Objective To identify and analyze the key issues in the development of integrated traditional Chinese medicine and Western medicine discipline in China, and clarify the current bottlenecks in its development. Methods With the theme word ″integrated traditional Chinese medicine and Western medicine + discipline development/discipline construction/teaching″, literatures before March 1, 2023 were retrieved in databases such as CNKI, Wanfang Data and VIP Database for Chinese Technical Periodicals. The problem list was established through literature review and expert consultation, and key issues were identified by calculating the index of importance (Ii), seriousness (Si), and priority (Ri). Results A total of 43 references were retrieved, from which 14 main problems in the development ofintegrated traditional Chinese medicine and Western medicine discipline in China were summarized. Six experts in the field ofintegrated traditional Chinese medicine and Western medicine from 5 institutions participated in the consultation, the results showed that the top three issues in the index of priority were missing standardized training standards for resident physicians in integrated traditional Chinese medicine and Western medicine, immature teaching models for integrated traditional Chinese medicine and Western medicine, and insufficient clinical practice teaching bases for integrated traditional Chinese medicine and Western medicine. The index of priority was 0.151 8, 0.118 1 and 0.110 4, respectively. Conclusions There are various problems in the development of the integrated traditional Chinese medicine and Western medicine discipline, and the appropriate standardized training for resident physicians, teaching mode, and clinical practice base are the key issues. It is recommended to improve standardized training standards, optimize teaching modes, and accelerate the construction of clinical practice bases to support the development of integrated traditional Chinese medicine and Western medicine disciplines.
Chen Hong
,
Cen Jue
,
Gao Xiang
,
Wang Daozhen
,
Shu Jing
,
Jin Yong
,
Hu Hongyi
,
Shi Jianrong
. Identification of key issues in the development of integrated traditional Chinese medicine and Western medicine discipline[J]. Chinese Journal of Medical Education, 2024
, 44(5)
: 330
-334
.
DOI: 10.3760/cma.j.cn115259-20230712-00683
[1] 中国政府网. 中共中央国务院关于促进中医药传承创新发展的意见[EB/OL]. (2019-10-20)[2023-02-23]. http://www.gov.cn/zhengce/2019-10/26/content_5445336.htm.
[2] 孔令青. 中西医结合医学的一个新定义[J].中西医结合研究,2015(5):267-269. DOI: 10.3969/j.issn.1674-4616.2015.05.021.
[3] Liu M, Gao Y, Yuan Y, et al. Efficacy and safety of integrated traditional Chinese and Western Medicine for corona virus disease 2019 (COVID-19): a systematic review and meta-analysis[J]. Pharmacol Res, 2020,158:104896. DOI: 10.1016/j.phrs.2020.104896.
[4] 殷平善,罗仁.中西医结合学科建设的几点思考[J].中医药信息, 2008, 25(6):1-3,94.DOI:10.3969/j.issn.1002-2406.2008.06.001.
[5] 徐建云, 戚端. 新时代中西医结合学科建设探讨[J].中医药管理杂志,2022,30(14):243-244.
[6] 郝模. 卫生政策学[M].北京: 人民卫生出版社,2013:53-61.
[7] 闫萍, 张建华, 李爱娇, 等. 医患关系存在问题的严重性研究[J].中国医学伦理学,2018,31(5):597-600. DOI: 10.12026/j.issn.1001-8565.2018.05.08.
[8] 吕军. 我国妇幼卫生领域关键问题界定与策略研究[D]. 上海:复旦大学,2005.
[9] 宁骚.公共政策学[M].北京: 高等教育出版社,2018:262-264.
[10] 杨强. 关于中西医结合医学教学工作存在的问题分析及对策探讨[J].现代职业教育,2021(20):228-229.
[11] 王玲, 李文君. 浅谈中医类临床医学专业研究生规培存在的问题[J].新疆中医药,2018,36(1):52-53.
[12] 彭美玉, 聂达荣, 周禄涛, 等. 中西医结合人才培养的问题剖析与路径优化[J].基础医学教育,2014,16(10):864-867. DOI: 10.13754/j.issn2095-1450.2014.10.31.
[13] 董克玲. 医师资格考试的现状、存在问题及对策浅析[J].卫生软科学,2013(8):485-486,487. DOI: 10.3969/j.issn.1003-2800.2013.08.011.
[14] 黄亮, 舒彤, 卢传坚, 等. 中西医结合七年制教学模式的优化与实践[J].当代医学,2012,18(23):161-162. DOI: 10.3969/j.issn.1009-4393.2012.23.119.
[15] 朱虹, 钱静, 王炜. 中西医结合专业五年制本科课程设置的思考[J].中国高等医学教育,2008(9):104-105,128. DOI: 10.3969/j.issn.1002-1701.2008.09.047.
[16] 陈永华, 徐寒松, 张帆, 等. 中西医结合临床专业研究生住院医师规范化培训初探[J].医学与哲学,2016,37(3):68-70. DOI: 10.12014/j.issn.1002-0772.2016.02a.20.
[17] 黄小平, 邓常清. 新形势下中西医结合临床专业学位研究生培养的对策[J].中国医学教育技术,2015(3):324-327. DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.201503026.
[18] 王春琛, 马昕宇. 中西医结合住院医师规范化培训临床教学探索[J].中医药导报,2015,21(5):98-99.
[19] 何清湖, 刘朝圣. 《普通高等学校本科专业目录—中西医临床医学专业》解读[J].中医教育,2014,33(1):76-78. DOI: 10.3969/j.issn.1003-305X.2014.01.431.
[20] 倪婧妍. 中西医结合人才培养体系探索与实践[J].现代医院管理,2017,15(5):55-58. DOI: 10.3969/j.issn.1672-4232.2017.05.019.
[21] 曾庆奇, 刘婧, 陈声宇, 等. 规范化培训对住院医师胜任力影响的研究[J].中华医学教育杂志,2022,42(5):468-472. DOI: 10.3760/cma.j.cn115259-20210915-01163.
[22] 向军, 徐莉莉, 蔡敏, 等. 中医住院医师规范化培训研究的可视化分析[J].中华医学教育杂志,2023,43(4):303-306. DOI: 10.3760/cma.j.cn115259-20220610-00762.
[23] 张梅, 叶映泉, 李平. 中西医结合专业住院医师规范化培训模式的建构[J].成都中医药大学学报(教育科学版),2022(1):38-41.
[24] 谢文照, 何庆南. 住院医师规范化培训专业基地过程性评价体系的构建与思考[J].中华医学教育杂志,2024,44(1):58-62. DOI: 10.3760/cma.j.cn115259-20230222-00166.
[25] 李鲲, 荆志伟, 戴娇娇, 等. 中西医结合医学专业人才培养模式及课程体系现状研究[J].中国中西医结合杂志,2022,42(4):477-481. DOI: 10.7661/j.cjim.20211101.245.