Medical Education Systems in China Zhimin jia Southern Medical University, Guangzhou, China 30 th Sasakawa Researcher IRCME, the University of Tokyo

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 Clinical clerkship rotation Basic medicine Clinical medicine terms

Seven-year program Premedical courses Elective courses Clinical clerkship rotation Basic medicine Clinical medicine Clinical thesis writing terms Elimination exam Bachelor degree

Eight-year program Elective courses Specialty training Premedical courses Basic medicine Clinical medicine Clinical clerkship rotation Clinical Thesis writing terms Elimination 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

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 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 Teaching methods assess ment China Strict, national 5,7,8- year Mainly classroom lectures, Multimedia Little PBL,SP Mainly MCQs Japan National, university 6-year lectures, 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 emphasized 5-year-grade 4 7,8-year-grade 6 In the beginning Paper test (basic theory) CBT (clinical competence) Japan emphasizednoWell-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: / 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, 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。