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：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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

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.	方金鳴, 陶紅兵, 彭義香, 等. 全科醫生崗位勝任力模型構建. 醫學與社會, 2020, 33(1): 129-133.
7.	張蘭霞, 閔琳琳, 方永瑞. 基于勝任力的人力資源管理模式. 東北大學學報 (社會科學版), 2006, 8(1): 16-19.
8.	Daouk-?yry 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.	劉博龍, 叢楊, 胡云, 等. 解構“洋蔥”與認別“冰山”——質量問題如何徹底歸零. 質量與可靠性, 2020(5): 44-49.
11.	連國華, 陳亮, 張向杰, 等. 基于洋蔥模型的社區全科醫生崗位勝任力評價指標體系構建研究. 中國全科醫學, 2022, 25(31): 3955-3959.
12.	何嬡婷, 李玉丹, 杜春梅, 等. 基于崗位勝任力的醫學影像學科住培學員教學探索實踐. 中國繼續醫學教育, 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, 王飛躍, 王美榮, 等. 我國全科醫生崗位勝任力評估指標體系研究進展. 中國全科醫學, 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, 劉競輝, 王樑. ERAS 理念在外科實習教學中的應用及其對學生崗位勝任力的影響. 中國大學教學, 2021(11): 65-69.
21.	付文廣, 李童希, 楊大銀, 等. 基于臨床崗位勝任力的肝膽外科 SPOC 見習課設計. 繼續醫學教育, 2021, 35(10): 45-48.
22.	郭東銘, 陳熙, 謝巍, 等. 醫學教學模式改革下對臨床麻醉醫學生崗位勝任力的影響. 高教學刊, 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.	趙勁民, 伍偉鋒, 陳俊強, 等. 基于“卓越醫生教育培養計劃”的地方醫學院校臨床醫學人才培養的探索與實踐. 廣西醫科大學學報, 2022, 39(2): 337-340.
25.	王鵬立, 任伯緒, 陳曉光, 等. 基于 CiteSpace 的“卓越醫生教育培養計劃”研究的可視化分析. 醫學教育研究與實踐, 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.	孫勇, 王麗蓉, 龔春柱, 等. 微信通信教育法在臨床本科教學實踐中的應用. 中國繼續醫學教育, 2020, 12(25): 20-24.
28.	林連捷, 曲素萱, 王東旭, 等. 人工智能時代的醫學人文教育探討. 中國繼續醫學教育, 2020, 12(6): 55-59.
29.	顏魯合, 王志宏, 劉暉, 等. 醫學專業信息技術類課程設置與教學模式的探討. 中國醫學教育技術, 2019, 33(5): 537-541.
30.	牟冬梅, 王萍, 趙丹寧, 等. 醫療大數據環境下醫學信息學信息技術類課程設置問題解析. 醫學與社會, 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.	鄭雯, 王娟, 董妍, 等. 臨床醫生醫學信息素養的培養及作用. 西北醫學教育, 2016, 24(5): 795-797.
33.	葛力云, 李鴻雁, 韓小雪, 等. 醫學本科生信息素養現狀調查分析. 衛生職業教育, 2022, 40(3): 120-122.
34.	蔡煜鋒, 文庭孝, 胡德華. 我國醫學信息學研究生教育發展研究. 醫學信息學雜志, 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. 方金鳴, 陶紅兵, 彭義香, 等. 全科醫生崗位勝任力模型構建. 醫學與社會, 2020, 33(1): 129-133.
7. 張蘭霞, 閔琳琳, 方永瑞. 基于勝任力的人力資源管理模式. 東北大學學報 (社會科學版), 2006, 8(1): 16-19.
8. Daouk-?yry 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. 劉博龍, 叢楊, 胡云, 等. 解構“洋蔥”與認別“冰山”——質量問題如何徹底歸零. 質量與可靠性, 2020(5): 44-49.
11. 連國華, 陳亮, 張向杰, 等. 基于洋蔥模型的社區全科醫生崗位勝任力評價指標體系構建研究. 中國全科醫學, 2022, 25(31): 3955-3959.
12. 何嬡婷, 李玉丹, 杜春梅, 等. 基于崗位勝任力的醫學影像學科住培學員教學探索實踐. 中國繼續醫學教育, 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, 王飛躍, 王美榮, 等. 我國全科醫生崗位勝任力評估指標體系研究進展. 中國全科醫學, 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, 劉競輝, 王樑. ERAS 理念在外科實習教學中的應用及其對學生崗位勝任力的影響. 中國大學教學, 2021(11): 65-69.
21. 付文廣, 李童希, 楊大銀, 等. 基于臨床崗位勝任力的肝膽外科 SPOC 見習課設計. 繼續醫學教育, 2021, 35(10): 45-48.
22. 郭東銘, 陳熙, 謝巍, 等. 醫學教學模式改革下對臨床麻醉醫學生崗位勝任力的影響. 高教學刊, 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. 趙勁民, 伍偉鋒, 陳俊強, 等. 基于“卓越醫生教育培養計劃”的地方醫學院校臨床醫學人才培養的探索與實踐. 廣西醫科大學學報, 2022, 39(2): 337-340.
25. 王鵬立, 任伯緒, 陳曉光, 等. 基于 CiteSpace 的“卓越醫生教育培養計劃”研究的可視化分析. 醫學教育研究與實踐, 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. 孫勇, 王麗蓉, 龔春柱, 等. 微信通信教育法在臨床本科教學實踐中的應用. 中國繼續醫學教育, 2020, 12(25): 20-24.
28. 林連捷, 曲素萱, 王東旭, 等. 人工智能時代的醫學人文教育探討. 中國繼續醫學教育, 2020, 12(6): 55-59.
29. 顏魯合, 王志宏, 劉暉, 等. 醫學專業信息技術類課程設置與教學模式的探討. 中國醫學教育技術, 2019, 33(5): 537-541.
30. 牟冬梅, 王萍, 趙丹寧, 等. 醫療大數據環境下醫學信息學信息技術類課程設置問題解析. 醫學與社會, 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. 鄭雯, 王娟, 董妍, 等. 臨床醫生醫學信息素養的培養及作用. 西北醫學教育, 2016, 24(5): 795-797.
33. 葛力云, 李鴻雁, 韓小雪, 等. 醫學本科生信息素養現狀調查分析. 衛生職業教育, 2022, 40(3): 120-122.
34. 蔡煜鋒, 文庭孝, 胡德華. 我國醫學信息學研究生教育發展研究. 醫學信息學雜志, 2021, 42(11): 7-16.

Previous Article
Application of multi-disciplinary team model in outpatient department
Next Article
Training of medicine-engineering postgraduates: integrated thinking of China and west countries

West China Medical Journal

Exploration of the need for medical full-cycle education system in the trend of internet-based healthcare: competency model oriented

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content