Cultivation of Chinese medicine talents: make the taste of "Chinese" stronger and the effect of "medicine" better
In the Chinese pharmacy of Gansu Provincial Hospital of Traditional Chinese Medicine, pharmacists dispense medicines according to the latest Chinese medicine prescriptions for preventing new coronary pneumonia.
Xinhua News Agency
Zhang Boli, the winner of the national honorary title of "People's Hero", takes the pulse and asks the doctor for the patient.
Xinhua News Agency
A few days ago, the Ministry of Education stated in its reply to the National Committee of the Chinese People’s Political Consultative Conference “Proposal on the Organization of "Teacher-to-Teacher Education Programs" in Traditional Chinese Medicine Hospitals". TCM colleges and universities set up classes for TCM physicians, and support TCM colleges and universities to promote the reform of talent training model that combines teacher education with college education, post-graduation education, and continuing education, to improve the quality of TCM talent training, and to inherit and innovate for the cause of TCM in China Provide solid talent support for the development and healthy China construction.
At present, most areas of our country have established TCM diagnosis and treatment institutions, but the reality is that the characteristics of TCM in some hospitals and even TCM hospitals are not very obvious. The main problem lies in the lack of good TCM.
It is difficult to cultivate excellent TCM talents, but the difficulty lies in the difficulty in forming original TCM thinking, the classics of past dynasties being difficult to activate, basic skills not easy to master, and the effects of prescriptions are difficult to understand... TCM talents are an important support for the inheritance, innovation and development of TCM.
On the way to pass the fire down, these issues need to be paid attention to.
Does the prescription of Chinese medicine count as Chinese medicine by looking at the laboratory test sheet?
Reporter: The theoretical system of traditional Chinese medicine is broad and profound, and emphasizes the holistic view. It requires knowledge and expertise. At present, my country's Chinese medicine industry is facing unprecedented development opportunities. How to effectively inherit the essence of the academic thoughts and medical ethics of old Chinese medicine experts and cultivate outstanding Chinese medicine clinical talents, especially grassroots talents?
Gu Xiaohong, chairman of the Chinese Medicine Teaching Steering Committee of Higher Education Institutions of the Ministry of Education and Secretary of the Party Committee of Beijing University of Chinese Medicine:
Knowledge and expertise are both signs of talents, but also the basic signs of outstanding talents.
Relatively speaking, as a systematic science condensed with profound philosophical wisdom, Chinese medicine does require students to be both knowledgeable and specialized.
Sun Simiao believes that a good healer must "know the source of medicine and be diligent and tireless" before he can be a "general doctor."
Ability can be masterful and transparent, and can understand nature, life, and disease more comprehensively and profoundly.
The essence lies in the intensive study of Chinese medicine thinking ability, diagnosis and treatment theory, practical skills, and 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 level of grassroots Chinese medicine services is still unbalanced, and the level of Chinese medicine in some counties and townships is relatively low.
Looking at a laboratory test sheet and matching a Chinese medicine prescription is not a real Chinese medicine.
From the perspective of the entire health industry, the total number of TCM talents is far from enough.
From the perspective of institutional guarantees, the government needs to lead the establishment of TCM institutions and platforms; from the perspective of grassroots talent enrichment, it can be achieved through long-term mechanisms such as targeted commission training or the radiation, sinking, and linkage of tertiary hospital medical technology to the grassroots. ; From the perspective of talent education, colleges and universities need to carry out a series of reforms on students' knowledge structure, teaching methods, integrated Chinese and Western medicine teaching curriculum system, and professional settings, especially in integrating with clinical needs.
Will karma be successful until the temples are white?
Reporter: Chinese people have a special respect for "old Chinese medicine doctors". The national selection of "Masters of Chinese Medicine" will also take 55 years of doctor's age as one of the basic conditions. As people often say, "Chinese medicine is more popular as you get older." For young Chinese medicine practitioners, is it only after the temples are white that they can achieve success in their careers? How can young Chinese medicine practitioners improve their medical skills in clinical practice?
Cheng Chun, Secretary of the Party Committee of Nanjing University of Traditional Chinese Medicine:
The saying "The older the TCM, the more popular it is", to a certain extent emphasizes the importance of clinical experience, life experience, life experience, grasping the pathogenesis of qi, and being familiar with the nature of prescriptions.
The so-called "no cure for the third life, no medicine", is the same.
In fact, the precise effect of prescription and medication in clinical practice is that the understanding of the disease is infinitely close to the essence of the disease. This requires experience, but it also requires the understanding and cultivation of a profound Chinese medicine culture. Young Chinese medicine practitioners are based on this. Read more classics, repeat clinical practice, learn from multiple disciplines, study modern medicine, life sciences, and technology, and you will surely improve your clinical skills in traditional Chinese medicine.
Gu Xiaohong:
With the increase of age and working time, doctors have a deeper understanding of life and TCM theory, accumulating experience, and improving diagnosis and treatment capabilities.
Only when Dao and technique are integrated can Chinese medicine serve patients better. Dao is the spirit, culture, character, and thinking of doctors, and technique is the ability of diagnosis and treatment.
With generous medical ethics, there will be a foundation to explore the mysteries of life, and there will be a driving force for in-depth study of Chinese medicine.
On this basis, it is also necessary to consolidate the theoretical foundation and repeatedly temper in clinical practice.
"Read the classics well, do clinical work diligently", through the study of classics, understand the medical theory deeply, and achieve the unity of knowledge and action through clinical practice.
Luo Songping, professor of Guangzhou University of Chinese Medicine and leader of the national key disciplines of Chinese medicine and gynecology:
Medicine requires accumulation of experience.
After graduation, both western medicine and traditional Chinese medicine in our country need to undergo standardized training for residents, rotate in various specialties and pass assessments, before they can enter a speciality to engage in medical work.
However, due to the different theoretical systems, disease views, and treatment views between Chinese medicine and Western medicine, Chinese medicine pays more attention to the whole and the individual, while Western medicine pays more attention to pathogens and emphasizes standardization.
The holistic view of Chinese medicine emphasizes "the harmony between man and nature", that man and nature are a whole, and also emphasizes that the five internal organs are related, and the whole body is a whole.
Therefore, 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 that most people understand.
Shi Bin, Dean of the Hospital of Neck, Shoulder, Waist and Leg Pain Affiliated to Shandong First Medical University:
Traditional Chinese medicine pays attention to the whole, and it pays more attention to the accumulation of long-term clinical experience.
In terms of pulse diagnosis in traditional Chinese medicine alone, the identification of nearly a hundred kinds of pulse conditions requires long-term practice to master.
There is no fixed, relatively complete place and relatively stable inheritance and research team for the medical skills of famous old Chinese medicine doctors. The academic experience of old Chinese medicine experts is at the level of personal collation and personal inheritance, and lacks systemicity and integrity.
As far as the entire industry is concerned, the inheritance of Chinese medicine has always lacked a good platform.
In addition, the doctors with teachers are affected by their academic qualifications, and are subject to many restrictions in terms of professional title evaluation and room for improvement.
Many young Chinese medicine practitioners, although they are not famous and do not have white spots on their temples, have a sincere heart for Chinese medicine and their medical skills are also superb.
They may not have high titles and not many patients for the time being, but they are doing their best to treat patients like the old doctor.
I hope to give young Chinese medicine more opportunities. Only when they grow up, Chinese medicine will be more and more promising.
Huang Huang, a famous Chinese medicine practitioner in Jiangsu Province and a professor at Nanjing University of Traditional Chinese Medicine International School 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 of acquiring knowledge and experience. The rapid rise provides the possibility. I think that in the near future, young Chinese medicine practitioners will also be popular.
How to further improve the clinical skills of Chinese medicine practitioners?
This is a big problem, and it involves a lot of content, but the most important one is to have more clinical practice, early clinical practice, and follow the right teachers, and schools must teach well.
The way of thinking is wrong, no matter how much the clinic is, it is no use, so first of all, we must read the classics well.
Is it "Westernization" for students of Chinese medicine to take western medicine?
Reporter: The equal emphasis on Chinese and Western medicine is a major feature of my country's new crown pneumonia epidemic prevention and control. We advocate the integration of Chinese and Western medicine. At present, some western medicine courses are also taught in the training courses of Chinese medicine. People ask questions about this. Will this lead to the tendency of Western medicine for Chinese medicine students?
Yu Shuguang, president of Chengdu University of Traditional Chinese Medicine and academic leader of national key disciplines of acupuncture, moxibustion and Tuina:
For learners of traditional Chinese medicine, it is not only necessary to use traditional Chinese medicine methods such as the traditional "four diagnosis and treatment" to diagnose and treat diseases, but also need to be in prison. On the basis of the foundation of the Chinese medicine profession and the training of Chinese medicine thinking ability, the use of modern scientific and technological means to continuously strengthen the comprehensive ability of the Chinese medicine profession cannot be called "Westernization".
Modern Chinese medicine education requires not only the training of traditional Chinese medicine talents, but also the training of integrated Chinese and Western medicine talents in order to meet the health needs of the people.
Yang Jin, a national teacher of traditional Chinese medicine inheritance and professor of Nanjing University of Traditional Chinese Medicine:
Of course, in the actual teaching process, we still need to pay attention to stratified training and teach students in accordance with their aptitude.
Students majoring in Chinese medicine should establish a training concept based on traditional Chinese medicine. The courses should be based on traditional Chinese medicine and supplemented by modern medical courses to avoid total Westernization.
For students majoring in integrated traditional Chinese and Western medicine, both Chinese and Western medicine should be emphasized in curriculum design. Even if they cannot fully grasp relevant knowledge at the undergraduate level, they can lay a solid foundation for subsequent further studies.
In addition, some schools have set up pilot classes for "pure Chinese medicine". Most of the courses are Chinese medicine. The study of classics of Chinese medicine has also been strengthened and good results have been achieved.
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 must be corresponding policies to guide and promote high-level Chinese medicine universities and top Western hospitals (and first-class universities). The close strategic cooperation of comprehensive colleges and universities has really produced some original innovations from 0 to 1.
Consider creating some "special zones" for 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 integrate western modern medicine with traditional Chinese medicine in medical, scientific research, industry, etc. In terms of advantages, carry out basic and clinical research on the integration of Chinese and Western medicine, so that scientific research has an echelon, integrated diagnosis and treatment have standards, industrial innovation has a direction, and innovative talents have ownership, and promote the development of new disciplines of Chinese medicine innovation and the integration of Chinese and Western medicine.
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, and form a group of internationally leading new technologies for integrated Chinese and Western medicine diagnosis and treatment, and at the same time, through the exploration of basic research, form original results of basic theories with international standards .
In addition to strengthening the discipline construction of integrated traditional Chinese and Western medicine, it is also necessary to explore the reform of the management system and mechanism. It is necessary to break the "wall" that isolates each other between schools, schools and disciplines, with the goal of building a TCM technology innovation system and condensing disciplines. The direction is the main line, the establishment of an organizational mechanism with relatively independent academic management, relatively weaker attribution of personnel, and relatively free combination of experts, to gather a group of outstanding talents with solid foundation, broad mind and vision.
(Our reporter Cui Xingyi and Huang Xiaoyi)