Ma Jun, Shao Li
（ 200333） School of Teacher Education, East China Normal University, Shanghai 200333, China.
（ 200025） Department of Teaching Affairs, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2025 Mar 20;56(2):596-602. doi: 10.12182/20250360302.
To evaluate the outcomes and challenges of China's 8-year clinical medicine programs and to discuss preliminary suggestions and reflections on the reform of 8-year clinical medicine programs in line with the requirements of the New Medical Education Initiative.
A nationwide survey was conducted to cover 680 graduates of 8-year clinical medicine programs. All participants graduated from 8-year programs in the past decade. Participants responded to a questionnaire on their career development. Multiple linear regression analysis was performed to identify the core factors affecting the career development of 8-year program graduates. In addition, 30 participants were selected to participate in an intensive interview.
A total of 676 valid responses were collected in this study, yielding a response rate of 99.41%. Among the participants, females slightly outnumbered males, accounting for 57.40% (388/676). In terms of subspecialty choices, surgery was the most popular, accounting for 35.21% (238/676), followed by internal medicine, which accounted for 16.12% (109/676). Self-assessed job competency ratings showed that 56.12% (348/620) felt competent, while 0.65% (4/620) reported being completely incompetent. In terms of employment status, 91.72% (620/676) of the participants completed their studies on time, 88.61% (599/676) were awarded diplomas as scheduled, and 91.72% (620/676) entered the healthcare industry, with 97.9% (607/620) working in tertiary-care hospitals. Regarding career development, by the tenth year after graduation, 89.13% (41/46) attained mid-level or senior professional titles. In terms of job satisfaction, 67.30% (455/676) reported moderate or higher levels of job satisfaction. In terms of academic achievements, the median number of papers published by the participants between graduation and the tenth year after graduation was 6, with a median of 5 papers published in journals included in the Science Citation Index (SCI). The quantity of publications and the length of time after graduation significantly correlated with professional advancement ( < 0.05). According to the interview results, 83.33% (25/30) of the participants suggested that research training should be increased and 60% (18/30) stated that interdisciplinary skills development should be prioritized.
A high proportion of graduates from 8-year clinical medical programs become highly competent professionals with good employment prospects, strong self-efficacy, and favorable career trajectories. However, the participants are disproportionately concentrated in certain subspecialties. Furthermore, other issues, such as the conflict between curricular time constraints and the graduates' desire to strengthen research training, as well as insufficient interdisciplinary preparation, require collaborative solutions from the government, universities, and medical institutions.
评估我国八年制临床医学专业的培养成效与挑战，并结合新医科教育倡议的要求，探讨八年制临床医学专业改革的初步建议与思考。
对680名八年制临床医学专业毕业生开展全国性调查。所有参与者均在过去十年内毕业于八年制专业。参与者就其职业发展情况回答问卷。进行多元线性回归分析以确定影响八年制专业毕业生职业发展的核心因素。此外，选取30名参与者进行深入访谈。
本研究共收集到676份有效回复，回复率为99.41%。参与者中女性略多于男性，占57.40%（388/676）。在亚专业选择方面，外科最受欢迎，占35.21%（238/676），其次是内科，占16.12%（109/676）。自我评估的工作能力评级显示，56.12%（348/620）的人认为自己能胜任工作，而0.65%（4/620）的人表示完全不胜任。就业状况方面，91.72%（620/676）的参与者按时完成学业，88.61%（599/676）的人如期获得学位，91.72%（620/676）的人进入医疗行业，其中97.9%（607/620）在三级医院工作。在职业发展方面，到毕业后第十年，89.13%（41/46）的人获得中级或高级专业职称。在工作满意度方面，67.30%（455/676）的人报告工作满意度为中等或更高水平。在学术成就方面，参与者在毕业至毕业后第十年期间发表论文数量的中位数为6篇，其中在科学引文索引（SCI）收录期刊上发表论文数量的中位数为5篇。发表论文数量和毕业后时间长度与职业晋升显著相关（<0.05）。根据访谈结果，83.33%（25/30）的参与者建议应加强科研培训，60%（18/30）的人表示应优先发展跨学科技能。
八年制临床医学专业的毕业生中有很大比例成为能力很强的专业人员，就业前景良好，自我效能感强，职业轨迹顺遂。然而，参与者在某些亚专业的分布不均衡。此外，课程时间限制与毕业生加强科研培训愿望之间的矛盾以及跨学科准备不足等其他问题，需要政府、高校和医疗机构共同解决。
