Focus on modern medical education to promote the training of high -quality general doctors
March 25, 2022 08:12 Source: "China Social Sciences" March 25, 2022, Issue 2375 Author: Lin Jin Xu Dongwu Yu Linwei

No national health,There is no comprehensive well -off。General Secretary Xi Jinping attaches great importance to solving the difficulty of seeing a doctor at the grassroots level、Presentity of seeing a doctor,Point out: "To promote the center of gravity of medical and health work、Medical and Health Resources Sink,Promote equalization of basic public services in urban and rural areas,Provide the masses with safe, effective, convenient public health and basic medical services,Really solve the difficulty of seeing a doctor at the grassroots level、Presentity of seeing a doctor。"The field of medical and health is experiencing development and change,Show "Follow Great Health、Period movement forward、New features of gravity "down",The "door guard" of the "first line of defense" as the grassroots mass health,The general doctor is also given "high quality、Compound type "new requirements。my country has been through targeted training for more than ten years、Transfer training and other methods to strengthen the construction of the general doctors team,But the quality of cultivation is to be optimized、Team stability is to be strengthened.。The training of grass -roots general doctors is disconnected from the training process of the training concept and mode of the training concept and model of the specialist.,Insufficient knowledge reserves of "combination of prevention and treatment"。At the same time,Lack of multi -department coordination mechanisms during the use of grass -roots general doctors,The incentive system has not been implemented,As a result of the loss of grassroots high -quality general doctors。Facing the new challenges proposed by the epidemic and the new requirements of the development of world medicine,The author believes that you should focus on the new requirements of the promotion of grassroots health governance in the new period and the development of general medical education,bet365 Play online games Innovation through talent training and talent training and governance system innovation,Fully promote the quality of the training quality of high -quality general doctors at the grassroots level。

First,Focus on the development of innovation in modern medical education,Determine the new positioning of "prevention and treatment" for general doctors。

Clarify the requirements of medical education innovation of "integration and innovation"。Artificial intelligence、A new round of scientific and technological revolution and industrial revolution represented by big data,Promoting the development of medical education has entered a new stage and gives them new requirements。The development and change of the medical and health industry,The ability of general doctors to require the front line of grassroots health prevention and control is more compliant、Vision is more international、Cultivation standards higher。First, the requirements for the integration and innovation of medical education。Focusing on the construction orientation of "New Medicine",reflect the concept of "great health" and the connotation of the new scientific and technological revolution,Strongly promoting deep cross -integration of medical science and multidisciplinary,Optimize the structure and connotation of medical disciplines and new medical majors。Second, the high -quality collaborative training requirements of medical education。Emphasizing the cooperation of education and health departments,Handicular interaction to realize teaching reform and medical reform,Comprehensively reflect the important role of medical education in improving the quality of education and the needs of the service industry。

Find a new positioning of a general doctor who is allowed to "control and control"。Epidemic prevention and control exposes the defects of Chinese specialists infectious disease prevention and personal protection knowledge,Map the excessive emphasis on clinical medical education,It also proposed the deep demands of the construction of the grass -roots health governance system in the new era,The needs of the high -quality grass -roots bet365 best casino games general doctors who cultivate "control and control"。The first is to cultivate the core from focusing on "disease treatment" to "centered on health promotion"。Grassroots health governance in the new era must be at the grassroots level,The grassroots are more concerned about prevention and early warning,Pay more attention to health management,General Medicine Education should "around the full cycle of life、Health Process Management "cultivates the positioning of general doctors with the core ability literacy with" prevention and treatment "。The second is to change the concept from "specialist" to "full department"。Fully understand the importance of the concept of general science to the grass -roots general doctors,Grass -roots general diagnosis and treatment emphasizes "not disease and good defense,Small illness good treatment,High -illness and good change,High -illness and good change,Slow Disease Good Management ",Training concept should be "Da Sanny、Big Health "concept,More importantly, "Disease Recognition and Management", "Prevent Healthcare", "Internet Medical+Information Service Management Model", etc.。

2,Return to the level of grass -roots positions,Implementing the integration and training of "medical text"。

The integration of implementation ability of implementation capacity。1 is to connect grass -roots positions,Standardized "Standardization"。With grass -roots standard practice ability and career development ability as the core,Establish a standard model that meets the needs of grass -roots positions and the health needs of the masses。Clarify the four "ground" practice skills,That is, the treatment and clinical skills of disease treatment for "health promotion"、Disease prevention and health care ability、Public health treatment and crisis response、health management and communication and coordination ability。Strengthen the development ability of three "top sky",That is team cooperation、Scientific and technological innovation and research ability、Continuously updated and sustainable professional growth capabilities。Second is to strengthen system integration,Cross Bet365 lotto review fusion in the form of training content。Strengthen the foundation and clinical、Specialty and General Science、Integration between clinical practice and public prevention,Passing the "full -scale concept" throughout the stage of talent training,Taking the full -scale integrated course as the starting point,Make the basic stage、Bridge stage、Clinical phase, etc. penetrate and connect with each other,Reflected "common disease、Multi -disease and other cases "is a multidisciplinary teaching system with a carrier。

Highlighting moral education as the first medical humanistic feelings。Strengthen medical humanities education,Education of medical students should always be accompanied by science and humanities、Technology and humanity、Inspiration and thinking of tools and value。First, based on the service grassroots,Deepen Education of Occupational Ideal and Belief。Focusing on re -understanding career ideals and belief education for the leader and guidance of general doctors to take root in grassroots services,Education of occupational ideals and beliefs throughout the process of training through medical talents。The second is the advanced design of the system,Strengthen the organic integration of the human education and teaching system。Establish a four -in -one medical humanities education mode of "Classroom Teaching -Situation Education -Campus Culture -Social Practice",Layout to integrate humanities education into theoretical courses and practical teaching design。Third, incorporate the "volunteer spirit" into the important content of medical ethics education,Volunteer action as an important carrier for practical teaching,Strengthen the moral practice education of medical students。

third,Innovation training mode and development mechanism,Explore a new system for talent governance of multi -sector。

Create the three -in -one education management platform of "School -School -Land -Medical and Education"。Building targets around grass -roots medical students "cultivation and use of integration","Broken Department Barrier",Actively docking bet365 Play online games the country and provinces (cities、District) Medical Education Macro Cooperation Management Department,Links multi -departments to coordinate medical education reform and development,Form "University、Government、Industry "three -party linkage、Multi -departmental coordinated grass -roots medical talent training and use of integrated development mechanisms。In the process of promoting the physical operation,,Centered on the School of Medicine of General Medicine,Construction Professional Teaching Guidance Committee with the goal of implementing collaborative education、School and Local Cooperation Education Management Committee、Universities Direct Training Alliance Committee's Education Platform,Construction Universal Medicine Collaborative Research Center with overall reform and development,Gradually form a "3+1" organizational management architecture,There is setting up the General Training Office of General Medicine to implement specific affairs。Configuration of the Department of Medicine and Teaching and Research Office (member) around the construction of professional teachers,Continuously stretch the professional management operation mechanism。

Create "Held Malaysia、Send a journey、Guanchuan for a lifetime "lifelong training mode。Around lifelong learning concept,Do a good job of "supporting the horse、Send a journey、Tube for a lifetime "full cycle training,Organic 5 -year education in organic land、Standardized training of residents for 3 years of education and practice continues to continue medical education for interconnected linkage training,Make sure the continuity and effective connection of medical education。Model is based on school -ground collaborative education and teaching spiral rising as the core,Auxiliary hospital -county -level hospital -township community center as a carrier,Implementation of "5 -year college education+3 -year graduation education+X -year county rotation" training plan,Construct a sub -phase、Systematic "full cycle" training training mode。Complete "Helping Malaysia" through Bet365 lotto review the standard education of the college stage,Cultivation of knowledge skills that promote the equal attention of medical articles,Strive to build a curriculum system that is compatible with primary medical and health work。Through the standardized training of inpatient physicians to achieve the ability to "send one journey",According to relevant national training standards and content,Taking "combination of control" as the training target,Improve the rotation mode,Improve the first diagnosis of the grassroots at the general doctor、Emergency treatment and clinical practice ability。Constructing the post -to -post "Interchange Bridge",Incorporate continuing medical education in the use stage of the general doctor into the full cycle training plan,Design supporting education according to the needs of the use and rotation position in the county in the county,At the same time, rotate the education assessment with the posts of various stages、Personal promotion and other career development hooks,New model of innovative talent cultivation and use of integration。

Promote the implementation of "county management and townships" talent development mechanism。"County Management and Township" management model takes talent sustainable development as the goal,The school and county -level government departments jointly participate in policy design and implementation,By constructing the management mechanism of the use of general medical talents in the county,Forming a talent development channel for the formation of talents,Solve the use and management problems of general practitioners at the grassroots level,Occupation of grass -roots general medicine talent development ecological environment。Taking "County Management and Township" as the architecture,Refine the circulation mode in the county at the grassroots level,Establishing consistent evaluation standards and sharing mechanisms,Priority selection of assessment and evaluation and community health service center、Working back to the county -level hospital、Promotion development and rewarding policies such as promotion,Innovation "guarantee bet365 Play online games -evaluation -flow" development mechanism。Link the assessment results of each stage to the development of talent career。Establish a sound supporting personnel affairs、Salary、Reward mechanism、Honorary Sites, etc.,Multiple ways to improve the professional honor and social status of grassroots general doctors。

(This article is the National Social Science Fund Education General Project "Research on Rural Medical Talent Training Path in Healthy China" (BIA170166)、The Humanities and Social Science Planning Fund Project of the Ministry of Education "In the background of healthy Chinese medical talent training system construction and application research" (21yja880090) phased results)

(Author Unit: Renji College of Wenzhou Medical University; School of Psychiatry, Wenzhou Medical University; Social Sciences Department of Wenzhou Medical University)

Editor in charge: Changchang
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