On the Education System and the Traditional Chinese Medicine in the Reform of Medical Education

2017-07-13 15:58:54 Source: surging news network (Shanghai)

      July 11, the State Council issued the "on the deepening of medical education to further promote the reform and development of medical education views" (hereinafter referred to as "opinions").

      "Opinions" put forward to deepen the reform of medical education in colleges and universities. Strengthen general medical education for all medical students, standardize clinical practice management, enhance medical students' ability to solve clinical problems, and encourage explorations of integrated teaching based on organs / systems and problem-based group discussion teaching. Deepen the clinical medicine, oral medicine, Chinese medicine degree graduate education reform. To strengthen the master's degree in clinical research and analysis of the use of ability to develop, degree thesis can be research reports, clinical experience summary, clinical efficacy evaluation, professional literature evidence-based research, literature review, experimental research for clinical problems. Strictly control the number of 8-year medical education colleges and enrollment scale, and actively explore the basis of generous, comprehensive clinical ability of complex high-level medical personnel training model and support mechanism.

      In addition, the "opinions" also requires that colleges and universities should attach the teaching construction of the affiliated hospital into the overall planning of the school development, clarify the main function of the clinical teaching of the affiliated hospital and regard the teaching as the important content of the evaluation and evaluation of the affiliated hospital.

      "Opinions" also proposed to strengthen the general practitioners as the focus of primary health care personnel training. Through the standardization of resident training, assistant general practitioner training, transfer training and other means to increase the training of general practitioners. Strict compliance management, the timely implementation of the job and remuneration, to encourage all localities to explore the implementation of "county township" (county hospital employment management, township hospitals use) employment management system.

      "Opinions" also stressed the strengthening of Chinese medicine personnel training. To build a full life cycle of Chinese medicine professional system, to promote Chinese medicine health care, health pension and other personnel training. Improve the training system of Chinese medicine practitioners, strengthen the teachers, teachers, academic leaders, young backbone teachers training, the establishment of old Chinese medicine experts, teaching teachers as the core of the teachers team, the implementation of traditional Chinese medicine heritage and innovation "million" talent project (Qihuang project), to speed up the promotion of high-level Chinese medicine personnel training. Establish and improve the Western medicine to learn Chinese medicine system, to encourage clinical graduates to pursue professional degree in Chinese medicine, to encourage Western medicine to study Chinese medicine. Encourage the support of ethnic minority areas and institutions of higher learning to carry out national medicine-related professional, to support qualified institutions to carry out national medicine graduate education.

       【Attached】

       Opinions of the General Office of the State Council on Deepening Medical and Medical Cooperation to Further Promote the Reform and Development of Medical Education

       State Council issued [2017] No. 63

      The provinces, autonomous regions and municipalities directly under the Central People's Government, the State Council ministries and commissions, the institutions directly under:

      It is an important task to deepen the reform of medical and health system and to promote the construction of healthy China. It is an important task to improve the medical and health service level. To further implement the spirit of the National Health and Health Conference and the "Health China 2030" Plan "to further strengthen the training of medical personnel, with the consent of the State Council, is the following comments.

      First, the overall requirements

      (A) guiding ideology. We will fully implement the spirit of the 18th National Congress of the CPC and the Third, Four, Five, and Sixth Plenary Societies of the Party, thoroughly implement the new spirit of the new series of new ideas and ideas of the General Secretary of the Communist Party of China, earnestly implement the Party Central Committee, The State Council decision-making arrangements, and promote the "five in one" overall layout and coordination to promote the "four comprehensive" strategic layout, firmly establish and implement the new development concept, adhere to the people-centered development thinking, closely around the promotion of healthy China, Carry out the party's education policy and health and health work policy, and always adhere to the medical education and personnel training in health and health career priority development of strategic position, follow the law of medical education and medical talent growth law, based on basic national conditions, learn from international experience, Innovation and institutional mechanisms to service needs, improve quality as the core, establish and improve the characteristics of the industry to adapt to the medical personnel training system, improve the use of medical personnel incentive mechanism for the construction of healthy China to provide a solid talent protection.

      (B) the main objectives. By 2020, the reform of medical education management system has made a breakthrough, and the incentive mechanism of medical talents has been improved to "5 + 3" (5 years of clinical medical undergraduate education + 3 years of standardized training of residents or 3 years of master's degree in clinical medicine graduate Education) as the main body, "3 +2" (3 years of clinical medicine specialist + 2 years assistant general practitioner training) to supplement the basic establishment of clinical medical personnel training system, general, pediatric and other scarce personnel training has been strengthened, public health , Pharmacy, nursing, rehabilitation, medical technology and other personnel training coordinated development, significantly improve the quality of training, health and health support for the role of significantly enhanced. By 2030, the medical education reform and development of the policy environment is more perfect, with Chinese characteristics of the standardized and standardized medical personnel training system is more sound, medical personnel to meet the basic needs of healthy Chinese construction.

      Second, speed up the construction of standardized, standardized medical personnel training system, and comprehensively enhance the quality of personnel training

      (C) improve the quality of students. Undergraduate clinical medicine, Chinese medicine profession gradually realize an enrollment, has implemented the enrollment batch reform of the provinces, to take measures to attract outstanding students for medical professional, improve the quality of students. Strictly control the scale of single - point enrollment in clinical medicine specialty of medical college. Encourage the organization of medical education in the central sector institutions to expand the scale of undergraduate medical professional enrollment scale, increase the supply of quality talent.

      (D) to upgrade the medical education level of education. In the vocational level of rural medicine, Chinese medicine professional to gradually reduce the size of junior high school graduates enrollment, and gradually turned to the rural doctors in the capacity and education to enhance. After 2020, gradually stop the vocational level of rural medicine, Chinese medicine professional enrollment; then the central and western regions, poor areas do need to be held, should be based on the local village health room staff needs, in accordance with the provincial health and family planning administrative departments (including Medical management department, the same below) on the opening of the region, training scale, the scope of practice and other aspects of the requirements of the provincial education administrative departments in conjunction with the provincial health and family planning administrative departments in accordance with the relevant provisions of the record after enrollment. According to industry needs, strict control of higher vocational (specialist) clinical medical professional enrollment scale, focusing on rural grassroots training assistant general practitioner. Steady Development of Medical Undergraduate Education. Adjusting and Optimizing the Structure of Nursing Vocational Education and Developing Higher Vocational Nursing Education.

      (5) Deepen the reform of medical education in colleges and universities. Reinforce the five - year clinical medicine, the basic status of Chinese medicine education. The ideological and political education and medical ethics throughout the whole process of education and teaching, to promote human education and professional education organic combination, to guide students to prevent disease, relieve pain and safeguard the health rights of the masses as their professional responsibility. To optimize the integration of general education, basic education, professional education, promote basic and clinical integration, clinical and prevention integration, strengthen general medical education for all medical students, standardize clinical practice management, enhance medical students to solve clinical practical problems, encourage Explore the development of organ-based / system-based integrated instruction and problem-based group discussion teaching. Promote the integration of information technology and medical education, the construction of national teaching cases to share the resource library, the construction of a number of national boutique online open courses. Strengthen the construction of teachers, in the medical school to establish a teacher development model center, the new teachers (including clinical teachers) gradually implement pre-job training system. Actively promote the reform of health vocational education and teaching, build a modern health vocational education system, adhere to the combination of work and study, standardize and strengthen the practice of teaching links, improve the teaching standards dynamic update mechanism to promote education and teaching content and clinical skills synchronization update.

      Deepen the clinical medicine, oral medicine, Chinese medicine degree graduate education reform. Examination enrollment to strengthen the professional quality of clinical medicine and clinical capacity of the examination; to optimize the clinical training training content and time to promote the master's degree graduate education and resident physician standardized training organic convergence; to strengthen the master's degree graduate clinical research thinking and analysis of the use of capacity-building , Dissertations can be research reports, clinical experience, clinical efficacy evaluation, professional literature evidence-based research, literature review, experimental research for clinical problems. Strictly control the number of 8-year medical education colleges and enrollment scale, and actively explore the basis of generous, comprehensive clinical ability of complex high-level medical personnel training model and support mechanism.

      Strengthen the construction of clinical teaching base of medical colleges and universities, formulate and improve all kinds of clinical teaching base standards and access system, strict clinical teaching base identified audit and dynamic management, relying on colleges and universities affiliated hospital construction of a number of national clinical teaching and training demonstration center, Practical teaching, postgraduate training, standardized training of residents and clinical training teachers and other aspects of teaching to play a role in demonstration radiation. Colleges and universities should attach the teaching and construction of the affiliated hospital into the overall planning of the school development, clarify the main function of the clinical teaching of the affiliated hospital, and regard the teaching as the important content of the evaluation and evaluation of the affiliated hospital. The affiliated hospital of the university should take the medical personnel training as the important mission and handle the medical, Scientific research work, improve the teaching organization, increase teaching investment, focus on personnel training to optimize the clinical departments set up to strengthen the construction of clinical disciplines, the implementation of education and teaching tasks.

      (6) to establish and improve the medical education system after graduation. Implement and speed up the improvement of standardized training system for residents, improve the clinical teaching and training mechanism to strengthen the construction of teachers, strict training process management and completion of the assessment, continue to strengthen the quality of training, training certificate is valid in the country. To ensure the treatment of residents during the training period, and actively expand the general discipline, pediatric and other professional training scale shortage, to explore the establishment of training and recruitment programs and clinical needs of the close convergence of the matching mechanism to supplement the construction of a number of standardized training base for residents, 2020, basically meet the industry Demand and personnel training needs; colleges and universities to increase investment, speed up the construction, to enhance the clinical teaching level of affiliated hospitals, will meet the conditions attached to the priority of the training base. Prudently promote the standardization of specialist training system pilot, and constantly improve the level of clinicians clinics to explore and improve the treatment of protection, quality control, the use of incentives and other relevant policies, and gradually establish a standardized training system for specialists. To explore the establishment of public health and clinical medicine compound talents training mechanism, training a number of clinical medical professional solid foundation, prevention and treatment of public health personnel.

       Actively explore and improve the standardization of training to accept the resident, specialist training of qualified personnel to obtain clinical medicine, oral medicine, master's degree in Chinese medicine and doctoral degree approach. Adjust and improve the standardization of resident training and specialist standardized training standards, years and assessment requirements and other requirements, and gradually establish a unified standardized medical education system.

      (7) improve the continuing medical education system. Strengthen the full continuing medical education, improve the lifelong education learning system. Will continue to medical education as a medical and health personnel post employment and regular assessment of the important basis for the appointment of professional and technical positions or to declare the qualifications of an important condition. To focus on the grass-roots level to the job competency as the core, around the development of various types of talent career needs, hierarchical classification to develop medical education guidelines, the selection of the development of quality teaching materials, improve the medical education base network, carry out targeted education and training activities, Strengthen the standardized management. Vigorously develop distance education, support the establishment of the National Health Medical Open University as the basis, China Health Education Education Muke Union to support the health education training cloud platform.

      (8) to strengthen the quality of medical education assessment. Establish a sound medical education quality assessment and certification system, by 2020 to establish with Chinese characteristics, the international substantive equivalent of medical education professional certification system, to explore the implementation of clinical medicine, nursing and other professional quality assessment, to strengthen medical doctorate, Master degree authorization assessment, promotion of post-graduate medical education and continuing medical education third-party assessment. The personnel training work into the public hospital performance appraisal and the president of the annual and tenure target responsibility assessment of the important content. The doctors and nurses qualified examination pass rate, standardized training graduation assessment pass rate, professional certification results and so on to be announced, and as colleges and medical and health institutions personnel training quality evaluation of the important content. The establishment of early warning and exit mechanism for colleges and universities and the task of training the health of health care institutions to implement dynamic management, quality assessment and professional certification failure of the deadline for rectification, rectification after the non-compliance cancellation of enrollment (collection) qualifications.

      Third, to promote the medical talent supply and demand effective convergence, and comprehensively optimize the personnel training structure

      (9) establish a sound medical talent training supply and demand balance mechanism. We plan health and health talents, plan health and health personnel training plan, and strengthen general plan, pediatrics, obstetrics and gynecology, psychiatry, pathology, geriatric medicine, public health, nursing, midwifery, rehabilitation, mental health Lack of talent training. To develop health services and health industry personnel training guide professional directory, to promote medical institutions to further optimize the discipline structure. Strict medical education access standards, standardize the medical professional school, strengthen the supervision and management, the new medical professional focus on the central and western medical education resources to the lack of regional tilt. Provincial education, health and family planning departments to communicate regularly, adhere to on-demand enrollment, with a move to explore the establishment of enrollment, personnel training and employment linkage mechanism, the provincial health and family planning departments to regularly develop and publish talent needs planning, provincial Education administrative departments and medical colleges and universities according to the needs of talent and medical education resources, reasonable to determine the size and structure of medical professional enrollment.

      (10) to strengthen the general practitioner as the focus of primary health care personnel training. Through the standardization of resident training, assistant general practitioner training, transfer training and other means to increase the training of general practitioners. Improve the order orientation of medical students education and training policies to encourage qualified provinces combined with local reality to actively explore in accordance with the candidates to the county as a unit targeted enrollment approach, all undergraduate graduates into the general professional resident standardized training, according to the needs of moderate expansion of training Scale; strict compliance management, timely implementation of jobs and remuneration, to encourage all localities to explore the implementation of "county township" (county hospital employment management, township hospitals use) employment management system. On the grassroots health workers (including rural doctors) to strengthen general medicine, basic knowledge of Chinese medicine and appropriate technical training.

      (11) to strengthen the training of Chinese medicine personnel. Classification to promote the reform of Chinese medicine education, a moderate increase with the recommendation of outstanding undergraduate graduates exemption for postgraduate qualifications of Chinese medicine institutions for the "5 +3" integrated enrollment institutions to promote the education of Chinese medicine institutions and traditional Chinese medicine resident standardized training Convergence. To build a full life cycle of Chinese medicine professional system, to promote Chinese medicine health care, health pension and other personnel training. Improve the education system of Chinese medicine practitioners, strengthen the division of teachers.