Classification of Chinese Medical Specialty: A Pilot Study_Chinese Journal of Evidence-Based Medicine

Authors：

LI Youping ¹² , TAO Tiejun ¹ , SUN Ding ¹ , HE Lin ¹³ , SHI Yingkang ³ , LIU Jin ³ , YIN Dakui ⁴ , YANG Jing ⁴ , XIE Qilin ⁴ , WANG Yin ⁴ , HONG Xuedan ⁴

1. Chinese Cochrane Center; West China Hospital; Sichuan University; Chengdu 610041; China2. Key Lab of Transplant Engineering and Immunology of MOH; West China Hospital; Sichuan University3. West China Hospital; Sichuan University4. Chinese Medical Association; Beijing 100016;

Corresponding author：

Keywords：

Medical specialty; Doctor training; Evidence-based decision-making; Health care management

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Objective 　To provide scientific evidence for the establishment of medical specialist system in China by investigating the history, current situation, problems and countermeasures of medical specialties training at home and aboard.
Method 　The principle and theroy of evidence-based medicine were adopted. The information before Dec. 31, 2003 of Pubmed, CBM, official website, some journals, most frequently used search engines and medical monograph were systematically reviewed. Included literatures were assessed and graded according to the pre-defined criterias.
Results 　A total of 1 319 studies (1 298 in English, 21 in Chinese) were included, among which only 6 were related to the classification of medical specialties. Based on the information from official website of USA, Canada, UK, Singapore, Australia and China (including HK and Taiwan), it showed that China has the largest number of medical specialties, followed by that of USA. In China, the number of medical specialties has more than that of the disciplines in clinical field, which was followed by resident training programs. Some specialties were duplicate, or not international standardized.
Conclusions 　The classification of medical specialties should be developed consecutively, which comprehensively considered the international trend, characteristics of doctor training and the current situation. Specialties whose training program are well-established and developed should initiate firstly. Others will be put into practice gradually after being fully exprienced.

Citation： LI Youping,TAO Tiejun,SUN Ding,HE Lin,SHI Yingkang,LIU Jin,YIN Dakui,YANG Jing,XIE Qilin,WANG Yin,HONG Xuedan. Classification of Chinese Medical Specialty: A Pilot Study. Chinese Journal of Evidence-Based Medicine, 2004, 04(3): 173-180. doi: Copy

1.	［1］Wang JQ, LIU YF, QI GM. Training and admittance of medical specialist in China: current situation, program and strategies [J] . Chinese Journal of Evidence-based Medicine,2002;4 (2) :116-121.
2.	王锦倩,刘雁飞,祁国明.我国专科医师培养与准入的现状、问题与对策[J].中国循证医学杂志,2002;4(2):116-121.
3.	［2］SextonJS , Hennigar GR. Forensic pathology - the hidden specialty: A survey of forensic pathology training available to medical students and residents[J]. J Forensic Sci, 1979; 24(2): 275-281.
4.	［3］American Association of Public Health Dentists . Position statement of Executive Council. Subject: "proposed revision of criteria for recognition of specialty areas of dental practice"by Council on Dental Education, Commission on Dental Accreditation[J]. J Public Health Dent, 1982; 42(4) :360-362.
5.	［4］DeLisa JA , Hammond MC . Acceptance of spinal cord medicine as a subspecialty by the Accreditation Council of Graduate Medical Education ( ACGME ) [ J ]. J Spinal Cord Med, 1996; 19(3):175.
6.	［5］Krarup C . Concerning the Danish National Committee for Continuing Medical Education and its decision of discontinuation of the subspecialty of clinical neurophysiology[J]. Ugeskr Laeger, 2002; 164(12): 1 667-1 668.
7.	［6］High KP, Clayton CP, Woolard N, Regenstreif DI, Lundebjerg N, Hazzard WR. Expanding geriatrics into subspecialty internal medicine healthcare, research and education: caring for older adults and the T. Franklin Williams Career Development Awards[J]. Am J Med, 2002; 113 (6): 533-536.
8.	［7］Vorstands der Deutschen Gesellschaft fur Psychiattie, Psychotherapie und Nerveheilkunde. The German Physician’s Congress in Cologne and the amendment of the regulations on continuing education. An occasion for reassessing the position of the specialty "psychiatry/psychotherapy[J]. Nervenarzt, 2003; 74(7): 633-638.
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15.	［11］Inform of pharmaceutist training program in hospital ,Department of Science, technology and Education, MOH,Nov. 10, 1999.
16.	卫生部科教司关于实施医院药师规范化培训大纲的通知,1999年11月10日.
17.	［12］Fundamental Requirement of General Medicine Clinical & Community training center, Department of Science,technology and Education, MOH, Mar. 27, 2000.
18.	卫生部科教司关于印发全科医学临床和社区培训基地基本要求,2000年3月27日.
19.	［13］Temporary Byelaw of Licensed Doctor’s Practice Field, MOH,State Administration of Traditional Chinese Medicine, Jun.21,2001.
20.	卫生部、中医药管理局下发<关于医师执业注册中执业范围的暂行规定>,2001年6月21日.
21.	［14］Management of Medical beautician, MOH, No. 19, Jan. 22, 2002卫生部令第19号<医疗美容服务管理方法>,2002年1月22日.
22.	［15］Temporary Byelaw of Institute &Deparment of Medical beautician,MOH, Apr. 14, 2002.
23.	卫生部印发<美容医疗机构、医疗美容科(室)基本标准(试行)>,2002年4月14日.
24.	［16］List of Subject & specialty group in technologist database for Medical accident identify, MOH, State Administration of Traditional Chinese Medicine, Aug. 5, 2002.
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1. ［1］Wang JQ, LIU YF, QI GM. Training and admittance of medical specialist in China: current situation, program and strategies [J] . Chinese Journal of Evidence-based Medicine,2002;4 (2) :116-121.
2. 王锦倩,刘雁飞,祁国明.我国专科医师培养与准入的现状、问题与对策[J].中国循证医学杂志,2002;4(2):116-121.
3. ［2］SextonJS , Hennigar GR. Forensic pathology - the hidden specialty: A survey of forensic pathology training available to medical students and residents[J]. J Forensic Sci, 1979; 24(2): 275-281.
4. ［3］American Association of Public Health Dentists . Position statement of Executive Council. Subject: "proposed revision of criteria for recognition of specialty areas of dental practice"by Council on Dental Education, Commission on Dental Accreditation[J]. J Public Health Dent, 1982; 42(4) :360-362.
5. ［4］DeLisa JA , Hammond MC . Acceptance of spinal cord medicine as a subspecialty by the Accreditation Council of Graduate Medical Education ( ACGME ) [ J ]. J Spinal Cord Med, 1996; 19(3):175.
6. ［5］Krarup C . Concerning the Danish National Committee for Continuing Medical Education and its decision of discontinuation of the subspecialty of clinical neurophysiology[J]. Ugeskr Laeger, 2002; 164(12): 1 667-1 668.
7. ［6］High KP, Clayton CP, Woolard N, Regenstreif DI, Lundebjerg N, Hazzard WR. Expanding geriatrics into subspecialty internal medicine healthcare, research and education: caring for older adults and the T. Franklin Williams Career Development Awards[J]. Am J Med, 2002; 113 (6): 533-536.
8. ［7］Vorstands der Deutschen Gesellschaft fur Psychiattie, Psychotherapie und Nerveheilkunde. The German Physician’s Congress in Cologne and the amendment of the regulations on continuing education. An occasion for reassessing the position of the specialty "psychiatry/psychotherapy[J]. Nervenarzt, 2003; 74(7): 633-638.
9. ［8］Management Regulation of Healthcare Department , State Council, No. 149, Feb. 26, 1994.
10. 国务院令第149号发布<医疗机构管理条例>,1994年2月26日.
11. ［9］List of Healthcare Department, Ministry of Health, 1994.
12. 卫生部发布<医疗机构诊疗目录>,1994年.
13. ［10］Temporary Byelaw of Examination for Medical Doctor Certification, Ministry of Health, July 16, 1999.
14. 卫生部发布<医师资格考试暂行办法>,1999年7月16日.
15. ［11］Inform of pharmaceutist training program in hospital ,Department of Science, technology and Education, MOH,Nov. 10, 1999.
16. 卫生部科教司关于实施医院药师规范化培训大纲的通知,1999年11月10日.
17. ［12］Fundamental Requirement of General Medicine Clinical & Community training center, Department of Science,technology and Education, MOH, Mar. 27, 2000.
18. 卫生部科教司关于印发全科医学临床和社区培训基地基本要求,2000年3月27日.
19. ［13］Temporary Byelaw of Licensed Doctor’s Practice Field, MOH,State Administration of Traditional Chinese Medicine, Jun.21,2001.
20. 卫生部、中医药管理局下发<关于医师执业注册中执业范围的暂行规定>,2001年6月21日.
21. ［14］Management of Medical beautician, MOH, No. 19, Jan. 22, 2002卫生部令第19号<医疗美容服务管理方法>,2002年1月22日.
22. ［15］Temporary Byelaw of Institute &Deparment of Medical beautician,MOH, Apr. 14, 2002.
23. 卫生部印发<美容医疗机构、医疗美容科(室)基本标准(试行)>,2002年4月14日.
24. ［16］List of Subject & specialty group in technologist database for Medical accident identify, MOH, State Administration of Traditional Chinese Medicine, Aug. 5, 2002.
25. 卫生部、中医药管理局医疗事故技术鉴定专家库学科专业组名录(试行),2002年8月5日.
26. ［17］Department and Code of Health care, MOH, Sep. 17, 2003.
27. 卫生部<医疗机构诊疗科目及代码>,2003年9月17日.

Chinese Journal of Evidence-Based Medicine

Classification of Chinese Medical Specialty: A Pilot Study

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