Exploration of the need for medical full-cycle education system in the trend of internet-based healthcare: competency model oriented_West China Medical Journal

Authors：

LI Peiyi ¹ , YANG Yanlin ² , WEN Jin ² , SHI Qingke ³ , ZHU Tao ¹ ,  HAO Xuechao ¹ ,  LI Weimin ⁴

1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Information, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Precision Medicine Center, Precision Medicine Key Laboratory of Sichuan Province, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HAO Xuechao, Email: aneshxc@163.com; LI Weimin, Email: weimi003@scu.edu.cn

Keywords：

Medical education system; full-cycle education; internet-based healthcare; competency model

DOI：

10.7507/1002-0179.202212105

Video：

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With the fast advancement of information technology and artificial intelligence, the conventional medical service model has been presented with new growth potential. Internet-based health care has become one of the unavoidable future delivery methods for diagnostic and therapeutic services. Internet-based hospitals are being deployed in medical facilities throughout. The extension of offline to online diagnosis and treatment will need new standards for the personal competency of physicians as well as new requirements for medical education and staff training. In the context of universal Internet diagnosis and treatment, research on the full-cycle training of medical talent will play a clear guiding role in the development of physicians’ skills. By evaluating the relevant literature on competence model and interviewing the behavior events of working physicians in e-hospitals, together with the real situation of current medical students and doctor training barriers, this article aims to improve the quality of remote healthcare via provide related path for enhancing the periodic medical education based on the competency variables.

Citation： LI Peiyi, YANG Yanlin, WEN Jin, SHI Qingke, ZHU Tao, HAO Xuechao, LI Weimin. Exploration of the need for medical full-cycle education system in the trend of internet-based healthcare: competency model oriented. West China Medical Journal, 2024, 39(1): 101-106. doi: 10.7507/1002-0179.202212105 Copy

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22.	郭东铭, 陈熙, 谢巍, 等. 医学教学模式改革下对临床麻醉医学生岗位胜任力的影响. 高教学刊, 2020(9): 48-50.
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24.	赵劲民, 伍伟锋, 陈俊强, 等. 基于“卓越医生教育培养计划”的地方医学院校临床医学人才培养的探索与实践. 广西医科大学学报, 2022, 39(2): 337-340.
25.	王鹏立, 任伯绪, 陈晓光, 等. 基于 CiteSpace 的“卓越医生教育培养计划”研究的可视化分析. 医学教育研究与实践, 2020, 28(6): 917-922, 927.
26.	Fernandez CS. The behavioral event interview: avoiding interviewing pitfalls when hiring. J Public Health Manag Pract, 2006, 12(6): 590-593.
27.	孙勇, 王丽蓉, 龚春柱, 等. 微信通信教育法在临床本科教学实践中的应用. 中国继续医学教育, 2020, 12(25): 20-24.
28.	林连捷, 曲素萱, 王东旭, 等. 人工智能时代的医学人文教育探讨. 中国继续医学教育, 2020, 12(6): 55-59.
29.	颜鲁合, 王志宏, 刘晖, 等. 医学专业信息技术类课程设置与教学模式的探讨. 中国医学教育技术, 2019, 33(5): 537-541.
30.	牟冬梅, 王萍, 赵丹宁, 等. 医疗大数据环境下医学信息学信息技术类课程设置问题解析. 医学与社会, 2017, 30(11): 74-77.
31.	van der Vaart R, Drossaert C. Development of the digital health literacy instrument: measuring a broad spectrum of health 1.0 and health 2.0 skills. J Med Internet Res, 2017, 19(1): e27.
32.	郑雯, 王娟, 董妍, 等. 临床医生医学信息素养的培养及作用. 西北医学教育, 2016, 24(5): 795-797.
33.	葛力云, 李鸿雁, 韩小雪, 等. 医学本科生信息素养现状调查分析. 卫生职业教育, 2022, 40(3): 120-122.
34.	蔡煜锋, 文庭孝, 胡德华. 我国医学信息学研究生教育发展研究. 医学信息学杂志, 2021, 42(11): 7-16.

1. Mehl G, Labrique A. Prioritizing integrated mhealth strategies for universal health coverage. Science, 2014, 345(6202): 1284-1287.
2. Agarwal S, Lefevre AE, Labrique AB. A call to digital health practitioners: new guidelines can help improve the quality of digital health evidence. JMIR Mhealth and Uhealth, 2017, 5(10): e136.
3. Shaw T, McGregor D, Brunner M, et al. What is ehealth (6)?. Development of a conceptual model for ehealth: qualitative study with key informants. J Med Internet Res, 2017, 19(10): e324.
4. Li P, Luo Y, Yu X, et al. Patients' perceptions of barriers and facilitators to the adoption of e-hospitals: cross-sectional study in western China. J Med Internet Res, 2020, 22(6): e17221.
5. Tu J, Wang C, Wu S. The internet hospital: an emerging innovation in China. Lancet Glob Health, 2015, 3(8): e445-e446.
6. 方金鸣, 陶红兵, 彭义香, 等. 全科医生岗位胜任力模型构建. 医学与社会, 2020, 33(1): 129-133.
7. 张兰霞, 闵琳琳, 方永瑞. 基于胜任力的人力资源管理模式. 东北大学学报 (社会科学版), 2006, 8(1): 16-19.
8. Daouk-Öyry L, Mufarrij A, Khalil M, et al. Nurse-led competency model for emergency physicians: a qualitative study. Ann Emerg Med, 2017, 70(3): 357-362. e5.
9. Wei Y, Wang F, Pan Z, et al. Development of a competency model for general practitioners after standardized residency training in China by a modified Delphi method. BMC Fam Pract, 2021, 22(1): 171.
10. 刘博龙, 丛杨, 胡云, 等. 解构“洋葱”与认别“冰山”——质量问题如何彻底归零. 质量与可靠性, 2020(5): 44-49.
11. 连国华, 陈亮, 张向杰, 等. 基于洋葱模型的社区全科医生岗位胜任力评价指标体系构建研究. 中国全科医学, 2022, 25(31): 3955-3959.
12. 何嫒婷, 李玉丹, 杜春梅, 等. 基于岗位胜任力的医学影像学科住培学员教学探索实践. 中国继续医学教育, 2022, 14(15): 151-154.
13. Monestime GM, Baird I, Rebarber A, et al. ACGME milestones in global health: need for standardized assessment of global health training in obstetrics/gynecology residency. Int J Gynaecol Obstet, 2022, 157(3): 522-526.
14. Irvine D. Doctors in the UK: their new professionalism and its regulatory framework. Lancet, 2001, 358(9295): 1807-1810.
15. McManus IC, Gordon D, Winder BC. Duties of a doctor: UK doctors and good medical practice. Qual Health Care, 2000, 9(1): 14-22.
16. Clavel V, Turnbull J, Morantz G, et al. Tiered curriculum in global child health: a novel CanMEDs-based multidisciplinary educational program. Paediatr Child Health, 2017, 22(8): 424-429.
17. Liu Z, Tian L, Chang Q, et al. A competency model for clinical physicians in China: a cross-sectional survey. PLoS One, 2016, 11(12): e0166252.
18. 魏云, 王飞跃, 王美荣, 等. 我国全科医生岗位胜任力评估指标体系研究进展. 中国全科医学, 2021, 24(19): 2394-2400.
19. Shi L, Fan L, Xiao H, et al. Constructing a general competency model for Chinese public health physicians: a qualitative and quantitative study. Eur J Public Health, 2019, 29(6): 1184-1191.
20. 王元, 刘竞辉, 王樑. ERAS 理念在外科实习教学中的应用及其对学生岗位胜任力的影响. 中国大学教学, 2021(11): 65-69.
21. 付文广, 李童希, 杨大银, 等. 基于临床岗位胜任力的肝胆外科 SPOC 见习课设计. 继续医学教育, 2021, 35(10): 45-48.
22. 郭东铭, 陈熙, 谢巍, 等. 医学教学模式改革下对临床麻醉医学生岗位胜任力的影响. 高教学刊, 2020(9): 48-50.
23. Core Committee, Institute for International Medical Education. Global minimum essential requirements in medical education. Med Teach, 2002, 24(2): 130-135.
24. 赵劲民, 伍伟锋, 陈俊强, 等. 基于“卓越医生教育培养计划”的地方医学院校临床医学人才培养的探索与实践. 广西医科大学学报, 2022, 39(2): 337-340.
25. 王鹏立, 任伯绪, 陈晓光, 等. 基于 CiteSpace 的“卓越医生教育培养计划”研究的可视化分析. 医学教育研究与实践, 2020, 28(6): 917-922, 927.
26. Fernandez CS. The behavioral event interview: avoiding interviewing pitfalls when hiring. J Public Health Manag Pract, 2006, 12(6): 590-593.
27. 孙勇, 王丽蓉, 龚春柱, 等. 微信通信教育法在临床本科教学实践中的应用. 中国继续医学教育, 2020, 12(25): 20-24.
28. 林连捷, 曲素萱, 王东旭, 等. 人工智能时代的医学人文教育探讨. 中国继续医学教育, 2020, 12(6): 55-59.
29. 颜鲁合, 王志宏, 刘晖, 等. 医学专业信息技术类课程设置与教学模式的探讨. 中国医学教育技术, 2019, 33(5): 537-541.
30. 牟冬梅, 王萍, 赵丹宁, 等. 医疗大数据环境下医学信息学信息技术类课程设置问题解析. 医学与社会, 2017, 30(11): 74-77.
31. van der Vaart R, Drossaert C. Development of the digital health literacy instrument: measuring a broad spectrum of health 1.0 and health 2.0 skills. J Med Internet Res, 2017, 19(1): e27.
32. 郑雯, 王娟, 董妍, 等. 临床医生医学信息素养的培养及作用. 西北医学教育, 2016, 24(5): 795-797.
33. 葛力云, 李鸿雁, 韩小雪, 等. 医学本科生信息素养现状调查分析. 卫生职业教育, 2022, 40(3): 120-122.
34. 蔡煜锋, 文庭孝, 胡德华. 我国医学信息学研究生教育发展研究. 医学信息学杂志, 2021, 42(11): 7-16.

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