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南昌中医师承考核要求及取证路径梳理

  • 2026-04-16 04:56:29
南昌中医师承考核要求及取证路径梳理

南昌中医师承考核要求及取证路径梳理

南昌的考核要求

去年秋天，一个南昌的学员给我发消息，说他刚拿到出师证，问接下来该做什么。我给他列了一张清单，从实习到助理医师到执业医师，每一步都写清楚了。 他说："老师，原来拿证只是开始啊。" 我说："对，出师证是门票，不是终点。"
Part.01南昌的考核要求
南昌执行的是江西省的中医师承实施细则。江西省的政策比较规范，考核要求也比较明确。
技能考核考三站：四诊、针灸推拿、临床答辩。四诊考问诊的思路和技巧，针灸推拿考穴位的定位和操作，临床答辩考你的临床思维。技能考核不过，不能参加笔试。
综合笔试考两场：上午考中医基础理论、诊断学、中药学、方剂学；下午考内科学、针灸学、外妇儿科。全是选择题，每场150分钟。
南昌的技能考核一般在江西中医药大学进行，笔试也在南昌本地。这对南昌学员来说是优势，不用跑外地考试。
图 | 中医师承考核
Part.02取证路径的四步走
  • 第一步：跟师三年，考出师证。这是入行的起点。三年跟师，1500学时，跟诊笔记规范，出师考核通过。拿到出师证，你才算正式迈进了中医行业的大门。
  • 第二步：实习一年，考助理医师。出师证拿到后，你需要在县级以上医疗机构实习满一年。实习期间，在执业医师的指导下独立接诊。实习期满，报考中医执业助理医师。助理医师考过后，你可以在执业医师的指导下独立执业。
  • 第三步：助理医师执业五年，考执业医师。助理医师拿到后，工作满五年，可以报考中医执业医师。执业医师考过后，你可以独立执业，可以开诊所，可以带学生。
  • 第四步：执业医师之后，继续往上走。执业医师满五年，可以考主治医师；主治医师满五年，可以考副主任医师；副主任医师满五年，可以考主任医师。这条路没有天花板，你有多大的本事，就能走多远。
图 | 中医取证路径
Part.03南昌学员的本地资源
南昌的学员有一个本地优势：江西中医药大学是全省最好的中医药院校，学校经常举办学术讲座和培训班，很多是免费的。你关注学校官网，看到合适的就去参加。
我很多南昌的学员，就是在这些讲座上认识同行、交流信息的。
还有一个资源：江西省中医院是全省最好的中医院，医院的老师很多就是出师考核的考官。如果你能找到这里的老师，备考时会有天然优势。
图 | 南昌中医药资源
Part.04取证路上的三个关键节点
  • 第一个节点：跟诊笔记。这是备案和考核的核心材料。别想着最后补，补不出来。每个月跟诊结束，把笔记整理好，让老师签字。三年下来，你就有三十六份按月装订的笔记。
  • 第二个节点：技能考核。这是很多学员的弱项。技能考核考的是动手能力，不是背书能力。你背了一百个穴位的定位，不如你在自己身上扎过五十个。考前三个月，每周至少练一次模拟考核。
  • 第三个节点：实习单位。助理医师报考要求实习单位是县级以上医疗机构。你实习之前，先去当地卫健委问清楚，你选的单位符不符合条件。别等实习完了才发现白干了。
图 | 中医取证关键节点
Part.05出师证不是终点，是起点
拿到出师证的那一刻，你应该高兴，但别松懈。出师证只是证明你完成了三年的跟师学习，离真正的执业医师还有很长的路要走。
但没关系。你走了三年，已经证明了你有这个决心。再走一年，再走五年，你一定能走到终点。
图 | 中医职业起点
未来，加油!
我们一定能行！
【完】
中医师承
·中医师承·
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  1. CONNECT:[ UseTime:0.000684s ] mysql:host=127.0.0.1;port=3306;dbname=aa460;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001066s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000512s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000563s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.000991s ]
  6. SELECT * FROM `set` [ RunTime:0.000407s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001077s ]
  8. SELECT * FROM `article` WHERE `id` = 493931 LIMIT 1 [ RunTime:0.000693s ]
  9. UPDATE `article` SET `lasttime` = 1777033503 WHERE `id` = 493931 [ RunTime:0.003325s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000444s ]
  11. SELECT * FROM `article` WHERE `id` < 493931 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000711s ]
  12. SELECT * FROM `article` WHERE `id` > 493931 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.001120s ]
  13. SELECT * FROM `article` WHERE `id` < 493931 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.001128s ]
  14. SELECT * FROM `article` WHERE `id` < 493931 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.011215s ]
  15. SELECT * FROM `article` WHERE `id` < 493931 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.039516s ]
0.178881s