What Kind Of Academy Of Medical Sciences Does China Need In The Post Epidemic Era?

In the face of the sudden outbreak of new crown pneumonia, the discussion on improving the public hospital system has been continuous.

"Most countries in the world have three academies, namely, academies of science, engineering and medical sciences. In our country, there is no medical college. The so-called medical colleges in China are" nominal but not real. " On August 29, at the 2020 China hospital competitiveness conference, Huang Jiefu, chairman of China human organ donation and Transplantation Committee, chairman of China organ transplantation development foundation, President of Hospital Management Research Institute of Tsinghua University and former Vice Minister of health, pointed out.

In the fight against new crown pneumonia, the public hospital system has withstood the test, but also exposed many problems. In the post epidemic era, thinking about building a real Academy of Medical Sciences from the national level has a certain positive significance to enhance the scientific research strength of public hospitals and improve the construction system of public hospitals, such as integrating public hospitals for preventive and therapeutic medical treatment, and better conducting public opinion guidance from the perspective of profession and authority.

Break through the restriction and rebuild the Medical College

In fact, the Chinese Academy of Medical Sciences, founded in 1956, has a history of more than 60 years. It is the only national medical science academic center and comprehensive medical science research institution in China. However, since 1957, the Chinese Academy of Medical Sciences and Peking Union Medical College have implemented the management system of College integration. At present, the university has 23 research institutes (institutes and bases), 6 hospitals, 7 colleges, 56 innovation units, 5 national key laboratories, 5 national clinical medical research centers, and 8 other national scientific research bases.

Huang Jiefu told reporters, including the 21st century economic report, that the medical college is actually a department level unit composed of Union Medical College and Union Medical College, Fuwai Hospital, plastic surgery hospital and several research institutes, rather than an authoritative national life medicine research institution.

However, due to the fragmentation management of multiple departments, it is difficult to form a real joint force. The progress of public health safety, life science research and clinical medical service standardization in China has been affected, and some policies related to professional technology in the medical reform are restricted. The training and qualification of general practitioners and specialists, and the disconnection of college education, post graduation education and continuing education in medical education are restricted by these factors, which are difficult to be solved for a long time.

In this regard, Huang Jiefu proposes to establish a real national life medicine research institute. In the early stage of its establishment, Tsinghua University, Peking University and other key universities can be entrusted to prepare for the establishment of the institution. Its members are well-known and senior experts in various disciplines who are influential in the world, dare to take responsibility and have rich experience in clinical medicine and public health management.

The management mode of the institution should be different from that of CAS and CAE, and its members should be recommended by the industry and supplemented by stages and batches according to the needs. At the same time, there should be a mechanism to absorb the old and absorb the new and abolish the lifelong system.

"At this level, we should not call it" academician ". We should constantly innovate the mechanism. Moreover, we should change our posts in a few years. We should become experts in clinical, public health and management, including our traditional Chinese medicine. To form a real national scientific research institution, we should speak on behalf of the state. " Huang Jiefu said.

The value and significance of Medical College

To establish a national life medicine research institute to provide long-term and stable guidance, investment and support for the R & D of medical, pharmaceutical and health aspects in China, so as to promote the high-quality development of China's biomedical industry. "This is the key to enhance China's ability to cope with public health emergencies and realize the healthy China Development Strategy in the future." Huang Jiefu, the national health agency, is not only responsible for the formulation of the national health policy and the national health agency, but also responsible for the formulation of the national health policy

In Huang Jiefu's opinion, the key to building a medical college is to integrate the high-quality research resources of clinical medicine, basic medicine, life science, pharmacy, public health, hospital management, biopharmaceutical and other disciplines, cultivate the strategic strength of medical science and technology, and provide forward-looking and scientific key talents and innovative disciplines for national life sciences and health and public safety. Life science is a great challenge and also a great opportunity to form a national team. Fight as a national team, not just a few voices.

If hospitals at all levels are conventional forces, then medical schools are strategic forces in the public hospital system.

For example, in the United States, the National Academy of Medical Sciences is one of the four major institutions in the American scientific community (the National Academy of Sciences, the National Academy of engineering, the National Academy of medicine, and the national natural foundation of the United States). In addition to the NSFC, the other three academies will confer the title of academician respectively and implement a life-long system.

The U.S. medical college is mainly responsible for providing advice and prevention advice to the U.S. government, as well as engaging in global health-related matters. As of October 2019, the U.S. medical college has 2302 members.

During the epidemic period, the US Medical College held a webinar to invite industry academicians and experts to sort out their views and suggestions in the fields of public health, epidemiology, policies and regulations, and put forward the proposal that fighting the epidemic requires scientific thinking and innovative dialogue. The American Medical College is an authoritative international medical institution and a government policy advisory body. The views of its academicians and experts are widely concerned.

The British Academy of Medical Sciences, founded in London in 1998, is the highest academic honorary institution in the British medical community. The main members of the British medical school are biomedical scientists and clinical medicine experts. During the outbreak, the British medical school published a research report "preparing for the challenging winter of 2020 / 21". To some extent, the British Medical College, as a professional research institution, has a certain voice in the fight against the epidemic, which represents the authoritative voice of the medical community and plays a warning role to the public.

No matter how to build a medical college, further improve the public hospital system is a broad consensus in this epidemic.

According to Fang Laiying, vice president of China Hospital Association, firstly, hospitals are the key information sources of infectious diseases and many public health events, which are often found in clinical practice; secondly, hospitals are the initial initiator of emergency system; in addition, they are one of the key links in emergency management and disposal, and most public health events need clinical support; finally, general measures should be taken Emergency treatment is not only a public health system, but also a strategic force to maintain social operation.

?