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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 courses
Basic
medicine
1
2
3
4
Clinical
clerkship
rotation
Clinical
medicine
5
6
7
8
9
10
terms
Seven-year program
Premedical
courses
Clinical clerkship
rotation
Elective courses
Basic medicine
1
2
3
4
5
Clinical
thesis
writing
Clinical
medicine
6
7
8
9
10
Elimination exam
Bachelor degree
11
12
13
14
terms
Eight-year program
Specialty
training
Elective courses
Premedical
courses
1
2
3
Basic
medicine
4
5
6
Clinical
clerkship
rotation
Clinical
medicine
7
8
9
10
11
12
Clinical
Thesis
writing
13
14
15
Elimination exam
Bachelor degree
Master degree
16
terms
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
Problems
1) 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
Requirements (GMER)
Minimum
Essential
China’s first foreign medical education evaluation.
Some comparisons
between China and Japan (1)
Teaching
methods
assess
ment
5,7,8year
Mainly
classroom
lectures,
Multimedia
Little PBL,SP
Mainly
MCQs
6-year
lectures,
PBL,CBS, SP,
etc.
OSCE
Entrance
modes
exam
Strict,
China
national
National,
Japan
university
Some comparisons
between China and Japan (2)
National English
Experimental proficiency test
courses
before
graduation
China emphasized
5-year-grade 4
7,8-year-grade 6
Family
medicine
/primary care
License exam
Paper test
In the beginning
(basic theory)
CBT
(clinical competence)
Japan emphasized
no
Well-developed
CBT
Advanced 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 university
Now: 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 / year
Eight-year program:
80 / year (2004)
Nanfang Hospital
The First affiliated hospital
Nanfang Hospital 1,500 beds
One of the:
“First Class Hospitals at Grade III”
“National One Hundred Exemplary Hospitals”
The second affiliated hospital
Zhujiang Hospital 1,１00 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。

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