Salute medical consciousness and provide healthcare service to people through a top design strategy

Wei-min Wang, Li Wen
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Abstract

The outbreak of COVID-19 pandemic at the change-over of winter and spring triggered some thoughts. This paper ponders from the following 14 aspects : (1) the healthcare providers performance annotated the spirit of contemporary medicine with their blood, sweat and life, worthy of praise; (2) effective comprehensive governance at the social level is the linchpin for running of modern society and the effective functioning of health; (3) the key to improving the effectiveness of prevention and treatment of emergent epidemic diseases lies in the trans-disciplinary coordination and an clear outcome-based goal; (4) the support for medical development should be strengthened, and the institutional guarantee of medical development should be implemented; (5) the reformation of medical education should focus on the remodeling of system structure and implementation mechanism with a clear design of top-level model; (6) modern medicine should adhere to the concept of evidence-based medicine as a solid foundation; (7) while emphasizing the original innovation of science, we should also attach importance to the training of innovation thinking mode; (8) medical research should strengthen the research of basic science and attach importance to the transformation of research achievements; (9) academic research, epidemic prevention and control are two arms of one body and they support, interact and supplement each other; (10) it is imperative to reform the system and mechanism of medical college training; (11) the establishment of medical colleges and the design of medical specialties should be coordinated and implemented at the national level; (12) establish a medical education accreditation system covering basic medical education, postgraduate medical education and continuing professional development; (13) scientifically design a qualification accreditation system for doctors, and thus to solve the problems of training and operation of clinical graduates and graduate postgraduate examination; (14) it is imperative to strengthen the scientific education of public health. Key words: COVID-19; Medical education management; Top-level design; Comprehensive social governance; Medical education reform
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致敬医学意识,通过顶级设计策略为人们提供健康服务
在冬春交替之际,新冠肺炎大流行的爆发引发了一些思考。本文从以下14个方面进行了思考:(1)医护人员的表现用他们的血汗和生命诠释了当代医学精神,值得称赞;(2)社会层面有效的综合治理是现代社会运行和健康有效运行的关键;(3)提高突发传染病防治效果的关键在于跨学科协作和明确的结果导向目标;(4)加大对医学发展的支持力度,落实医学发展的制度保障;(5)医学教育改革应着眼于体制结构和实施机制的重塑,明确顶层模式的设计;(6)现代医学应坚持以循证医学为坚实基础的理念;(7)在强调科学原始创新的同时,还要重视创新思维模式的培养;(8)医学研究应加强基础科学研究,重视研究成果的转化;(九)学术研究与疫情防控是一体的,相互支持、相互作用、相辅相成;(10)改革医学院校人才培养体制机制势在必行;(11)医学院校的设置和医学专业的设计应在国家层面协调实施;(十二)建立涵盖基础医学教育、研究生医学教育和持续专业发展的医学教育认证制度;(13)科学设计医生资格认定制度,从而解决临床研究生的培养和运行以及研究生的研究生考试问题;(14)加强公共卫生科学教育势在必行。关键词:COVID-19;医学教育管理;顶层设计;社会综合治理;医学教育改革
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