临床医学专业学位研究生心理健康工作体系的探索与实践

Exploration and Practice of a Mental Health Service System for Clinical Medicine Professional Degree Postgraduates

摘要: 临床医学专业学位研究生作为医疗卫生行业后备骨干应用型人才，同时承担学生与准医生的双重角色，面临学业、临床、人际、经济、婚恋、职业等多重压力，是心理健康问题的高发群体。传统单一化、被动式的心理健康教育模式已难以应对，构建整合性的心理健康工作体系势在必行。文章以重庆医科大学第五临床学院为例，在生态系统理论与认知评价理论框架下，构建测评–预警–干预–协同四位一体的心理健康工作体系，通过双轨筛查、三级预警、多维宣教、四方联动与学院层面定期研判形成心理健康工作的协同保障。经过两年实践，实现了心理健康工作与人才培养质量的双向赋能。

Abstract: Professional degree graduate students in clinical medicine constitute a reserve of backbone applied talent for the healthcare sector. They simultaneously occupy the dual roles of student and prospective physician, and face multiple pressures arising from academic study, clinical practice, interpersonal relationships, finances, marriage and childbearing, and career development; they are therefore a high-risk group for mental health problems. Traditional, single-track and passive models of mental health education are no longer adequate, and an integrated mental health work system is imperative. Taking the Fifth Clinical College of Chongqing Medical University as a case, and drawing on ecological systems theory and cognitive appraisal theory, this paper constructs a four-in-one mental health work system of assessment, early warning, intervention, and coordination. Dual-track screening, three-level early warning, multidimensional education, quadrilateral linkage, and regular college-level review together form a collaborative safeguard for mental health work. After two years of practice, the initiative has achieved bidirectional empowerment of mental health services and the quality of talent cultivation.