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。
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.
[1] 截至3月6日24时新型冠状病毒肺炎疫情最新情况[EB/OL]. [2020-03-05].http://www.xinhuanet.com/politics/2020-03/07/c_1125675222.htm.
[2]国家统计局.2020年2月中国采购经理指数运行情况[EB/OL]. (2020-02-29) [2020-03-05].http://www.stats.gov.cn/tjsj/zxfb/202002/t20200229_1729136.html.
[3] 教育部临床医学专业认证工作委员会. 中国本科医学教育标准——临床医学专业(2016)[M]. 北京:北京大学医学出版社,2017:1-5.
[4] 应勇向支援湖北医疗队医务人员表示感谢和致敬:湖北人民十分感恩,永远铭记[EB/OL]. [2020-03-05].https://cbgc.scol.com.cn/news/243171.
[5] 中国疾病预防控制中心新型冠状病毒肺炎应急响应机制流行病学组. 新型冠状病毒肺炎流行病学特征分析[J]. 中华流行病学杂志,2020,42(2):145-147. DOI: 10.3760/cma.j.issn.0254-6450.2020.02.003
[6] 国家卫生健康委. 关于印发新型冠状病毒感染的肺炎诊疗方案(试行第五版)的通知[EB/OL]. [2020-03-05]. http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtml.
[7] 国家卫生健康委. 2018年我国卫生健康事业发展统计公报[EB/OL]. [2020-03-05].http://www.nhc.gov.cn/guihuaxxs/s10748/201905/9b8d52727cf346049de8acce25ffcbd0.shtml.
[8] Sackett DL,Rosenberg WM,Gray JA,et a1.Evidence based medicine:what it is and what it isn't [J].BMJ(clinical research ed),1996,312(7023):71-72. DOI:10.1136/bmj.312.7023.71.
[9] 国家卫生健康委. 关于印发新型冠状病毒肺炎诊疗方案(试行第七版)的通知[EB/OL]. [2020-03-05]. http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989.shtml.
[10] 江泽民. 全面贯彻“三个代表”要求 大力推进科学技术创新——在中国科学院第十一次院士大会和中国工程院第六次院士大会上的讲话[J].中国科技产业,2002(6):5-8.
[11] Abraham Flexner. Medical education in the United States and Canada: a report to the Carnegie Foundation for the Advancement of Teaching,bulletin number four[M]. New York: Carnegie Foundation for the Advancement of Teaching, 1910:1.
[12] 西南交大校长徐飞:人才培养应当坚持以德为先[EB/OL]. (2019-01-03) [2020-03-05]. http://www.nbd.com.cn/articles/2019-01-03/1287928.html.
[13] 科技部印发《关于破除科技评价中“唯论文”不良导向的若干措施(试行)》的通知[EB/OL].(2020-02-17) [2020-03-02]. http://www.most.gov.cn/mostinfo/xinxifenlei/fgzc/gfxwj/gfxwj2020/202002/t20200223_151781.htm.
[14] 迟福林. 我国科技成果转化率不足30%[EB/OL]. [2020-03-02].http://www.china1baogao.com/dianping/20180211/2425866.html.