临床专硕“四证合一”培养模式：形塑·评价·优化

将住院医师规范化培训纳入研究生培养过程，新招收的临床专硕必须同步参加住院医师规范化培训，这种双轨合一的制度安排，形成了临床专硕“四证合一”培养改革的动力和路径。改革后师生获得感有所增强，但也存在学习时间过于紧张、科研能力弱化、专业方向（亚专科）模糊等问题。为确保临床实践能力和临床科研能力的培养并重兼得，应寓科研于临床，对培养方案、科室轮训与科研时间分配等进行结构性调整，积极推进医教协同，不断改进和完善指导方式方法，达致临床专硕培养多重目标的平衡与协同优化。

The Shaping,Evaluation and Optimization of the Training Pattern of "Four-In-One Certificates" for Clinical Professional Masters

It is a two-track institutional arrangement to bring the standardized resident training into the program for postgraduate students and at the same time require the newly recruited clinical professional masters to participate in the standardized resident training.This pattern,with four certificates in one,(Certificate of Medical Practitioner Qualification,Certificate of Standardized Training for Resident Doctors,Postgraduate Diploma,and Certificate of Master's Degree) has formed the driving force and path for the training of clinical professional masters.The sense of acquisition of the teachers and students has been enhanced after this reform,but it is also generally believed that some problems,such as the shortage of learning time,the weakening of scientific research ability,the ambiguity of professional direction (sub-professional direction) and so on,still exist.In order to ensure the cultivation of both clinical practice ability and clinical scientific research ability,it is suggested that scientific research should be combined with clinical practice,making structural adjustments in the aspects of training plan,department rotational training and scientific research time allocation,actively promoting the coordination of medicine and education,improving the ways to guide postgraduate students.By doing this,we can achieve the balance of multiple objectives and collaborative optimization in clinical professional master training.