Journal Home Online First Current Issue Archive For Authors Journal Information 中文版

Strategic Study of CAE >> 2019, Volume 21, Issue 2 doi: 10.15302/J-SSCAE-2019.02.001

Strategic Study on Medical Education and Personnel Training in China

1. Chinese Academy of Medical Science, Beijing 100073, China;

2. Sun Yat-Sen University, Guangzhou 510080, China;

3. Zhejiang University, Hangzhou 310003, China;

4. China Academy of Chinese Medical Sciences, Beijing 100700, China;

5. Chinese Center for Disease Control and Prevention, Beijing 102206, China;

6. Shanxi Medical University, Taiyuan 030001, China;

7. Harbin Medical University, Harbin 150081, China;

8. Air Force Medical University, Xi’an 710032, China;

9. Peking University Health Science Center, Beijing 100191, China

 

Funding project:中国工程院咨询项目“我国医药卫生人才培养战略研究”(2016-ZD-11) Received: 2019-01-15 Revised: 2019-02-28 Available online: 2019-04-15

Next Previous

Abstract

 This study aims to propose policy recommendations for improving the quality of medical education and clinical training in China. Using several strategic research methods such as data and evidence analysis, we learned the experiences and lessons for a homogenization of medical education and clinical training as well as a balanced mechanism between medical professionals’ supply and medical demands. Results and conclusions are presented as follows. First, it is important to enhance the strategic position of medical education and personnel training and to establish a coordination mechanism at the national level. Second, we recommend a dynamic planning for the enrollment of China’s medical schools based on the systematic analysis of medical demand, and promoting medical curriculum system reform. We suggest gradually arriving at a tradition of elite education and a homogenization of clinical training. Third, we argue progressively abolishing the entrance examinations and dissertations for achieving the master and doctoral degree in clinical sector. The best way is to combine personnel training with master and/or doctoral degree granting, and promote the role transition for clinicians from “institutional staff” to “medical professionals”. Fourth, we recommend accelerating a pilot reform of personnel compensation system and performance evaluation system for clinicians to reshape the attractiveness of medical career. In addition, it is imperative to build a public health-oriented clinical training system based on the concept of “health for all”. Furthermore, it is also very important to reform traditional Chinese medicine (TCM) higher education in China and explore a new clinical training model for TCM residents. Last but not least, we recommend establishing a National Health Research Foundation to improve the innovation capability of clinical research in China.

References

[ 1 ] National Health Commission of the PRC. National health and family planning statistical yearbook 2017 [M]. Beijing: Peking Union Medical College Press, 2017. Chinese.

[ 2 ] Research and Publicity Department of China Association for Science and Technology, National Academy of Innovation Strategy of China Association for Science and Technology. The report on the development of HRST in China [M]. Beijing: Tsinghua University Press, 2018. Chinese.

[ 3 ] National Institute of Science and Technology Policy (NISTEP). Japanese science and technology indicators 2016 [R]. Tokyo: National Institute of Science and Technology Policy, 2016.

[ 4 ] A Working Group of the Advisory Committee to the Director. Biomedical research workforce working group report [R]. Bethesda: National Institutes of Health, 2012.

[ 5 ] Council on Graduate Medical Education. Physician workforce policy guidelines for the United States, 2000—2020 [R]. Rockville: Health Resources and Services Administration, Department of Health and Human Services, 2005.

[ 6 ] IHS Inc. The complexities of physician supply and demand: Projections from 2013 to 2025 [R]. Washington, DC: Association of American Medical Colleges, 2014.

[ 7 ] Department of Health and the Higher Education Funding Council for England. Planning of medical and dental school intakes in England [R]. England: Department of Health and the Higher Education Funding Council for England, 2012.

[ 8 ] Moses H, Matheson D H M, Cairnssmith S, et al. The anatomy of medical research: US and International comparisons [J]. The Journal of the American Medical Association, 2015, 313(2): 174–189. link1

[ 9 ] Jiang L X, Krumholz H M , Li X , et al. Achieving best outcomes for patients with cardiovascular disease in China by enhancing the quality of medical care and establishing a learning health-care system [J]. Lancet, 2015, 386(10002): 1493–1505. link1

Related Research