Two Voices: Ending the Confusion in Talent Training System Awarded a "5-3" Medical Doctorate

DrWen Xiaoxiao is the main body of medical reform, and training high-quality, homogenized doctors is the key to solving China's medical problemsAt this year's national two sessions, a number of experts focused on medical education, for the efficient and homogenization of medical education to make recommendationsGe Junbo, a member of the National Committee of the Chinese People's Political Consultative Conference (CPPCC) and a member of the Chinese Academy of Sciences, told the media's First Finance newspaper that there are some short boards in China's medical education, and many aspects need to be straightened outGe pointed out that in recent years, the Ministry of Education, together with the Health and Care Commission, through the adoption of the "Shanghai model", China's chaotic four-year, five-year, six-year, seven-year and eight-year medical education into the current 5-3 model, with five-year medical training as the main, after graduation for three years of standardized training for residentsThe four, six, seven-year training model was abolished and the eight-year system of Medical Doctor was retainedHowever, the four certificates of each school, clinical professional master', clinical professional doctor, scientific research master, scientific research doctor and many other systems make the training of medical personnel very confusing, so that many young medical students waste many years of timeAcademician Ge Suggested that clinical talents should be awarded a Doctor of Medicine (MD) after the "5-3" training, become clinicians and future specialists, but also in line with international standards, "American Medical Training is the university 4 years plus 4 years of medical school awarded MD degree." "For the cultivation of scientific research talent, Ge Junbo suggested that after 5 years of medical school, can directly test for scientific research-type doctor, master's and doctor's degree, set up as a four-year school system, so as to save students 1-2 years, and can have a longer time to make high-level scientific research resultsIf a clinical ph.Dwishes to carry out scientific research, he can take the above-mentioned research Ph.D., with a double degree (MD, PhD) after graduationOn the other hand, if the scientific research doctor wants to become a clinical medical scientist, they can also participate in 3 years of standardized training, obtain the qualification certificate to become a double doctor (PhD, MD), so that it can fundamentally standardize the training of medical personnel in China, so that medical education homogenizationChen Yihan, a member of the National Committee of the Chinese People's Political Consultative Conference (CPPCC) and vice-president of Tongji University, also submitted a proposal this year on the pilot of the "5-3 M.D." medical education modelHe suggested that the establishment of the "5-3 M.D." medical education model with Chinese characteristics - China's medical colleges are still based on five-year undergraduate medical education, on the basis of five-year medical undergraduate education, can effectively link up with three years of standardized training of resident doctors, and finally get a doctor of medicine, which is suitable for China's national conditions, but also with foreign "4 plus 4" school system to train clinical doctorsThe mixed educational composition of doctors and the chaotic school system have always been the historical legacy of medical education in our countryAccording to the 2019 China Health Statistics Yearbook, the total number of practicing (assistant) physicians in China in 2018 was 3607156, of which 12% were graduate, 41% were undergraduates, 29.1% were college students, 16.3% were secondary schools, and 1.6% had only high school degreesWith the continuous optimization of medical education in recent years, the academic composition of doctors in China has improved, but these highly educated personnel are almost siphoned by the three-a-hospital, especially in the big cities, leaving few outstanding talents in county-level hospitals and primary medical institutions, which is also the main reason for the implementation of "graded diagnosis and treatment" to be blockedThe director of a well-known specialized hospital in China said that China's high-quality medical personnel are concentrated in the public three-a hospital, the public hospitals below the second level generally have fewer patients, insufficient workload, poor efficiency problems, the existing more than 20,000 private hospitals are worse The reason is that the root cause of the uneven level of medical personnel is the non-homogeneous medical education in our country, the lower the academic qualifications of the grass-roots doctors, the greater the difference In order to transfer talent to the grass-roots level, the state to implement the "free order medical students" policy, reduce the threshold of medical students and give subsidies, but not to say whether this move is contrary to the original intention of the homogenization of medical education, more embarrassing is that many medical students will use the policy as a springboard, would rather "default" than stay at the grass-roots level, strong grass-roots talent policy into a tool for large hospitals to do wedding clothes In fact, whether the shortage of primary doctors and reduce the threshold of doctor training, has been a controversial issue, some people in the industry believe that the grass-roots can not keep high-quality doctors is the fundamental treatment of poor, the future is unclear, this is not to lower the threshold can be resolved, with it lowerthe threshold, to give enough money is the "hard truth" From this year's experts' proposal sat in the two sessions is not difficult to see, the "elite medical education" of the 5-3 is the general trend, which leads to another old-fashioned topic, elite education must be matched with elite treatment Some industry experts have pointed out that in the process of optimizing medical education, "pain" is inevitable, but if the fear of pain and persevered, then China's medical "old problem" may never be solved (Original title: Awarded a doctor's degree in medicine for the "5-3"! Experts propose an end to the talent training chaos system)