Sending away Yan Fuqing, who was holding the report with a solemn face, John returned to his room and sat there in deep thought. Pen & Fun & Pavilion www.biquge.info

In that report, Yan Fuqing was the second person to see it.

In fact, after all this time, the whole report has become unrecognizable, because John has integrated the results of his own thinking over the past thirty years and has come up with a completely different approach than the American report!

The purpose of the reform of medical education in the United States is to push it onto the path of elite education.

This is not a simple process, but the United States has a strong economic foundation and stands firmly in the first position in the world, and the country's financial strength, the strong investment of major foundations, and the rapid development of national strength in the coming decades are all guarantees to achieve this goal. Even so, after the Fletschner report was presented, it took the Americans decades and countless dollars to complete.

But for China in 1910, this road was a complete dead end!

In fact, even a hundred years later, in the era that John traveled to, it was impossible for China to push medical education into the category of elitism. Therefore, when applying for medical school in the college entrance examination every year, only one of them has an eight-year clinical major, and several other colleges and universities with eight-year enrollment qualifications, except for Beijing Medical University, all recruit five-year students at the same time. Concord has been an elite education since the Rockefeller era, and although there have been ups and downs in later generations, the basic concept has not changed. Although Beijing Medical University only enrolled eight-year students for a period of time, due to the influence of strength, experience and other factors, it finally restarted the five-year enrollment plan.

The five-year system is the mainstream of medical education in China.

It's just that unlike the mature medical education systems of European and American countries, China's medical education system is chaotic and abnormal, with the top eight-year system, and only about ten schools in the country can enroll students, followed by the seven-year system, and the top medical schools in various provinces also have this qualification, followed by five-year undergraduate and three-year junior colleges. In addition, some colleges and universities have also engaged in some "characteristics" and have come up with a six-year system and the like.

The various school systems adapt to the current situation of medical education in China, and to put it bluntly, it is the national situation!

In the end, the investment in medical education is still too large, and the curriculum at the basic stage requires well-equipped laboratories, a large number of laboratory animals and other consumables, and a large number of human corpses; When it comes to the clinical stage, what is needed is an affiliated hospital or teaching hospital with teaching strength. Of course, the most important thing is the need for a sufficient number of highly qualified teachers!

These conditions, especially the last one, will not be possible even in China a hundred years from now!

Even if the medical education is as developed as the Americans, the medical students they train cannot meet the needs, and they can only produce 10,000 medical doctors every year, and a large number of gaps need to be filled by medical school graduates from other countries. In his previous life, many of John's classmates gave up their jobs in China, went to the USMLE, and then went to the United States to participate in residency training. And as far as he knows, the number of Chinese is quite small, the largest are Indians and Filipinos, who hold up a small sky in American hospitals......

However, for China's rapid development in the future, the thirst for medical resources is very urgent!

The number of more than a billion people is simply too large, and the number of doctors in China is far from enough due to the long period of arrears, and the number of nurses is pitiful. On the other hand, with the improvement of people's economic conditions, although the situation of not being able to afford to go to the hospital and not being able to afford to see a doctor still exists, it is already a minority.

Merely......

Because of the uneven development, a large number of the best quality medical resources are concentrated in Beijing, Shanghai, Guangzhou, Wuhan and other cities, for example, the number of tertiary hospitals in Beijing is as high as 80, so the hospitals in Beijing are always overcrowded; And within the provinces, the best quality resources are concentrated in the provincial capitals! This has led to a kind of abnormal development, with more and more big hospitals in big cities, and the scale is constantly expanding, and slowly creating monster hospitals like the First Affiliated Hospital of West China and Zhengda University......

The end result is visible to all.

If everyone in the township is sick, they will run to the county seat, and if they can't see it in the county, they will go to the city, and if they can't see it in the city, they will go to the province, and if they can't see it in the province or if the technology is not good enough, the people of the whole country will go to Beijing or Shanghai for incurable diseases......

In many cases, this is how the so-called regional disputes come about.

Residents of big cities take it for granted that the local medical resources are theirs, so they complain about the difficulty of seeing a doctor, but for those who have worked hard to travel to the big city to see a doctor, they are also full of resentment: who wants to travel so far to see a doctor? You have collected the best doctors in Beijing and Shanghai, where are we going if we don't come here?

The concentration of medical resources is only a microcosm of China's various problems in the future.

In fact, in the next 100 years, it will be impossible for China to carry out the same elite medical education as the United States. Even if the state is willing to invest heavily in improvement, but the lack of teachers and other problems can not be solved, which can only be slowly improved through certain policies, such as the admission system for licensed physicians, which has later cancelled the qualifications of secondary vocational students, and raised the minimum education of clinicians to the junior college level, and the employment of junior college students is also extremely difficult; In addition, it is to improve the quality of medical students through standardized training......

Therefore, the reform of medical education has never been a simple matter.

Even if the government has been criticized by all sectors of society because of various problems such as the difficulty and high cost of medical treatment, and even the blackening of doctors has emerged one after another, the Chinese government can only slowly try to do so. The country is so big, the population is so large, and the gap in medical resources is amazing, and the government can only improve step by step, desperately increasing the number of medical schools, and opening nursing majors in higher vocational schools, and many of the original medical colleges have been upgraded to undergraduate ......

For a moment, John's mind was full of thoughts and fell into deep thought.

When I was a doctor in my previous life, I was always full of grievances, such as the difficulty of seeing a doctor, the problem of not being taken seriously in the outpatient clinic, the problem of red envelopes, the problem of kickbacks, and so on.

In fact, the hospital is not as dark as it might be out there.

For example, if a doctor receives dozens of patients in half a day, how can he diagnose and treat them in detail one by one? Another example is the problem of indiscriminate charges, the country's fee standard for appendicitis surgery is only a few hundred yuan, and it is not a loss to find a hospital from other details?

Of course, John wasn't whitewashing the hospital either.

Red envelopes, rebates or whatever, irresponsible doctors, random prescription of tests or drugs, etc., all exist in reality, and they are also quite common. It's just that John also knows that these things are not simply doctors' problems, in fact, they involve all aspects, and if they want to say anything, they can be written into a book......

"I ...... Can I change that? ”

For a moment, John's mood suddenly became panicked.

With the memories of his previous life and the ability of this life, John once wanted to copy American medical education to China. As he got older and saw more, he felt more and more that it was impossible. So after seeing that report, he changed his mind!

Today's medical education in China is actually a blank slate.

Although many countries have already entered the group and many medical schools have been opened in China, John is confident that if he is willing to join them, he will soon be able to unite all the voices. He believes that in the history of Chinese medicine, there will be no so-called Anglo-American system, no so-called German-Japanese system, only one Huntelaar system!

But......

The thought that he was going to change the future of medical education in a country, and that it was such a huge country, John's uneasiness in his heart was like mushrooms after a rain, and he couldn't hold it down. What will take decades for a country to change in the future, can it really be done by itself?

In case of......

What if it fails?

If it were in the United States, John would not have thought about it at all, and even though he had been there for thirty years since he was born again, John still did not feel any sense of belonging to that country.

But now, John is facing China!

It can be said that most of the preparation that John did in the previous decades was to be able to return here one day! But at this time, John suddenly had such a feeling of trepidation in his heart......

"Nope! I have to do it! ”

Just a few seconds later, John's teeth gritted and his expression became resolute again!

Fail?

Everything in China in the next few decades slowly flowed through his heart, and John's eyes frequently flashed with fine light!

Whether it is itself or this country, what is there to be afraid of failure?

Now that the Xinhai Revolution has been successful, the biggest stumbling block has been kicked away, and China is about to usher in an era of crazy confrontation between closure and progress, and it is also John's best opportunity! Whatever the outcome, he must leave something for the future, something that will make the people of the future better...... (To be continued.) )