Gao T, Shiwaku K, Fukushima T, Isobe A, Yamane Y
Department of Environmental Medicine, Shimane Medical University, Japan; Department of Medical Education, Health Bureau of Liaoning Province, China.
Med Educ. 1999 Oct;33(10):768-73. doi: 10.1046/j.1365-2923.1999.00313.x.
Drastic changes are occurring in medical education around the world. Medicine and medical technologies are developing rapidly and expanding beyond the multidisciplinary area. The needs of medical care and medical education are different even from those of several years ago. In order to cope with these increasing social needs, the innovation of medical education in China has become an urgent and important problem. This study is an attempt to answer the question of how to develop medical education in China for the 21st century, based on a historical review of the development of medical education. This development might be divided into three periods: (1) before the Cultural Revolution; (2) the Cultural Revolution (1966-76); and (3) post-Cultural Revolution (1977-present) in modern China, and based on problem analysis of the curriculum, teaching methods, education evaluation, systems and policies and the balance between educational needs and supplies. We concentrate on the discussion of how to solve these problems, and have designed a new strategy for the further development of medical education in China. This discussion and newly developing strategy focuses on the main targets and priorities and adoption of suitable measures according to the conditions of the country. The purposes are to elevate the quality of medical education, to train qualified doctors to meet continuously increasing needs and to maintain the development of medical education for the 21st century in China.
世界各地的医学教育正在发生巨大变化。医学和医疗技术迅速发展，其范围已超出多学科领域。医疗保健和医学教育的需求甚至与几年前都有所不同。为了应对这些日益增长的社会需求，中国医学教育的创新已成为一个紧迫而重要的问题。本研究试图在对医学教育发展进行历史回顾的基础上，回答如何发展21世纪中国医学教育这一问题。这种发展在现代中国可分为三个时期：（1）文化大革命前；（2）文化大革命时期（1966 - 1976年）；（3）文化大革命后（1977年至今），并基于对课程、教学方法、教育评价、制度政策以及教育供需平衡的问题分析。我们着重讨论如何解决这些问题，并为中国医学教育的进一步发展设计了一项新战略。这种讨论和新制定的战略侧重于主要目标和优先事项，并根据国家情况采取适当措施。目的是提高医学教育质量，培养合格医生以满足不断增长的需求，并保持中国21世纪医学教育的发展。
