Shen Hongbing, Director of CDC: The public health talent training model of emphasizing scientific research over practice and application will be reformed
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On July 16, the first China Mass Medicine and Public Health Conference held by the Peking Union Medical College of the Chinese Academy of Medical Sciences opened. The theme of the conference is "Consolidating Development Consensus and Promoting the Construction of High Level Public Health Colleges", and multiple medical and public health experts from various groups delivered conference reports
On July 16, the first China Mass Medicine and Public Health Conference held by the Peking Union Medical College of the Chinese Academy of Medical Sciences opened. The theme of the conference is "Consolidating Development Consensus and Promoting the Construction of High Level Public Health Colleges", and multiple medical and public health experts from various groups delivered conference reports. Academician Shen Hongbing, Deputy Director of the National Bureau for Disease Control and Prevention and Director of the China Center for Disease Control and Prevention, made a report on "Public Health Talent Training in Colleges and Universities from the Perspective of Disease Control System Reform".
How is the function of the Center for Disease Control and Prevention positioned?
Construction of hierarchical classification around core functions such as infectious disease prevention and control
Shen Hongbing said that the reform principles of the disease control system are system reconstruction, prevention first, scientific prevention and control, and coordination and efficiency. Among them, the new pattern of the development of the disease control system is that the functional positioning of disease control centers at all levels should revolve around core functions such as infectious disease prevention and control and emergency response, and be graded and classified for construction. The national level should play a leading role; At the provincial level, it is necessary to play a leading role in the business within the jurisdiction, strengthen the construction of core capabilities, and border provinces should do a good job in the prevention and control of imported infectious diseases; At the city and county levels, it is necessary to strengthen the coordination between medical and preventive measures, and strengthen the coordination and linkage with the same level of health supervision institutions. At the same time, it is necessary to strengthen the construction of grassroots networks and improve linkage with urban and rural communities and key places. The most important support for the reform of the disease control system lies in three aspects: capacity building, scientific research, and talent cultivation. In terms of scientific research, CDC should adhere to the orientation of scientific research and technology departments. China CDC has added the brand of the Chinese Academy of Preventive healthcare, and each provincial CDC should add the brand of the provincial Preventive healthcare academy or public health center.
Shen Hongbing, Deputy Director of the National Bureau of Disease Control and Prevention and Director of the China Center for Disease Control and Prevention
Shen Hongbing pointed out that the construction of China's talent team for disease control faces problems such as insufficient total number of disease control talents, slow growth in the number of public health physicians, the education level and professional title composition of CDC personnel to be improved, challenges in the construction of CDC talent team, and weaknesses and weaknesses in the professional ability of CDC talent team. Taking the COVID-19 as an example, there is a lack of experts with strong clinical identification ability, strong awareness of legal reporting and strong immediate prevention and control measures at the outbreak stage; In the development stage of the epidemic, there is a lack of on-site epidemiological professional technical backbone who can go up, use, investigate, and understand the rules; In the rising stage of the epidemic, there is a lack of disease control experts who can "hammer and nail" prevention and control strategies and measures, as well as a large number of epidemic prevention experts, clinical experts, and medical technology experts who can effectively guide all sectors of society to take effective prevention and control measures.
How to optimize the training of public health talents?
Collaboration between medical education and strengthening cooperation between universities and institutions for disease control and prevention
Shen Hongbing believes that China's current public health talent training system is basically sound, but there are still some shortcomings: from the perspective of training mode, undergraduate education is dominated by medical courses, lacking the "big health concept", and Preventive healthcare and clinical medicine are gradually separated; Graduate education mainly focuses on the traditional five major health issues, with insufficient efforts in cultivating interdisciplinary talents. There is no significant difference between academic and applied master's degrees, and emphasis is placed on scientific research over practical application; Insufficient practical teaching resources for professional degree education. In addition, public health education in clinical medicine majors is not given enough attention and has a single approach.
"Both MPH and academic postgraduates are now exporting by publishing papers. Next, we may have to make further reforms in this regard, hoping to further strengthen and increase its proportion in practice and practical ability." Shen Hongbing said.
For optimizing the policy mechanism and ecological environment of public health personnel training, Shen Hongbing particularly emphasized the coordination of medicine and education, and strengthened the all-round and in-depth cooperation between colleges and universities and disease control, medical and other related institutions. In addition, we should break the boundaries of disciplines, strengthen the co construction and sharing of professional education resources between public health and other disciplines, promote the cross integration of Preventive healthcare and clinical medicine in college education, standardized training and professional qualifications, and establish and improve China's public health education certification system. He introduced that the Ministry of Education's "101 Plan" also exists for public health and Preventive healthcare, focusing on creating four "core" resources, namely, curriculum, teaching materials, teachers and practice conditions.
For the special project of public health talent training, Shen Hongbing introduced the national public health talent training support project to cultivate public health leading talents and financial support that the National Bureau of Disease Control and Prevention will start this year, the China Field Epidemiology Training Program (CFETP) that the Chinese Center for Disease Control and Prevention has been carrying out for backbone disease control and young public health teachers, and the National Center for Disease Control and Prevention Youth Backbone Training Class at the Strategic Center of Peking University, And the public health high-level talent training project recently cooperated by the Chinese Preventive healthcare Association and Tencent Charity Foundation.
How to fill the gaps in clinical medicine?
Building a Clinical Medical Research Platform System
At the meeting, Wu Peixin, Secretary of the Party Committee of the Peking Union Medical College Hospital of the Chinese Academy of Medical Sciences, also made a report entitled "Clinical Research Drives the High Quality Development of Research Hospitals", analyzing the problems existing in current clinical research from the perspective of innovative science and technology system: lack of a platform system capable of carrying and concentrating innovative subjects, lack of a national dedicated investment system for clinical medical research, lack of a training system for clinical medical research professionals Lack of a policy system applicable to clinical medical research.
Clinical doctors are very hardworking. During the day, they have to make patients nod their heads on the operating table to satisfy the patients; at night, they have to make mice nod their heads on the experimental table... People are not superhuman and cannot do so many things. "Wu Peixin said," Clinical research is not a clinical research that can be done by a department director with two or three graduate students and several ordinary personnel to manage clinical data.
1+N+XBuilding a Clinical Medical Research Platform System
Red Star News reporter Hu Yiwen intern Tang Li reports from Beijing
Editor Guo Zhuang, Chief Editor Feng Lingling
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