从应对新型冠状病毒肺炎疫情的挑战审视我国临床医学人才培养体系

Reassess the cultivation system of clinical medicine talents in China from Corona Virus Disease 2019 challenge

在应对新型冠状病毒肺炎疫情的挑战中反映出我国临床医学人才培养体系尚存在问题,亟待进行相关改革。本文分析我国临床医学人才培养体系中学位学历等结构性问题,提出相应的改革建议。①将已经成功实施的"5+3"一体化培养体系作为我国临床医学人才培养的主体,对合格毕业生授予医学博士学位(MD)。②将"5+3"一体化培养体系的培养主体目标定位为全科医生。③加强专科医师培训,控制专科医师总比例在医师总数的50%以下,专科医师培训不再与学位教育挂钩。④重构临床医学教育知识结构,增强国家应急防控重大突发传染病的能力和水平。⑤建立高级临床医学人才培养的支撑保障体系,支持临床医学人才培养的良性运行与发展。

The battle against Corona Virus Disease 2019(COVID-19) reflects some problems in the cultivation system of clinical medicine talents in China, and urgent reforms are needed. This paper analyzes the structural problems of degree education in the training system of clinical medicine talents in China, and puts forward corresponding reform suggestions. ① The successfully implemented "5+3" program should be taken as the main body of clinical medical personnel training in China, and the Doctor of Medicine(MD) degree should be awarded to qualified graduates. ② The main training target of "5+3" program should focus on general practitioners. ③ The training of specialists should be strengthened, and the proportion of specialists should be below 50% of the total physicians, and the specialist training is no longer linked with degree education. ④ Reconstruct the knowledge structure of clinical medicine education, and enhance the ability and level of national emergency prevention and control of major infectious diseases. ⑤ Establish the support system for clinical medical personnel training, and ensure the sound progress and development of clinical medical personnel training.