Talent training of traditional Chinese medicine: make "Chinese" taste stronger and "medical" effect better

2021-11-29

A few days ago, the Ministry of education, in its reply to the proposal of the CPPCC National Committee on holding "high apprenticeship classes" focusing on Teacher Education in traditional Chinese medicine colleges and universities, introduced that the Ministry of education and the State Administration of traditional Chinese medicine attach great importance to the training of traditional Chinese Medicine talents, encourage qualified traditional Chinese medicine colleges and universities to set up teacher apprenticeship classes, and support traditional Chinese medicine colleges and universities to promote teacher apprenticeship education, college education, post graduation education The reform of talent training mode combined with continuing education will improve the quality of talent training of traditional Chinese medicine and provide solid talent support for the inheritance, innovation and development of China's traditional Chinese medicine and the construction of a healthy China. At present, TCM diagnosis and treatment institutions have been set up in most parts of China, but the reality is that the TCM characteristics of some hospitals and even TCM hospitals are not very obvious. The main reason is the lack of good TCM. It is difficult to cultivate excellent TCM talents because it is difficult to form original thinking of TCM, activate classics of previous dynasties, master basic skills and understand the effects of prescriptions... TCM talents are an important support for the inheritance, innovation and development of TCM. On the way from generation to generation, these problems need to be paid attention to. Is it traditional Chinese medicine to see the test sheet and traditional Chinese medicine prescription Reporter: the theoretical system of traditional Chinese medicine is broad and profound, with more emphasis on the holistic view. It needs to be knowledgeable and specialized. At present, China's traditional Chinese medicine is facing hitherto unknown opportunities for development. How to effectively inherit the essence of Chinese medicine experts' thoughts and medical ethics and train outstanding clinical talents, especially those at the grassroots level? Gu Xiaohong, chairman of the Teaching Steering Committee of traditional Chinese medicine in Colleges and universities of the Ministry of education and Secretary of the Party committee of Beijing University of traditional Chinese medicine: erudition and specialization are not only the signs of talents, but also the basic signs of excellent talents. Relatively speaking, traditional Chinese medicine, as a system science with profound philosophical wisdom, does require learners to be more knowledgeable and specialized. Sun Simiao believes that a good doctor must "be knowledgeable about the source of medicine, diligent and tireless" before he can be a "great doctor for ordinary people". Only by being broad-minded and transparent can we have a more comprehensive and profound understanding of nature, life and disease. The essence lies in the intensive study of TCM thinking ability, diagnosis and treatment theory and practical skills, and has expertise in academic research or clinical ability. Bo and Jing are two aspects that complement and promote each other in the process of talent growth. Wang Wei, the first Qihuang scholar and President of Guangzhou University of traditional Chinese medicine: at present, the service level of grass-roots traditional Chinese medicine is still unbalanced, and the level of traditional Chinese medicine in some counties and towns is relatively low. Look at a test sheet and match it with a Chinese prescription. It's not a real traditional Chinese medicine. From the perspective of the whole health industry, the total number of talents in traditional Chinese medicine is far from enough. From the perspective of institutional guarantee, we need the government to lead the construction of institutions and platforms of traditional Chinese medicine; From the perspective of enriching grass-roots talents, it can be realized through directional entrusted training or long-term mechanisms such as radiation, sinking and linkage of medical technology in class III and class A hospitals; In terms of talent education, colleges and universities need to carry out a series of reforms on students' knowledge structure, teaching methods, integrated teaching curriculum system of traditional Chinese and Western medicine and specialty setting, especially in the combination with clinical needs. Until the temples are gray, is it a success Reporter: Chinese people have special respect for "old traditional Chinese medicine". The national selection of "national medical masters" also takes 55 years of medical age as one of the basic conditions. As people often say, "traditional Chinese medicine is more popular as it gets older". For young traditional Chinese medicine, can it be regarded as a success until the temples are white? How can young Chinese medicine students improve their medical skills in clinical practice? Cheng Chun, Secretary of the Party committee of Nanjing University of traditional Chinese medicine, said: "traditional Chinese medicine is more popular as it gets older". To a certain extent, this statement emphasizes the importance of clinical experience, life experience, life understanding, grasping the pathogenesis of gasification and being familiar with the nature of prescriptions and medicines. The so-called "medicine is not for the third time, do not accept its medicine", which is the same truth. In fact, in the final analysis, the accurate efficacy of prescription drugs in clinical practice is that the cognition of the disease is infinitely close to the essence of the disease. This certainly requires experience, but it also needs the understanding and Cultivation Based on the deep traditional Chinese medicine culture. On this basis, young traditional Chinese Medicine should read more classics, repeat clinical practice, cross learn from multiple disciplines, and study modern medicine, life science and technology, It will certainly improve the clinical skills of traditional Chinese medicine. Gu Xiaohong: with the growth of age and working time, doctors have a deeper understanding of life and TCM theory, accumulated experience and improved diagnosis and treatment ability. Only by integrating Tao and art can traditional Chinese medicine better serve patients. Tao is the doctor's spirit, culture, character and thinking, and art is the ability of diagnosis and treatment. With generous medical ethics, we will have the inside information to explore the mysteries of life and the driving force to deeply study traditional Chinese medicine. On this basis, we also need to consolidate the theoretical basis and exercise it repeatedly in clinical practice. "Be familiar with classics and do clinical work frequently", deeply understand medical theory through reading classics, and achieve the unity of knowledge and practice through clinical practice. Luo Songping, Professor of Guangzhou University of traditional Chinese medicine and head of Gynecology of traditional Chinese medicine, a national key discipline: medicine needs the accumulation of experience. After graduation, both western medicine and traditional Chinese medicine in China need to undergo standardized resident training, rotate in each specialty and pass the examination before they can enter a specialty to engage in medical work. However, due to the different theoretical system, disease view and treatment view between traditional Chinese medicine and Western medicine, traditional Chinese medicine pays more attention to the whole and individual, while western medicine pays more attention to pathogens and norms. The holistic view of traditional Chinese medicine emphasizes the "unity of heaven and man", that man and nature are a whole, that the five internal organs are related, and that the whole body is a whole. Therefore, the treatment emphasizes the conditioning of the whole body. The "conditioning" in traditional Chinese medicine is to balance yin and Yang, regulate viscera and Qi and blood, and treat diseases. It is not the health care understood by ordinary people. Shi bin, President of neck, shoulder, waist and leg pain Hospital Affiliated to Shandong First Medical University: Traditional Chinese medicine pays attention to the whole, but also to the accumulation of long-term and a large amount of clinical experience. Only in TCM pulse diagnosis, the discrimination of nearly 100 kinds of pulse signs needs long-term practice. There is no fixed and relatively perfect place and relatively stable inheritance and research team for the inheritance of famous and old traditional Chinese medicine. The academic experience of old traditional Chinese medicine experts is at the working level of personal sorting and personal inheritance, which is lack of systematicness and integrity. As far as the whole industry is concerned, the inheritance of traditional Chinese medicine has always lacked a good platform. Affected by the educational background, doctors with teachers are subject to many restrictions in professional title evaluation, rising space and so on. Although many young Chinese doctors are silent and nameless and do not have white temples, they have a pure heart for Chinese medicine and excellent medical skills. They may not have high titles and few patients for the time being, but they do their best to treat patients like old doctors. I hope to give more opportunities to young Chinese medicine. Only when they grow up, Chinese medicine will become more and more promising. Huang Huang, a famous traditional Chinese medicine doctor in Jiangsu Province and professor of the International School of economics of Nanjing University of traditional Chinese medicine: with the development of the times, especially the emergence of the Internet and artificial intelligence, modern people have richer, faster and more effective means to obtain knowledge and experience, which provides the possibility for the rapid rise of young traditional Chinese medicine. I think young traditional Chinese medicine will also be "popular" in the near future. How to further improve the clinical skills of students of traditional Chinese medicine? This is a big problem, involving a lot of contents, but the most important one is to have more clinical and early clinical, and follow the right teachers, and schools should teach properly. The way of thinking is wrong. No amount of clinical work is useless, so we should first read the classics. Is it "Westernization" for Chinese medicine students to take western medicine courses Reporter: the novel coronavirus pneumonia is a major feature of our new crown pneumonia epidemic prevention and control. We advocate the integration of traditional Chinese and Western medicine. At present, some western medicine courses will also be taught in the training courses of traditional Chinese medicine. People ask whether this will lead to the tendency of Western medicine of students majoring in traditional Chinese medicine? Yu Shuguang, President of Chengdu University of traditional Chinese medicine and academic leader of acupuncture and massage, a national key discipline: for learners of traditional Chinese medicine, they can not only diagnose and treat diseases by means of traditional Chinese medicine, such as "four diagnosis and participation", but also make good use of modern scientific and technological means on the basis of laying a solid foundation for the specialty of traditional Chinese medicine and the training of traditional Chinese medicine thinking ability, Continuously strengthen the comprehensive ability of traditional Chinese medicine, which can not be called "Westernization". Modern Chinese medicine education needs not only the training of traditional Chinese medicine talents, but also the training of integrated traditional Chinese and Western medicine talents, so as to meet the health needs of the people. Yang Jin, a professor of Nanjing University of traditional Chinese medicine and a national academic tutor of traditional Chinese medicine, said: of course, in the actual teaching process, we should still pay attention to hierarchical training and teach students according to their aptitude. Students majoring in traditional Chinese medicine should establish the training concept of focusing on traditional Chinese medicine. The courses should focus on traditional Chinese medicine, supplemented by modern medical courses, so as to avoid overall Westernization. Students majoring in integrated traditional Chinese and Western medicine should pay equal attention to traditional Chinese and Western medicine in curriculum design. Even if they can't master relevant knowledge at the undergraduate stage, they can lay a solid foundation for further study. In addition, some schools have set up "pure traditional Chinese medicine" pilot classes, and most of the courses are traditional Chinese medicine. Good results have been achieved in strengthening the study of traditional Chinese Medicine Classics. Chen Kaixian, academician of the Chinese Academy of Sciences and former president of Shanghai University of traditional Chinese medicine: the convergence of Chinese and Western medicine needs to break the boundaries and barriers of disciplines, and there should be corresponding policies to guide and promote the close strategic cooperation between high-level universities of traditional Chinese medicine and top Western Medicine Universities (as well as first-class comprehensive universities), so as to truly give birth to some original innovations from 0 to 1. We can consider creating some "special zones" of higher education, adhering to the principles of combining independent innovation with international cooperation, combining traditional Chinese medicine with western medicine, and combining basic research with clinical medicine, and integrating the advantages of western modern medicine and Chinese traditional medicine in medical treatment, scientific research and industry, so as to carry out basic and clinical research on the integration of traditional Chinese and Western medicine, so as to make scientific research echelon We will promote the innovation of traditional Chinese medicine and the development of new disciplines integrating traditional Chinese and Western medicine in combination with the standardization of diagnosis and treatment, the direction of industrial innovation and the ownership of innovative talents. The core is to adhere to facing major clinical needs, adhere to the guidance and characteristics of the original philosophical thinking of traditional Chinese medicine, form a number of internationally leading new technologies for diagnosis and treatment of integrated traditional Chinese and Western medicine, and form the original achievements of basic theory at the international level through the exploration of basic research. In addition to strengthening the discipline construction of integrated traditional Chinese and Western medicine, we should also explore the reform of management system and mechanism, break the "wall" isolated from each other among schools, hospitals and disciplines, take the construction of scientific and technological innovation system of traditional Chinese medicine as the goal and the discipline direction as the main line, and establish an organizational mechanism with relatively independent academic management, relatively diluted personnel ownership and relatively free expert combination, Gather a group of excellent talents with solid foundation, broad mind and broad vision. (outlook new era)

Edit:Yuanqi Tang    Responsible editor:Xiao Yu

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