The pilot implementation of specialist standardization training system guidance

The 2016-01-11

 national health and population and family planning commission of the People's Republic of China

The health science and education hair [2015] no. 97

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, reform leading group office, national development and reform commission (commission), the department of education, financial department (bureau), human resources, social security department (bureau), the administration of traditional Chinese medicine, and national development and reform commission of the xinjiang production and construction corps public health bureau and education bureau, the bureau of finance, human resources and social security bureau, the relevant military health sector:

Specialist standardization training is an important part of medical education after graduation, is on the basis of resident standardization training, continue to develop to be independent, specification in disease specialist clinic work the necessary way to clinicians, and long-term practice in the international medical community has a wide consensus. Parts of our country and the hospital also has carried on the beneficial exploration. At present, the system has been implemented in national resident standardization training, to build a closely connect specialist standardization training system, is the important measure of deepening the reform of medical health system, for psychiatry synergy to perfect our physician training system, improve clinical medical level and quality, meet the demand of the people's growing health, creating healthy is of great significance in China. In order to speed up the perfect clinical medical personnel training system in our country, explore the broader, accumulate experience, form a system, now in specialist standardization pilot training system put forward the following opinions, combined with local actual executed carefully, please.

One, the guiding ideology, basic principles and the work target

(a) the guiding ideology. According to the overall deployment, we will deepen reform of the medical and health system to adapt to the clinical medical work demand for specialist team development, follow the rules of law of medical education and talents growth, based on China's national conditions, draw lessons from international advanced experience, effective connection, resident standardization training actively explore, bold innovation, advance, pilot training specialist standardization system.

(2) the basic principles. Adhere to the principle of clinical, the overall design, and to carry out the system of the pilot. Adhere to the principle of government leading and participating, and establish systems and mechanisms. Adhere to the principle of unified standards, strengthening the competence oriented, to ensure the quality of training. Adhere to point with surface, gradually universal principles, to ensure that the specialist standardization training system pilot work carried out smoothly and orderly.

(3) the work target. In 2016, selected conditional specialized subject start pilot work, sum up experience, perfect the policy, on the basis of summarizing the evaluation step by step away, strive for to established in 2020 in a nationwide preliminary specialist standardization training system, formed a relatively perfect feasible organization management system, training system and effective policy support system, and formed a complete system of medical education after graduation, cultivate a group of high quality qualified clinical specialist.

Second, the development specialist standardization training system is the main task of the pilot

(4) clear connotation of the pilot. Through pilot practice, research specialist standardization training of specialized subject setting, training objects, training bases, training content and standards, training, recruiting, training mode, training, assessment and other education training work requirements and the organization management implementation of the system and mechanism, treatment and related personnel, funds safeguard, degree of cohesion and other supporting policies and measures to form a more clear and strict standard, easy operation, good effect of policy system.

(5) set up the training of specialized subject. On the basis of disease diagnosis and treatment needs, according to the laws of clinical college talent training and discipline development, draw lessons from international experience, clinical specialties in the current directory and professional directory resident standardization training, on the basis of in-depth research, unified set specialist standardized training of specialized subject.

(6) regulations training object. To complete and obtain certificate of resident standardization training, be engaged in the work of a specialist clinical physician or need further improve professional level; More than intermediate and the medical professional and technical qualifications, need to attend specialist standardization training of physicians; , m.d., Ph.D., a professional degree of clinical medicine, oral medicine, Chinese medicine, similarly hereinafter) graduate students.

(7) training base. The national unified specialist standardized training base standards. Bear specialist standardization training work of medical institutions and departments must go through strict selection, standard that have corresponding condition and ability training. Training base in after that good tertiary medical institutions, the condition of base for training consists of a number of specialized subject, specialized subject base led by this specialized subject departments, jointly with the relevant rotation training department, etc. Eligible has specialized subject advantages of other relevant medical institutions according to the need can be used as a collaborative units, into the corresponding specialist training system, to share certain training work. Training base of dynamic management.

(eight) training recruits. The family planning administrative department of public health under the state council jointly with the local provincial family planning administrative department of public health, relevant trade organizations, according to the factors such as industry demand, training ability, determine the different specialized training plans and annual recruiting plan. Training base on the basis of the family planning administrative department of public health under the state council determine training plan, follow the public the principle of fairness, two-way choice, merit, facing the whole country to recruit qualified training object to participate in the training, the key to the central and western regions, especially in concentrated destitute areas. Local family planning administrative department of public health at the provincial level (including the management of traditional Chinese medicine department, hereinafter the same) according to the relevant provisions of the family planning administrative department of public health under the state council, to help to do a good job of recruiting specialist standardization training.

(9) specification training mode. Specialist standardized training of resident standardization training as the basis and premise. In addition to have intermediate or above technical qualifications to clinicians, specialist standardization training object should be according to the relevant provisions of the resident standardization training, and obtain the certificate of resident standardization training. To participate in this specialized subject specialist standardization training of clinical practical ability training is given priority to, at the same time rotation training related departments and relevant clinical scientific research and teaching training. On the basis of the specialized training standards and requirements, training of general is 2-4 years.

Strict training examination (10). To participate in training the personnel during the training period by al-qaeda training process test, after the training to take part in the national unified according to the regulation of winding theory and clinical practice ability examination examination. Complete training and certify assessed according to the requirement issued by the national unification standard "qualified specialist standardization training certificate", and as an important condition of work in the specialist.

Three, to strengthen the management of specialist standardization pilot training system

Number (11) planning and training. The family planning administrative department of public health under the state council jointly with the local provincial family planning administrative department of public health, relevant industry organizations and specialist standardization training base, according to the demand for specialist personnel in clinical medical work and pilot work needs, released during the pilot study of specialist standardized training annual recruiting plan. Strengthen psychiatry synergy, education department in setting up medical doctor degree authorization centers, guiding college, m.d., Ph.D., a specialized degree graduate student enrollment plan, should be comprehensively considered specialist position requirements, coordinate closely with the family planning department of public health.

(12) to strengthen quality control. To establish post competence oriented training specialist standardized quality control system. Strict training standard and standard training base. Monitoring and evaluation mechanism, establish a specialist standardization training for training base of strengthening inspection instruction, implements the dynamic management, establish unqualified base exit mechanism. Improve the clinical teachers' selection, training, motivation and use of management, the teaching task completion as a training base for clinical physicians performance appraisal, pay and responsibility.it important basis. Training base should, in accordance with requirements of the training standard and standard training base, perfect facilities, improve the rules and regulations, the rational allocation of teaching resources, standardize students recruiting and training process management, strictly implement the training plan, to guide the training object to complete the training task, meet the training goals and objectives.

Four, improve the system of specialist standardization training pilot safeguards

(13) specification training personnel management and treatment. Specialist standardization training of personnel is part of the team training base to clinicians, should comply with relevant regulations of training base, and in accordance with the regulation enjoys the same personnel related treatment at the same level.

Unit assigned training objects, training during the original personnel (labor), wage relations is changeless, delegate units, training base and training object three parties sign a training agreement, training base to provide appropriate allowance for living expanses. Faces the society recruit training objects and training base, training agreement, the living allowance during the training shall be the responsibility of the training base, standard reference specialist training base in the same conditions to determine the level of wages. , m.d., Ph.D., a specialized degree graduate student training of the identity of the object to perform the relevant provisions of the state of graduate education and training base according to grant appropriate allowance to the training appraisal situation.

(14) close personnel policies such as education, health, cohesion. Specialist standardization training should work with closely with resident standardization training, gradually forming the integration of the training system. Propulsion and Dr Medical professional degree postgraduate education organic link, graduate students during the reading of the clinical training standards must be in strict accordance with the specialist standardization training implementation, and conform to the requirements of the relevant work; Complete specialist standardized training and certify assessed, in accordance with the requirements of the national degree-conferring premise, can apply for granted corresponding, m.d., Ph.D., a professional degree. In conform to the requirements as prescribed in the premise, apply for individual practice standardization for specialist training eligible to be preferred. In full swing specialist standardization training pilot provinces (autonomous regions and municipalities), can obtain the specialist standardization training certificate "as clinical medicine professional senior technical positions to hire one of the preferred conditions.

Fifth, actively yet prudently proceed with work of specialist standardization training system pilot

Strengthen organizational leadership (15). Governments at all levels of relevant administrative departments, medical institutions, industry organizations and related units should attach great importance to the specialist standardization training system pilot work, as deepening the reform of medical health system reform, medical education and high-level personnel training work reform of major initiatives, strengthen the organization and leadership. Relevant government departments, and between family planning system to establish and improve the health of work coordination mechanism, perfect the relevant supporting policies. The relevant provinces (autonomous regions and municipalities) should be combined with local actual, effective implementation of specialist standardized training system for the pilot. Led by the head of the training base should sound mechanism of coordination and leadership training, clear management functions and their responsibilities and tasks, the implementation of specialized base director responsibility system, strict training management, the implementation of security measures to ensure the training quality.

Army specialist standardization training, overall planning, uniform implementation of the general logistics department of the ministry of health, and make effective connection with relevant national policies.

(16) play a role of industry organization. Explore to establish the relevant industry association (learn) will assist the government department prepare specialist pilot business guidance, organize the implementation of standardized training system and the daily management work mechanism. According to the needs, can be set up by the relevant experts and medical institutions, medical colleges, related institutions, industry organizations and relevant government departments and so on behalf of the standardized training of specialists and experts committee, assist to carry out the relevant work.

Cultivating and strengthening the construction of relevant industry association (learn) will, according to the requirements of the pilot work, establish and improve the relevant professional organizations, undertake training content and standards, as training base, recruiting plan and training plan, supervise and guide training implementation and specialist qualifications, etc, gradually formed the government administrative departments in accordance with the regulation and industry organization coordinated advance and related institution, implement training base specification, normalize social involved effective supervision of specialist training pattern, and gradually expand the industry organization started according to need.

(17) carefully organize pilot work. Pilot training specialist standardization system is the current high level of clinical physician training mode, training system and related management work of major reform, is a matter of the people and the vital interests of the doctors professional group, is a matter of medical and health undertakings of scientific development, the policy is strong, involve wide, far-reaching, must actively yet prudently advance. In 2016, the state to choose some significant demand and conditions have specialized first started exploring, expanding gradually. Responsible for the pilot to attach great importance to the relevant aspects, the careful design, strict organization, in a timely manner, summarize experience, perfect the related work, to strive for to established in 2020 in the preliminary specialist standardized training system to provide strong support.

Do a good job in publicity (18). Across all relevant parties to fully understand the importance of this work, through a variety of forms to strengthen the propaganda guidance, standardization for specialist training system pilot build good atmosphere, ensure actively yet prudently proceed with work.

The national health and family planning commission of the state council reform

The national development and reform committee, ministry of education

The Treasury of human resources social security

The state administration of traditional Chinese medicine the health

On December 14, 2015