½¿å…¨ç§‘åŒ»ç–—å¾—åˆ°å¥åº·æŒç»­çš„å‘展。以全科医生岗ä½åŸ¹è®­ä¸ºé‡ç‚¹ï¼Œä½Žå¹´èµ„的全科医生è¦è¿›è¡Œä¸“科轮转,至少3年,掌æ¡ä¸“科学校的基本ç†è®ºå’ŒåŸºæœ¬æŠ€èƒ½ï¼›é«˜å¹´èµ„的全科医生å¯é€šè¿‡è¿œç¨‹æ•™è‚²ï¼Œå‚加å„çœã€å¸‚ä¸­å¿ƒåŸ¹è®­æœºæž„ç»„ç»‡ä¸´åºŠæŠ€èƒ½åŸ¹è®­ï¼Œé€æ­¥æé«˜æŠ€æœ¯æ°´å¹³ã€‚å„çœã€å¸‚å¯ä»¥æ ¹æ®å®žé™…需è¦ï¼Œå¢žåŠ ä¸€äº›ç¤¾åŒºå·¥ä½œæ€¥éœ€çš„åŸ¹è®­å†…å®¹ã€‚å¯¹éƒ¨åˆ†åŸºç¡€è¾ƒå¥½çš„åŒ»ç”Ÿè¿›è¡Œé‡ç‚¹åŸ¹å…»ï¼Œç„¶åŽç”±è¿™äº›åˆæ ¼çš„全科医生å†åŽ»åŸ¹å…»æ›´å¤šçš„å…¨ç§‘åŒ»ç”Ÿï¼Œä¿ƒè¿›å…¨ç§‘åŒ»ç”Ÿçš„å…¨é¢æé«˜ï¼Œè¿›è€Œæé«˜é˜²æ²»ç¤¾åŒºå¸¸è§ç–¾ç—…ã€è§£å†³ç¤¾åŒºå¥åº·é—®é¢˜çš„能力,达到全科医生的岗ä½è¦æ±‚。

答案

The Approaches of Cultivating and Developing General Practitioners

With the continuous development of health care, community health services are increasingly significant. However, imperfect general practice education and lack of high-qualified general practitioners inevitably restrict the development of community health services. Thus, standardized training and vigorous devotion to general practice education are very imperative.

When it comes to basic qualities of general practitioners, well-rounded knowledge comes first. Some severe diseases tend to be characterized with mild symptoms, which are not different from some common disorders. Therefore, general practitioners are required to identify possible cases. Moreover, as social workers, general practitioners are bound to constantly contact people in the community, hence, enthusiasm in work as well as good communication and cooperation skills are crucial.

Unfortunately many problems arise currently. Unsatisfactory income, lower social status and tough working conditions lead to less devotion to the work. Besides, it has not been long since the major of general family medicine was established, general practitioners have not been equipped with adequate practical skills.

In order to enhance the sustainable development of community health care, firstly, related policies, projects and incentive mechanism are indispensable. Secondly, general practice education should put emphasis on on-the-job training. On one hand, junior general practitioners are required to take rotation and training for three years at least, so as to master basic theories and skills. On the other hand, senior general practitioners improve their skills through distance education or training programs. Some potential talents may be chosen as the very group to be trained, in the hope that they can further cultivate more qualified general practitioners.

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