中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (10): 783-787.DOI: 10.3760/cma.j.cn115259-20250113-00038

• 医学教育评估 • 上一篇    下一篇

基于多源流理论的中医药经典能力等级考试改革过程分析

李冰鑫1, 谷晓红2, 袁娜2, 张小勇3, 焦楠2   

  1. 1北京中医药大学管理学院公共管理系,北京 100029;
    2北京中医药大学全国中医药教育发展中心,北京 100029;
    3 北京中医药大学人文学院,北京 100029
  • 收稿日期:2025-01-13 发布日期:2025-09-28
  • 通讯作者: 焦楠, Email: flynny@163.com

Analysis of the reform process of the Traditional Chinese Medicine Classics Competency Grading Examination based on the multiple streams framework

Li Bingxin1, Gu Xiaohong2, Yuan Na2, Zhang Xiaoyong3, Jiao Nan2   

  1. 1Department of Public Administration, School of Management, Beijing University of Chinese Medicine, Beijing 100029, China;
    2National Center for Chinese Medicine Education Development, Beijing University of Chinese Medicine, Beijing 100029, China;
    3School of Humanities, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2025-01-13 Published:2025-09-28
  • Contact: Jiao Nan, Email: flynny@163.com

摘要: 作为提升中医药经典教育水平的关键举措,中医药经典能力等级考试的改革逻辑与驱动机制亟待剖析。本研究基于金登的多源流理论,系统解构2016至2025年中医药经典能力等级考试改革过程。研究发现,问题源流呈现为中医药经典教育质量区域差异、学生对中医药经典的重视度不足及传统考核效能衰减;政策源流形成于院校分级考试实践与专家共识;政治源流则体现为“传承精华 守正创新”政策导向与中医文化传承发展的国民诉求。3条流源在2019年全国中医药大会政策之窗耦合催生中医药经典能力等级考试。该分析模型基于多源流理论,系统阐释了医学教育改革中问题识别、方案供给、政治动员之间的动态关系,有助于深刻理解和把握医学教育政策变革的内在逻辑与推进机制。

关键词: 教育, 医学, 中医药经典能力等级考试, 多源流理论, 考试改革

Abstract: As a pivotal initiative to elevate the quality of Traditional Chinese Medicine (TCM) classical education, the reform logic and driving mechanisms behind the Traditional Chinese Medicine Classics Competency Grading Examination require thorough investigation. Guided by Kingdon's multiple streams framework, this study systematically analyzes the reform process of this examination from 2016 to 2025. The findings indicate that the problem stream encompasses regional disparities in the quality of TCM classical education, insufficient student emphasis on TCM canonical texts, and the declining efficacy of traditional assessment methods. The policy stream originates from institutional practices of tiered examinations and expert consensus, while the political stream is driven by the national policy directive of “Inheriting the essence, upholding authenticity, and fostering innovation” along with growing public demand for the preservation and development of TCM culture. These three streams converged at the policy window opened during the 2019 National Chinese Medicine Conference, leading to the establishment of the standardized examination. This analytical model, grounded in the multiple streams framework, clearly explains the dynamic connections between problem identification, solution development, and political mobilization in medical education reform. It helps to better understand the underlying logic and driving mechanisms of changes in medical education policy.

Key words: Education, medical, Traditional Chinese Medicine Classics Competency Grading Examination, Multiple streams framework, Examination reform

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