Medical Education Systems in China

Zhimin jia

Southern Medical University, Guangzhou, China

30th Sasakawa Researcher

IRCME, the University of Tokyo

2007-12-12

Clinical medical education systems

Mainly three modes:

Five-year Program------Bachelor’s degree

Seven-year Pprogram-----Master’s degree

Eight-year Program-----Doctor’s degree

Doctor’s license

Five –year program (one-year clerkship after graduation);

seven-year and eight-year graduates

National doctor’s qualification exam

registration

Licensed doctors

Five-year program

Premedical courses

Elective coursesClinical clerkship rotation

Basic medicine

Clinical medicine

1 2 3 4 5 6 7 8 9 10 terms

Seven-year program

Premedical courses

Elective coursesClinical clerkship rotation

Basic medicine

Clinical medicine

Clinical thesis writing

1 2 3 4 5 6 7 8 9 10 11 1213

14term

s

Elimination exam

Bachelor degree

Eight-year program

Elective courses Specialty

training

Premedical courses

Basic medicine

Clinical medicine

Clinical clerkship rotation

ClinicalThesis writing

1 2 3 4 5 6 7 8 910

11

12

13

14

15

16term

sElimination exam

Bachelor degree Master degree

Some common features of the three modes

1) Humanity and social sciences in the curriculum.

2) Experimental courses are emphasized

3) Early bedside learning

4) Clinical clerkship rotation: well planned and

strict; Tutors; rotation chart; mid-term and

terminal assessment

5) Much attention is also paid to professionism

and attitude

Problems1) Need more doctors. Especially in the rural area.

2) Lack of highly qualified faculty. Faculty

development is an urgent task.

3) Advanced teaching methods such as PBL and

CBS etc. are not regularly used in the teaching

process.

4) Clinical education evaluation system and

mechanism should be further strengthened .

5) Need more exchange with the outside world.

IIME (Institute for International Medical

Education ) China project 2002-2005

8 leading medical schools in China took part in, all the 7th-year (graduating) students

Methods: 150-item multiple choice examination

a 15-station OSCE,

a 16-item faculty observation

IIME completed Global Minimum Essential Requirements (GMER)

China’s first foreign medical education evaluation.

Some comparisons

between China and Japan (1)

Entrance exam

modes

Teachingmethods

assessme

nt

China

Strict, national

5,7,8-year

Mainly classroom lectures,MultimediaLittle PBL,SP

Mainly MCQs

Japan

National, university

6-yearlectures, PBL,CBS, SP, etc.

OSCE

Some comparisons

between China and Japan (2)

Experimental courses

National English proficiency test before graduation

Family medicine /primary

care

License exam

China

emphasized5-year-grade 47,8-year-grade 6

In the beginning

Paper test (basic theory)CBT(clinical competence)

Japan

emphasized noWell-developed

CBTAdvanced OSCE ?

Future effort in China

1) More exchange with advanced countries

2) To introduce OSCE, and to further carry

out PBL, CBS etc.

3) Develop family medicine/community

medicine.

4) More effective evaluation system.

Guangzhou

capital of Guangdong province

“Five-Ram City”

“the City of Flowers”

Southern Medical University

Founded in 1951 National key universityNow: 14 schools Five affiliated hospitals Students: 10,014 Graduates: 7343 Postgraduates: 2442 Foreign students: 229 (India etc)

Clinical medicine students: 2500

Five-year program: 350-600 / yearEight-year program: 80 / year (2004)

Nanfang Hospital

The First affiliated hospital Nanfang Hospital 1,500 bedsOne of the:“First Class Hospitals at Grade III” “National One Hundred Exemplary Hospitals”

The second affiliated hospital Zhujiang Hospital 1, １ 00 beds; One of the “First Class Hospitals at Grade III”

Thanks!

ご清聴ありがとうございました。