我国公共卫生人才培养模式和政策改革的思考

来源 :中华医学教育杂志 | 被引量 : 0次 | 上传用户:nnlan
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新型冠状病毒肺炎疫情引发了我们从社会系统角度,而非仅从行业角度对我国公共卫生人才培养政策改革的思考。人才培养需要从医学模式向社会模式转变,需要从单纯关注人的健康向关注人—动物—环境整体健康转变,需要更加重视新型生物技术和数字技术在公共健康保障中的作用。在公共健康3.0、One Health、生物安全与健康安全等理念下,建议从国家安全和全民健康的战略高度重视公共卫生人才培养。构建大健康背景下覆盖院校教育—毕业后教育—继续教育全链条的公共卫生人才培养体系。建立国家标准,推动公共卫生与预防医学专业认证制度,提高人才培养质量。注重核心知识能力课程和跨领域学位课程并重,应对多元健康影响因素。在院校教育、毕业后教育和实际工作中加强医疗体系和疾控体系的深度融合。加强对地方卫生健康行政负责人疾病防控和应急防疫能力的教育培训。“,”Under the ongoing COVID-19 epidemic, an in-depth thinking was given on several strategic issues of public health education and workforce training in China, from the perspective of social system, instead of just health and medical centric. Public health education needs to extend from human health-centric to healthy people, healthy animals, and a healthy environment, i. e., One Health. In addition, more attention should be paid to the role of innovative biomedical technology and digital technology in public health protection. Under the concepts of Public Health 3.0, One Health, and health security, it is suggested to attach great importance to the public health education and workforce training from the strategic level of national security and health for all. A large public health clinical training system that combines college, post-graduate, and continuing education systems should be built. At the post-graduation stage, a public health physician training system needs to be established and incorporated into the standardized training system for resident doctors. Education reforms may start with the establishment of an accreditation system, redesign of curriculum, and an examination of the core competencies in public health. The institutional exchanges between the medical system and the CDC system should be improved. It is also important to strengthen the regular training for local health administrative leaders on the ability of both diseases control and emergency preparations.
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