Wen C P, Hays C W
N Engl J Med. 1975 May 8;292(19):998-1005. doi: 10.1056/NEJM197505082921904.
The Cultural Revolution has had an important impact on Chinese medical education. The Chinese system is engaged in a vigorous program to solve health-manpower needs in the rural areas by emphasizing de-professionalization, mass orientation and accountability to the community. Among the notable changes within the medical schools are the following: an admission process favoring the recruitment of peasants, factory workers, and the military; a three-year program with heavy emphasis on practicing in rural communities; widespread integration of the traditional Chinese and Western systems of medical practice; and manual labor and political seminars, which compose more than 25 per cent of the required curriculum. These innovations have been greatly facilitated by a strong national commitment and supportive political system. The fact that less than 10 per cent of doctors in China today are graduates of college-level medical education indicates the importance of other entry possibilities.
“文化大革命”对中国医学教育产生了重要影响。中国的教育体系正在积极推行一项计划,通过强调非专业化、面向大众以及对社区负责来满足农村地区的卫生人力需求。医学院校内部的显著变化如下:招生过程倾向于招收农民、工厂工人和军人;三年制课程高度重视在农村社区实习;广泛整合中医和西医的医疗实践体系;体力劳动和政治研讨会占必修课程的25%以上。强大的国家承诺和支持性的政治体制极大地推动了这些创新。如今在中国,不到10%的医生是本科医学教育的毕业生,这一事实表明了其他进入途径的重要性。