新医科背景下的预防医学教育改革思考

Thoughts on the reform of preventive medicine education in the context of new medicine

人才培养是公共卫生体系建设的核心和基石,新型冠状病毒肺炎疫情暴露出的疾病预防与公共卫生领域人才匮乏问题,更突显了改革发展预防医学教育的重要性。本文分析了“医防分离”现实困境中医学教育面临的挑战,以及健康中国战略下新医科建设对预防医学教育提出的新要求,从加大预防医学教育资源配置和投入力度、培养“顶天立地”的公共卫生专业人才、实施公共卫生核心能力的全体医学生教育、建立健全预防医学继续教育制度等四个方面进行了思考,并提出建立全链条闭环的研究体系支撑公共卫生拔尖创新人才培养、加强临床医学专业执医准入的公共卫生核心能力考核、制定“医防融合”的基层卫生人才培养方案、实施“平战结合”模式下的公共卫生人才预备役制度等一系列具体建议,以期对我国预防医学教育改革发展提供参考。

Talent training is the core and foundation of public health system construction.Shortage of talents in the field of disease prevention and public health exposed by COVID-19 pandemic highlights the importance of developing preventive medical education.This article analyzes the challenges of medical education in the dilemma of"separation of medical treatment and prevention",and the new requirements for preventive medical education in the construction of New Medicine under the Healthy China strategy.Four aspects including stepping up the resource allocation and investment,educating responsible public health professionals,the education of all medical students who implement the core competence of public health,and the establishment of a continuing education system for preventive medicine have been considered.A series of specific suggestions are put forward including the establishment of a full-chain closed-loop research system to support the cultivation of top-notch innovative public health talents,strengthening the assessment of core public health capabilities for clinical medical professional admission,formulating a"medical and preventive integration"training program for primary health personnel,and implementing"combination of peace and war"public health personnel reserve system,with the purpose of providing reference for the reform and development of preventive medical education in China.