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Medical examination results in the Chinese medicine colleges and universities education

2016年07月29日

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Medical examination results in the Chinese medicine colleges and universities education

Time: 2016-07-28

Source: China's traditional Chinese medicine

Author: Lin Xiaofei


2016 practicing doctors' qualifications examination practical skills examinations end soon, examination results published in succession, is the second year to participate in the examination of medical practitioners of traditional Chinese medicine's promise to achieve assured. Let he was concerned about two months after the comprehensive written, "is the comprehensive written last year. In peacetime work too busy, almost no time to read." Except poking fun at review time, less comprehensive written examination questions flexibility also makes him off guard, "the written content is some textbooks can not find, the teacher didn't also talked about, closer to clinical."

As the industry access, examination of practicing doctors' exam results not only affect the medical students' career, also directly affect the enrichment of practitioners team grow. "Strategic plan for development of Chinese medicine (2016-2030)" proposed that by 2030 basic formed by hundreds of national physician, master teacher, millions of TCM doctor of traditional Chinese medicine, Chinese medicine talent team of tens of millions of professional skill personnel. However, by the end of 2014, the national total of class (assistant) medical practitioners of traditional Chinese medicine, 398000, that's a big gap with the target.

Achieve the goal of "millions of TCM doctor", the priority is not expand the Chinese medicine colleges and universities enrollment, but to find out the influence factors of the examination results of medical practitioners, improve medical exam pass rate, avoid the brain drain of traditional Chinese medicine. To this end, the state administration of traditional Chinese medicine TCM doctor qualification certification center for nearly four years carried out a statistical analysis on the categories of practicing doctors' qualifications examination, tries to find out the influence factors of exams. They 24 colleges and universities of Chinese medicine to the national medical exam pass rate, rank, according to the results of medical examination results key in college education.

Pass the big gap between ranks colleges and universities

Certification center select data from the national database of examination of doctors' qualifications, statistics of TCM colleges full-time undergraduate course graduate qualifications of medical practitioners of traditional Chinese medicine examination, the results showed nearly 4 years of medical exam pass rate increase year by year.

2012 ~ 2015 national Chinese medicine colleges full-time undergraduate course graduate (140 class) of traditional Chinese medicine, combined Chinese and western medicine (150 class) practicing doctors' qualifications examination always passing rate were 66.84%, 68.99%, 69.50%, 70.94%, practical skills examination pass rate 90.00%, 90.80%, 90.94% and 91.05% respectively, the comprehensive written examination pass rate of 74.71%, 76.52%, 74.71% and 76.52% respectively.

Traditional Chinese medicine (TCM) 140 category 4 in the top five years the average passing rate is guangzhou university of Chinese medicine, zhejiang university, hunan university of Chinese medicine of traditional Chinese medicine, shandong university of Chinese medicine, nanjing university of Chinese medicine. 24 first name and last name in the university of Chinese medicine colleges and universities of the average passing rate of 30%.

Combine traditional Chinese and western medicine (150 class) in the top five is zhejiang university of Chinese medicine, guangzhou university of Chinese medicine, chengdu university of traditional Chinese medicine, university of Chinese medicine in guangxi, hunan university of Chinese medicine. The first and last name colleges differ the average passing rate of 45%.

Medical examination pass rate and level of education are related

What caused the higher colleges and universities of Chinese medicine medical exam pass rate is so different?

Jin-sheng Yang, director of the center for certification that TCM doctor qualification examination is not only test the students professional knowledge and skill level, is also a measure of higher colleges and universities of Chinese medicine education quality of the "gold standard". Exam pass rate of high and low and the scale of the enrollment of colleges and universities of Chinese medicine, the examinee source, curriculum setting, teaching material selection and so on, and college degree of attention to the teaching quality is particularly close relationship. The cultivation of undergraduate students clinical ability is one of the important factors affecting medical exam pass rate, the implementation of the examination of doctors' phase will reversed transmission institutions of higher learning pay more attention to the quality of teaching.

Guangzhou university of Chinese medicine, vice President neng-gui xu believes that the current in the undergraduate education of traditional Chinese medicine of traditional Chinese medicine thinking weakening and the lack of clinical practice ability is influence medical exam pass rate and cultivate qualified talents of traditional Chinese medicine two big problems. Zhejiang university of Chinese medicine, vice President jun-wei li said the medical exam pass rate and students during the period of school of traditional Chinese medicine and clinical course of theoretical study, based on practice training and clinical practice are closely related. "The teaching outline and the medical exam outline of alignment, the school learning atmosphere and students' study effect will affect the medical exam pass rate." Vice President of shandong university of TCM in the choleric thinks, whether open all 14 subject medical examination of undergraduate course teaching is also the important factors influencing the exams, "" health law", for one, and some did not open this course in the undergraduate teaching, which is the cause of the subjects pass rate is lower."

Clinical teaching should use service

"Closer to the clinical medical exam" is the greatest feeling little summer in examinations for the first time, which is of practicing physicians more distinctive features.

Jun-wei li believes that TCM doctor qualification examination positive clinical closely, pay more attention to examines the examinee's ability to apply theoretical knowledge to clinical practice, "is the benchmark for testing of basic clinical skills of traditional Chinese medicine." In colleges and universities of Chinese medicine education, to integrate with the clinical practice, the pace is relatively lagging behind, and even the phenomenon of teaching and clinical practice is still there.

Neng-gui xu think about it, to further play to the physician qualification examination baton role in higher education of Chinese medicine, in order to strengthen the construction of undergraduate course teaching, strengthening the central position of undergraduate course teaching and the foundation for the gripper, achieve more closely with psychiatry take an examination of the three.

Released in 2014, the ministry of education and department of psychiatry synergy's opinions on deepening the reform of clinical medical personnel training opens the psychiatry cooperation, deepen reform, colleges and universities of organic cohesion of clinical medical education and clinical training mode.

In fact, many medical colleges and universities has already been cleared "psychiatry synergy" steps. Zhejiang university of Chinese medicine will be "early clinical, many clinical and repeated clinical" into teaching, the arrangement of students from begin to contact clinical as a freshman, the work of traditional Chinese medicine (TCM) to perceptual knowledge, then gradually increase the clinical practice, clinical practice skills center and make full use of campus simulated hospital to carry out the training and practice, cultivate the students' practical skills. Adhere to all clinical courses taught by clinicians, even carry the clinical teaching in the classroom to teaching hospital, strive to theoretical teaching can also into clinical clinical and service.

Guangzhou university of Chinese medicine for "classical regression clinical" teaching mode reform, put on, synopsis, science of seasonal febrile diseases to allot three teaching and research section of clinical medicine, 3 TCM classic course "regression of clinical", and establish corresponding exclusive ward and outpatient service respectively, the creation of "classic of traditional Chinese medicine clinical teaching platform", depends on this subject to establish "TCM syndrome of knotty lab first classic experiment of traditional Chinese medicine", to form a solid classical courses of clinical teaching base of traditional Chinese medicine.

In addition to the training, the trainee, in their final year of undergraduate clinical practice and the students master and consolidate the important link of the clinical skills. Li, vice President of the China academy of traditional Chinese medicine xiyuan hospital think, and the teaching level of teacher training hospital conditions will lead to differences in the student's ability of clinical practice.

"After a lot of students took to the clinical showed clinical foundation is weak, learning initiative is not high." Investigate its reason, li believes that one is already tense of clinical teaching resources after the enrollment expansion of colleges and universities, the possible causes of the clinical teaching quality of landslide; Second, most of the students have a plan to continue their education, so in practice tend to concentrate used in one's deceased father grind review, and neglect the learning of clinical knowledge and skills.

To this, shandong university and zhejiang university of traditional Chinese medicine of traditional Chinese medicine have countermeasures. Shandong university of Chinese medicine by throughout the practice of before, during and after the inspection, to student's clinical practice teaching quality control, comprehensive assessment before internship, and a miniature clinical practice internship process evaluation and assessment of level 3 is given, at the end of the internship and clinical assessment of comprehensive ability, and standing type more objective structured assessment. A series of assessment effectively improve the clinical study enthusiasm of students, to enhance the training effect of clinical comprehensive ability. Zhejiang university of Chinese medicine actively promote YiJiaoYan, medical treatment, teaching and scientific research as the students the basic task of the hospital clinical practice, clinicians organizational learning teaching method, in the competition of teaching will be more than 20 teaching hospital clinicians make will understand interaction and teaching of a teacher. Jun-wei li said, "take the teacher teaching level raised, students also follow to improve the results of clinical practice. For doctors, the process of teaching is learning to continue to improve their health level, is a win-win situation."

Medical examination reform of colleges and universities education responsibility more clear

Become a TCM doctor is little summer and most of the students in the class of career goals. In medical examination after losing for the first time, however, the idea of doing a doctor gave up some of his classmates, "do have health insurance, and some were completely turned." 5 years of professional study drain, happily.

How to help students make reasonable effective academic, career planning, avoid its and ideal career, is of higher colleges and universities of Chinese medicine should be thinking about.

The national medium and long-term education reform and development plan outline (2010-2020), "pointed out that we need to improve the teaching quality guarantee system, fully mobilize students' learning enthusiasm and initiative. To strengthen the students' employment guidance services.

High medical examination pass rate of zhejiang university of Chinese medicine, the school has to actively guide students' academic planning. School for a freshman to carry out the initial education, invite famous doctor famous professional introduction to speak, competition for university students academic planning. Let the students fully understand one admission, professional clear be a TCM doctor career goals, improve the degree of attention to the practicing physician qualification examination. This work also has the effect, the school of traditional Chinese medicine specialized undergraduate course graduate employment rate more than 95%, more valuable is the vast majority of students took to the medical and health work.

On the other hand, as the baton of education of Chinese medicine, the scientific nature of the current medical practitioners qualification examination is facing challenge. Due to the practical skills less total number of days long, exam, the examiner subjective ratings, lead to comprehensive skills examination pass rate is much higher than the written. In addition, comprehensive written exam content is too broad, and many of the end of the learning time is too long, is also a comprehensive written examination pass rate is lower.

This year, the category of traditional Chinese medicine practitioners qualification exam reform, empirical research has begun to implement a phased examination reform, at the end of the first stage to the undergraduate course learn 4 exam, the examinee or students, grasp of the basic knowledge is relatively consolidate, prepare for easier. As a result of the four academic year before students accept completely is a college education, the first phase of the examination results and college education will be more closely, the body of the school of medical exam pass rate responsibility more clear.

Such reforms as "survivor" little summer happy for pool, "the first stage of the basic subjects learned to take an examination of, impressive, is a lot easier than work again a year later to take an examination of!"

Tianjin university of Chinese medicine, vice President gui-tong zhou said the scientific design, scientific orientation of examination reform can promote college education in stages and ordered docking of TCM doctor qualification examination, make TCM doctor qualification examination become an important part of school education. Is helpful for colleges to medical students' theoretical knowledge, practical ability and comprehensive quality training, guide the colleges and universities of Chinese medicine teaching reform, comprehensive improve education quality.

TCM doctor qualification examination for TCM clinical post competency appraisal target, the examination can send out do have post competency of TCM clinical personnel, need of practicing doctors scientific examination reform, the Chinese medicine colleges and universities to promote the quality of education and students for the examination, be short of one cannot.