致敬医学精神 做好顶层设计 服务全民健康

doi:10.3760/cma.j.cn115259-20200307-00281

摘要/Abstract

摘要： 2020年冬春之交的新型冠状病毒肺炎疫情引发相关思考,本文从14个方面进行阐述。(1)医护人员用血汗和生命诠释当代医学精神可歌可泣;(2)社会层面有效的综合治理是现代社会运行和卫生健康有效发挥作用的保证;(3)提高突发疫情防治效果的关键在于坚持学科协同和结果导向;(4)应该加强对医学发展的支持并落实医学发展的制度保证;(5)医学教育的改革应当注重体制机制改革且强调顶层设计;(6)当今时代的医学应当坚持循证理念;(7)在强调科学原始创新的同时重视思维方式的创新;(8)医学科研要加强基础科学研究并重视科研成果的转化;(9)学术研究与疫情防控是相辅相成的同一体;(10)医学院校的人才培养体制机制改革势在必行;(11)医学院校的设立和医学专业的开办应该在国家的层面进行统筹规划;(12)建立涵盖院校教育和毕业后教育以及继续职业发展的医学教育认证评估体系;(13)科学设计医师资格考试以解决临床医学专业学生的培养使用和研究生备考问题;(14)加强全民健康的科学教育势在必行。

关键词: 新型冠状病毒肺炎, 医学教育管理, 顶层设计, 社会综合治理, 医学教育改革

Abstract: The outbreak of COVID-19 pandemic at the change-over of winter and spring triggered some thoughts. This paper ponders from the following 14 aspects :(1) the healthcare providers performance annotated the spirit of contemporary medicine with their blood, sweat and life, worthy of praise; (2) effective comprehensive governance at the social level is the linchpin for running of modern society and the effective functioning of health; (3) the key to improving the effectiveness of prevention and treatment of emergent epidemic diseases lies in the trans-disciplinary coordination and an clear outcome-based goal; (4) the support for medical development should be strengthened, and the institutional guarantee of medical development should be implemented; (5) the reformation of medical education should focus on the remodeling of system structure and implementation mechanism with a clear design of top-level model; (6) modern medicine should adhere to the concept of evidence-based medicine as a solid foundation; (7) while emphasizing the original innovation of science, we should also attach importance to the training of innovation thinking mode; (8) medical research should strengthen the research of basic science and attach importance to the transformation of research achievements; (9) academic research, epidemic prevention and control are two arms of one body and they support, interact and supplement each other; (10) it is imperative to reform the system and mechanism of medical college training; (11) the establishment of medical colleges and the design of medical specialties should be coordinated and implemented at the national level; (12) establish a medical education accreditation system covering basic medical education, postgraduate medical education and continuing professional development; (13) scientifically design a qualification accreditation system for doctors, and thus to solve the problems of training and operation of clinical graduates and graduate postgraduate examination; (14) it is imperative to strengthen the scientific education of public health.

Key words: COVID-19, Medical education management, Top-level design, Comprehensive social governance, Medical education reform

中图分类号:

R-05
R0

王维民, 文历阳. 致敬医学精神做好顶层设计服务全民健康[J]. 中华医学教育杂志, 2020, 40(4): 241-247.

Wang Weimin, Wen Liyang. Salute medical consciousness and provide healthcare service to people through a top design strategy[J]. Chinese Journal of Medical Education, 2020, 40(4): 241-247.

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