通讯作者: 姬旭, jixu0201@163.com

DOI：10.12201/bmr.202605.00049

Construction and Practice of the Post-Competency-Oriented WORLD Teaching Model in Standardized Residency Training for Acupuncture and Moxibustion Specialty under the Background of New Medical Education

• 摘要：针灸学被列为一级学科专业学位类别,标志着针灸学科建设迈入新阶段,同时也对针灸住院医师规范化培训(以下简称“规培”)的人才培养质量提出了更高要求。岗位胜任力作为第三代医学教育改革的核心标志,是临床岗位工作所需知识、技能与素养的综合体现。WORLD教学模式(Working、Observing、Researching、Learning、Department visits)作为一种多维度、立体化的新型带教模式,在提升学员综合能力方面具有显著优势。本研究立足新医科建设背景,以岗位胜任力为核心牵引,依托燕京针灸流派学术传承优势与科室临床诊疗特色,对通用WORLD教学模式进行针灸专科化重构,构建涵盖临床实操、名家观摩、科研赋能、自主研学、跨科联动的“五维一体”针灸规培带教体系,并将针灸规培医师六大核心岗位胜任力(临床操作能力、辨证取穴思维、医患沟通能力、针灸科研思维、流派传承能力、临床应急处置能力)精准映射至WORLD五大环节。实践表明,该模式有效弥补了传统“一对一”师带徒模式的局限性,实现了针灸规培教学从经验式传承向系统化、特色化、能力化培养的转变,为新时代针灸专业住院医师规范化培训的模式创新提供了可复制、可推广的实践范式。

  关键词： 针灸学; 岗位胜任力; 住院医师规范化培训; WORLD教学模式; 燕京针灸流派; 新医科; 教学改革

   

  Abstract: The designation of acupuncture and moxibustion as a first-level professional degree discipline signals a new developmental stage for the field and imposes higher demands on the quality of standardized residency training (SRT). Post-competency, regarded as the hallmark of the third-generation medical education reform, represents the integrated knowledge, skills, and qualities required for clinical practice. The WORLD teaching model (Working, Observing, Researching, Learning, and Department visits) offers a multidimensional and three-dimensional pedagogical approach with notable advantages in cultivating comprehensive competencies. Grounded in the context of New Medical Education, this study takes post-competency as the core orientation and leverages the academic heritage of the Yanjing Acupuncture School together with the clinical strengths of the department to reconstruct the generic WORLD model into an acupuncture-specific framework. A five-dimension integrated mentoring system-encompassing clinical practice, expert observation, research empowerment, self-directed learning, and cross-departmental collaboration-has been established, with six core post-competencies (clinical manipulation ability, pattern-differentiation and acupoint-selection thinking, physician-patient communication, scientific research thinking, school-heritage transmission, and clinical emergency management) precisely mapped onto the five WORLD components. Practice demonstrates that this model effectively addresses the limitations of the traditional one-on-one apprenticeship, facilitating the transition of acupuncture SRT from experience-based transmission to systematic, feature-oriented, and competency-based cultivation, thereby providing a replicable and scalable paradigm for pedagogical innovation in acupuncture SRT in the new era.

  Key words: Acupuncture and moxibustion; Post-competency; Standardized residency training; WORLD teaching model; Yanjing Acupuncture School; New Medical Education; Teaching reform

  提交时间：2026-05-12

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• 序号	提交日期	编号	操作
  1	2026-04-21	10.12201/bmr.202605.00049V1	下载

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