教育部 国家卫生健康委员会 国家中医药管理局关于加强医教协同实施卓越医生教育培养计划2.0的意见
发布时间:2018-10-08

jiaogao〔2018〕4hao

gesheng、zizhiqu、zhixiashijiaoyuting(jiaowei)、weishengjishengwei、zhongyiyaoguanliju,xinjiangshengchanjianshebingtuanjiaoyuju、weishengjishengwei,youguanbumen(danwei)jiaoyusi(ju),bushugegaodengxuexiao、bushenghejiangegaodengxuexiao:

weishenruguanchequanguoweishengyujiankangdahuijingshen,quanmianluoshi《guowuyuanbangongtingguanyushenhuayijiaoxietong jinyibutuijinyixuejiaoyugaigeyufazhandeyijian》,genju《jiaoyubuguanyujiakuaijianshegaoshuipingbenkejiaoyu quanmiantigaorencaipeiyangnenglideyijian》,xianjiushishizhuoyueyishengjiaoyupeiyangjihua2.0tichuyixiayijian。

一、总体思路

jinjinweiraojiankangzhongguozhanlveshishi,shuli“dajiankang”linian,shenhuayijiaoxietong,tuijinyishengrenliweidaoxiangdejiaoyujiaoxuegaige,youhuafuwushengmingquanzhouqi、jiankangquanguochengdeyixuezhuanyejiegou,cujinxinxijishuyuyixuejiaoyushenduronghe,jianshezhongguotese、shijieshuipingdeyiliuyixuezhuanye,peiyangyiliuyixuerencai,fuwujiankangzhongguojianshe。

二、目标要求

jingguo5niandenuli,yi“5+3”weizhutidejuyouzhongguotesedeyixuerencaipeiyangtixiquanmianjianli,yijiaoxietongyurenjizhigengjiajianquan,zonghedaxueyixuejiaoyuguanlitizhijizhigengjiawanshan,yixuejiaoyuzhiliangwenhuajianshequdexianzhuchengxiao,jiansheyipiyiliuyixuezhuanye,tuichuyipixianshangxianxiajingpinkecheng,rencaipeiyangzhiliangxianzhutisheng,fuwuweishengjiankangshiyefazhandenenglimingxianzengqiang。

三、改革任务和重点举措

jianshejiankangzhongguoshishixianguojiashiliquanmiantishenghezhonghuaminzuweidafuxingzhongguomengdezhongyaojichu。quanfangweiquanzhouqiweihuqunzhongjiankangxuyaoyixuejiaoyubiange,jiankangfuwuyekuaisufazhancuishengyixuejiaoyubiange,jiankanglingyukejijinbuyunyuyixuejiaoyubiange。yixuejiaoyuyaozhudongshiyingxinyaoqiu,yichuangxincugaige,yigaigecufazhan,zhelipeiyangdapizhuoyueyixuerencai。

1.quanmianjiaqiangdeyishuangxiudesuzhinenglipeiyang。badeyuzuoweiyixuerencaipeiyangdeshouyaoneirong,jiangsixiangzhengzhijiaoyuhezhiyesuyangjiaoyuguanchuanjiaoyujiaoxuequanguocheng,jinyibujiaqiangyiyixuezhiyedaode、zhiyetaiduhezhiyejiazhiguanweijibenneirongdezhiyesuzhijiaoyu,zhelipeiyangxuesheng“zhenaishengming、dayijingcheng”dejiusifushangjingshen,yindaoxueshengjiangyufangjibing、jiechubingtongheweihuqunzhongjiankangquanyizuoweicongyideshenshengzhize。shixiansuzhijiaoyuyuzhuanyejiaoyudeyoujijiehe,zengjiaxueshengsuoxuezhishideshenduheguangdu,jifaxueshengchuangxinsiwei。jiaqiangxueshengjiaoliugoutongnenglidepeiyang,tishengxueshengtuanduihezuonengli;jiaqiangxueshengzhiyenenglipeiyang,tishengxueshengcujinjiankanghejiejuelinchuangshijiwentidenengli、pipanxingsiweinengli、xinxiguanlinengliyijizhongshenxuexinengli。

2.quanfugaijiansheyipitesexianmingdeyiliuyixuezhuanye。zhudongshiyingyixuexinfazhan、qunzhongjiankangfuwuxinxuqiu、jiankangchanyefazhanxinyaoqiu,jiakuaixianyouyixuezhuanyedegaigeshengji,youhuayixuerencaipeiyangdezhishinenglisuzhijiegou;tuidongyikeyugongke、likedengduoxuekejiaocharongtong,qianzhanxingbujuxinxingyixuehuoyixuexiangguanzhuanyejianshe。

zhichibutongleixingyixueyuanxiaozhaozhunbanxuedingwei,tuchubanxuetese,jiakuaijiancheng400gezuoyouyiliuyixuezhuanye。gengxinrencaipeiyanglinian,jiakuaiyixuejiaoyuyou“yijibingzhiliaoweizhongxin”xiang“yicujinjiankangweizhongxin”zhuanbian,genjuzhuanyerencaipeiyangmubiaotuijinkechengtixigaige,peiyangyixueshengyufang、zhenliao、yangshengbaojian、kangfudengfuwujiankangquanguochengdezhishinenglisuzhi,qianghuayixueshengjibenlilun、jibenzhishi、jibenjinengdepeiyang。jiaqiangquankeyixuejiaoyu,qianghuashijianjiaoxue,yangebiyeshixiguanlihekaohe,goujianfugaizhenliaoquanguochengdelinchuangshijianjiaoxuejiditixi,jianshe100gezuoyouguojialinchuangjiaoxuepeixunshifanzhongxin、100gezuoyouguojiaquankeyixueshijianjiaoxueshifanjidi。jishijiang“hulianwang+jiankangyiliao”“rengongzhineng+jiankangyiliao”dengyixuelingyuzuixinzhishi、zuixinjishu、zuixinfangfagengxindaojiaoxueneirongzhong,rangxueshengjingenyixuezuixinfazhan。shenrutuijinyixueshengzizhuxuexiweidaoxiangdejiaoxuefangshifangfagaige,kaizhanjiyuqiguan/xitongdezhengheshijiaoxuehejiyuwentidaoxiangdexiaozutaolunshijiaoxue,wanshanyinengliweidaoxiangdexingchengxingyuzhongjiexingxiangjiehedepingjiatixi。

bajiakuaituijinxiandaixinxijishuyuyixuejiaoyujiaoxuedeshenduronghezuoweigaigedezhanlvexuanze,tuijin“hulianwang+yixuejiaoyu”,yongxinjishugongjiangongxiangyouzhiyixuejiaoyuziyuan,jianshe400gezuoyouyixueguojiaxunifangzhenshiyanjiaoxuexiangmu,fenquyujiansheguojiayixuejiaoxueanligongxiangziyuanku,tuichu1000menzuoyouyixueguojiaxianshangxianxiajingpinkecheng,guangfankaizhanhunheshijiaoxuehezaixianjiaoyu,shixianjiaoyujiaoxuezhiliangdebianguichaoche。

3.quanleixingtuijinyixuerencaipeiyangmoshigaige。weiraoquanzhouqiquanguochengweihuqunzhongjiankangxuyao,shenhualinchuangyixuelei、kouqiangyixuelei、gonggongweishengyuyufangyixuelei、zhongyixuelei、zhongxiyijiehelei、yixuejishulei、hulixueleizhuanyerencaipeiyangmoshigaige,jiakuaipeiyangbutongleixingyixuerencai。

shenhuajichuxingbenkeyixuerencaipeiyanggaige,hangshibenkerencaipeiyangzaiyixuerencaichengzhangzhongdejichudiwei,tuijinyishengrenliweidaoxiangdejiaoyujiaoxuegaige,zhelitishengyixueshengzhiyesuyanghelinchuangshijiannengli。

shenhuafuwujiankangxiangcunjianshedequankeyixuerencaipeiyanggaige,shenrutuijinnongcundingdandingxiangbenkeyixuejiaoyugaige,tishengfuwujicengdezerengan、rongyugan,jiaqiangyixueshengchengxinjiaoyu,zhelitishengyixueshengjiejuenongcunyiliaoweishengshijiwentidenengli;shenrutuijinsannianzhizhuankeyixuerencaipeiyanggaige,goujian“3+2”(sannianyixuezhuankejiaoyujialiangnianbiyehouquankeyishengpeixun)zhuliquankeyishengpeiyangmoshi。

shenhuayuanxiaojiaoyuyubiyehoujiaoyuxiangxianjiedegaosuzhiyixuerencaipeiyanggaige,shenrutuijin“5+3”yitihuarencaipeiyanggaige,tuidongbenkejiaoyu、zhuanyexueweiyanjiushengjiaoyu、zhuyuanyishiguifanhuapeixundeyouxiaoxianjie,jiakuaipeiyanggaosuzhilinchuangyishi;shenrutuijinlinchuangyixue、kouqiangyixue、zhongyishuoshizhuanyexueweiyanjiushengpeiyanggaige,tongchouyouhualinchuangpeiyangpeixunneirongheshijian,cujinshuoshizhuanyexueweiyanjiushengjiaoyuyuzhuyuanyishiguifanhuapeixunyoujixianjie,jiaqiangshuoshizhuanyexueweiyanjiushenglinchuangkeyansiweinenglidepeiyang,tishengshuoshizhuanyexueweiyanjiushenglinchuangzonghenengli。

shenhuabajianchuangxinyixuerencaipeiyanggaige,shenrutuijinbanianzhiyixue(jiunianzhizhongyixue)jiaoyugaige,hangshiyixueshengquanmianfazhandekuanhoujichu,tishengyixueshenglinchuangzonghenengli,peiyuyixueshenglinchuangkeyanqianzhi,tuozhanyixueshengguojishiye,peiyangshaoerjing、gaocengci、gaoshuiping、guojihuadeyixueweilailingjunrencai;shenrutuijin“yixue+”fuhexinggaocengciyixuerencaipeiyanggaige,zhudongyingduiguojiyixuejingzheng,miaozhunyixuekejifazhanqianyan,duijiejingzhunyixue、zhuanhuayixue、zhinengyixuexinlinian,dalicujinyixueyulike、gongkedengduoxuekejiaocharongtong,kaizhan“yixue+x”fuhexinggaocengciyixuerencaipeiyanggaigeshidian,peiyangduoxuekebeijingdefuhexinggaocengciyixuerencai。

4.quanfangweituijinyijiaoxietongyuren。zhelijianquanzhongyangheshengjijiaoyu、weishengjiankang、zhongyiyaodengbumenxiediaojizhi,jiakuaijianliyixuerencaizhaosheng、peiyang、jiuye、shiyongdengfangmiandexietongliandongjizhi,miqierencaipeiyangbumenyushiyongbumendehezuo,gongtongquedingpeiyangmubiao,gongtongkaifashiyongyouzhijiaoxueziyuan,gongtongkaizhanrencaipeiyangzhiliangpingjia,tuidongzhengcequxiangxianghupeihe、gaigeguochengxianghucujin、gaigechengxiaoxiangdeyizhang。

wanshanzonghedaxueyixuejiaoyuguanlitizhijizhi,anzhaoyouliyufahuizonghexingdaxuejubanyixuejiaoyudeyoushi、youliyupeiyangzhuoyueyixuerencaideyuanze,jiaqiangdaxueduiyixuerencaipeiyangdetongchouxiediao,jiaqiangyixueyuan(bu)duiyixuejiaoyudetongchouguanli,shihuayixueyuan(bu)zhineng,qianghuayixueyuan(bu)duifushuyiyuanyijiaoyandeguanli,baochiyixuejiaoyuwanzhengxing。fushuyiyuanyaobayixuerencaipeiyangzuoweizhongdashiming,chulihaoyiliao、jiaoxuehekeyangongzuodeguanxi,jianquanjiaoxuezuzhijigou,weiraorencaipeiyangyouhuadiaozhenglinchuangkeshishezhi,gulichenglijiyuqiguanxitongdengfangshidezonghexingkeshi。wanshankaohepingjiajizhi,jiangjiaoxuegongzuoliangherencaipeiyangzhiliangnarufushuyiyuanjixiaokaoheyijiyuanzhangnianduherenqimubiaozerenkaohedezhongyaoneirong,zuoweiyiwurenyuanzhichengjinsheng、gongzuokaopinghejixiaofenpeidezhongyaozhibiao。jiaoyubu、guojiaweishengjiankangweiyuanhui、guojiazhongyiyaoguanlijuyushengjirenminzhengfugongjianyipiyixueyuanxiaohefushuyiyuan,zairencaipeiyang、kexueyanjiu、jingfeitourudengfangmianjiyuzhengceqingxie,tishenggongjianyuanxiaobanxuenengliheshuiping。

5.quanweidudazaoyidegaonengliqiangdejiaoshiduiwu。bashiziduiwujianshezuoweiyixueyuanxiaozuiweizhongyaodejichugongcheng,jiaqiangshide、yidejianshe,chongfenfahuijiaoshitebieshilinchuangjiaoshizaijiaoshuyuren、tishengyixueshengzhiyesuyangzhongdezhudaozuoyong。zaiyixueyuanxiaojianshe20gezuoyouguojiajiaoshifazhanshifanzhongxin,manzujiaoshizhiyefazhanxuyao,tishengjiaoshizhuanyejishushuipinghejiaoxuenengli。

yixueyuanxiaojiaoshiduiwufazhanguihuayaozhelijiaqiangjichuyixueshizihelinchuangdaijiaoshiziduiwujianshe,youhuajichuyixueshizixuekezhuanyejiegou,jijiyindaogaoshuipinglinchuangyishicongshilinchuanghejichujiaoxuegongzuo,jiansheyipiyoujichuhelinchuangjiaoshironghedejiaoxuetuandui。

6.quanguochengpeiyuyixuejiaoyuzhiliangwenhua。tuidongyixueyuanxiaojiangzhiliangjiazhiguanluoshidaolilunjiaoxue、linchuangshijianjiaoxuedengrencaipeiyanggehuanjie。jiakuaituijinyixuejiaoyuzhuanyerenzheng,goujianyixuezhuanyesanjirenzhengtixi,dao2020nianwanchengbenkelinchuangyixuezhuanyeshoulunrenzhengquanfugai,jianliqijuyouzhongguotese、guojishizhidengxiaodeyixuejiaoyuzhuanyerenzhengzhidu。jianliyouxiaodezhuanyerenzhengjilijizhi,jiangrenzhengjieguotongguoshidangfangshixiangshehuigongbu。

四、完善计划保障机制

1.goujiansanjishishitixi。jiaoyubu、guojiaweishengjiankangwei、guojiazhongyiyaoguanlijutongchoujihuadezuzhishishigongzuo,zuohaozongtiguihua,chenglizhuoyueyishengjiaoyupeiyangjihua2.0zhuanjiaweiyuanhui,xiediaojiejueshishiguochengzhongzhongdawenti。gesheng(qu、shi)jiaoyu、weishengjiankang、zhongyiyaoxingzhengbumenyaojieheshijiqingkuang,zhidingshishishengjizhuoyueyishengjiaoyupeiyangjihua2.0。gegaoxiaoyaojiehebenxiaoshiji,zhidingluoshijihua2.0dejutishishifangan,naruxuexiaozhengtifazhanguihua。

2.jiaqiangzhengcezhichi。jiaoyubudengbumenzaizhuanyeshezhi、renyuanpinyongyupingjiazhidu、guojihezuojiaoliudengfangmianjiyuxiangguangaoxiaotongchouzhichi,jiadaduizhongxibuyixueyuanxiao、buweiju(sheng)gongjianyixueyuanxiaodezhichilidu。gesheng(qu、shi)jiaoyudengxingzhengbumenyaojiaqiangshengyuneizhengcexiediaopeitao,tigongyoulidezhengcebaozhang。gegaoxiaoyaogenjubenxiaoshijiqingkuang,jiadaguojia、sheng、xiaozhengcedexianjie、peitao、wanshan、zhixinglidu。

3.jiadajingfeibaozhang。zhongyanggaoxiaoyingtongchouliyongzhongyanggaoxiaojiaoyujiaoxuegaigezhuanxiangdengzhongyanggaoxiaoyusuanbokuanheqitageleiziyuan,jiehexuexiaoshiji,zhichijihuadeshishi。gesheng(qu、shi)yingjiehejiaoyujiaoxuegaigeshijiqingkuang,tongchoudifangcaizhenggaodengjiaoyuzijinhezhongyangzhichidifanggaoxiaogaigefazhanzijin,yindaozhichidifanggaoxiaoshishihaojihua。

4.qianghuajiandujiancha。jiaoyubuhuitongyouguanbumenzhidaojihuashishi,caiqushidangfangshijinxingjixiaopingjia,jianlidongtaidiaozhengjizhi;jiaqiangduidianxinganlidezongjiexuanchuan,fahuishifanyinlingzuoyong。gesheng(qu、shi)jiaoyu、weishengjiankang、zhongyiyaoxingzhengbumenjiaqiangduijihuashishiguochenggenzong,jishifaxianjianshezhongcunzaidewenti,tichugaijinyijianhejianyi;jiaqiangshishiguochengguanli,qianghuadongtaijiance,xingchengjiliyueshujizhi,zengqiangjiansheshixiao。gegaoxiaoyaoduizhaobenxiaojihuashishifangan,zaishishiguochengzhongjishizongjie,zhudongfabuzipingbaogao、jinzhanqingkuangjibiaozhixingchengguo,jieshoushehuijiandu,quebaogexianggaigejucuoluodaoshichu、qudeshixiao。

jiaoyubu guojiaweishengjiankangweiyuanhui guojiazhongyiyaoguanliju

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