Analysis of the establishment and adjustment of the specialty catalogue of postgraduate education discipline in medical field based on historical institutionalism theory

doi:10.3760/cma.j.cn115259-20241202-01240

Abstract

Abstract: The specialty catalogue of postgraduate education serves as a crucial cornerstone for degree conferral and talent cultivation in China's postgraduate education sector. Its adjustments and changes function as a barometer for the development of graduate education. Against the backdrop of the release and official implementation of the 2022 edition of the discipline catalogue, this study, based on the theoretical perspective of historical institutionalism, sorts out the historical evolution of the specialty catalogue of postgraduate education in the health professions category in China, and analyzes the logic of institutional changes from three aspects: influencing factors, dynamic mechanisms, and path dependence. The paper finds that ideological factors, exogenous factors, and endogenous factors influence the adjustment of the medical discipline classification. Administrative entities, academic entities, market entities, and industry entities, as participating entities, drive gradual changes in the medical discipline classification through substitution, layering, drifting, and transformation patterns. Furthermore, increasing returns, power imbalances, institutional adhesion, and institutional complementarity facilitate the self-reinforcement of the 2022 edition of the medical discipline classification system and contribute to path dependence. In the process of implementing the 2022 edition of the specialty catalogue, medical colleges and universities should pay attention to the influencing factors of the setting and adjustment of the specialty catalogue, and promptly respond to the cultivation of urgently needed talents. They should also follow the dynamic mechanism of the setting and adjustment of the specialty catalogue to accurately grasp the direction of the adjustment, and utilize the path dependence of the setting and adjustment of the specialty catalogue, attaching importance to the cultivation of high-level applied medical talents, so as to promote the development of postgraduate education in health professions.

Key words: Education, medical, graduate, Specialty catalogue, Historical changes, Historical institutionalism

CLC Number:

Li Chenxi, Cui Shuang, Duan Liping. Analysis of the establishment and adjustment of the specialty catalogue of postgraduate education discipline in medical field based on historical institutionalism theory[J]. Chinese Journal of Medical Education, 2025, 45(11): 860-867.

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