I believe that the Chinese people have never realized this moment when they started in 2020: how great doctors are, and how great medicine can save the country; strong medicine is the country, and prosperity is the country.
At the beginning of the new year, tens of thousands of medical workers across the country played chess in the war against COVID-19 without gun smoke, and with the fearless spirit of "leaving liver and courage to two Kunlun" and "not breaking buildings and orchids."There is no doubt that in this "great examination of our governance system and capabilities", Chinese medical workers have submitted an excellent answer sheet, which is the cutest and most respectable person in the new era.
Even the dark night will pass, and the dawn will finally come as promised.We have no choice but to win.
However, the pain is uncertain and should also be thoughtful.As medical professionals, it is our responsibility to think about the serious question: Can we prevent this?Is it possible to prevent a major disaster?On the day we clean up the battlefield, each of us, every group, every industry should and must be responsible, reflect deeply and truthfully, and improve it with a pragmatic attitude of grasping iron marks.
The essence of medicine is to maintain and improve human health.In fact, human well-being is the ultimate goal of our scientific experiments.At a time when the lives and health of the people are seriously threatened, medical education, which serves the source of medicine, is also necessary for reflection and improvement.
The research object of medicine is people, who have both biological, psychological and complex social attributes.Obviously, medicine has both scientific and human characteristics, and is an organic unity of the natural sciences, social sciences and humanities—in addition to clinical medicine for the purpose of diagnosing and treating diseases.With the merger of high-level medical universities with comprehensive universities, many comprehensive medical schools are considered as second-level colleges of equal importance to other disciplines.Even if there is no merged independent medical school, it does not receive high attention and sufficient input from the local government.
Medical education lacks scientific, rational and perfect top-level design, and learners who directly face diseases such as clinical medicine, nursing and laboratory medicine often focus only on professional learning and lack the ability to master and apply public health knowledge.On the other hand, due to the low investment in the construction of the public health system, the treatment of public health personnel has not been effectively guaranteed, and the social status is low.As a result, students applying for the preventive medicine major often have lower scores than clinical medicine major and lack of motivation to study, resulting in weak training of high-level public health personnel and serious brain drain.Furthermore, due to insufficient treatment of general staff and insufficient attraction to practice, the number and quality of "grass gatekeepers" are still insufficient, which is not enough to completely strengthen the embankment of grassroots disease prevention.
The shortage of epidemiological professional teams and the lack of protection awareness and ability of clinical medical personnel in the early stages of the epidemic fully exposed the lack of systematic arrangements in China's medical education.
First, the foundation is not strong, the ground shakes.Under the banner of "double first-class", medical education pays more and more attention to the so-called "high-precision", and the textbooks are thicker and thicker, while the basic knowledge, basic skills and basic theory learning and training are becoming less and less.Moreover, medical schools generally lack education on infectious diseases, let alone wartime medical practice, and even serious films such as "Infectious Diseases" and "Blood Epidemic" are difficult to enter the medical education.
Second, the emphasis is on severe chronic diseases, and the "primary school" is neglected.Many medical schools are increasingly affiliated with hospitals, hospitals are growing larger and more specialized hospitals, medical forces are concentrated on chronic diseases, and even every discipline is set up around tumors.Clinical disciplines are becoming more and more subdivided, and they are developing to three levels, even a professional field, and the classification of medical subjects is very different from that of training.The general practitioner position is not attractive and weak in training.When the epidemic spreads wildly, time is life, and we rely more on a small number of serious subjects, making it difficult to achieve multidisciplinary consultations.We have long criticized the "primary school" such as infectious diseases, pathology, anesthesia, pediatrics and other marginalization, hospital "fever clinic" weak, long-term difficulty in seeing dead bodies, etc.
After that, he became a doctor.This anti-epidemic war is the key time for us to educate people in medicine.We can see that 200,000 young residents and specialists are basically in the clinic, and some even rushed to Hubei to join the medical team of the hospital to support, and some general professional order orientation students have played an important and active role at the grassroots level.But unfortunately, under the order of "no class closure and no listening", graduate students have withdrawn from the clinic, and few senior medical students have volunteered to fight, and even medical students who have been practicing are expected to stop practicing.We can not only be moved by the "reverse" of many medical staff, but also need to reflect on whether the Libra tree people landed in reality.
During the war, our medical staff performed extremely well.However, under the cold scale of the epidemic, whether it is medical research or medical practice, it is still necessary to seriously examine and reflect on it from macro to micro, so that we can wake up and improve it.