| The global outbreak of the COVID-19 pandemic has once again sounded the alarm for people’s health protection and has also more profoundly interpreted the reality and importance of establishing a sound higher medical education talent training system.Higher medical education shoulders the two major projects of people’s health and livelihood and is an important part of the national education system.As an important province in terms of health and medical education,Province S has consistently prioritized people’s health with regards to development for many years.However,as people’s living standards continue to improve and the economy continues to develop,the health model has also shifted from traditional disease treatment to focusing on prevention.People’s demand for health has also increased day by day,which increases their understanding of advanced applied medical and health care.This puts forward new requirements for the development of higher medical education in Province S.This study uses methods including literature analysis,survey statistics and expert interviews to analyze the development of higher medical education in Province S from 2006 to 2020,focusing on the scale and structure of the development,and discussing its development status,existing problems,and impact factors,putting forward suggestions,and striving to provide a reference for Province S to formulate the 14 th Five-Year Plan and even the long-term medical education development plan.Survey results show that:(1)From the perspective of the scale of higher institutions,as of 2020,there are132 higher institutions in Province S,of which 50 offer medical-related programs,accounting for 37.88% of the total number of higher institutions in Province S.The scale of higher medical education in Province S is relatively large,but the scale of undergraduate medical schools is much smaller than that of college medical schools.(2)From the perspective of the scale of students,since 2013,the number of students,enrollment,and graduates has shown a significant increase in the number of medical education in higher vocational colleges,as well as medical education in undergraduate and postgraduate.(3)From the perspective of the scale of programs,all programs of higher medical schools in Province S have shown an overall upward trend,but the programs offered by college medical schools are not stable.The number of people employed in Province S,the number of people employed outside Province S,and the number of people returning to their home province are all on the rise,but the proportion of people employed outside Province S has increased significantly.The employment destination of students from higher medical schools in Province S is mainly in hospitals,followed by public health institutions.(4)From the perspective of academic discipline settings,the total number of first-level academic disciplines,the total number of second-level academic disciplines,and the number of various academic disciplines in higher medical schools in Province S have increased year by year,and the development momentum is obvious.At present,the most degree authorization points of higher medical schools in Province S have changed from the bachelor’s degree authorization points to the master’s degree authorization points.(5)From the perspective of school-running conditions,the number of teachers of various types of higher medical schools in Province S has developed rapidly,with the largest number of hospital teachers and a decrease in the number of part-time teachers.The income of various types of funds for higher medical schools in Province S is stable,and the provincial/prefecture-level financial education funds are still the mainstay.The investment in instrument configuration of higher medical schools in Province S has increased year by year,and the number of equipment has increased rapidly.(6)From the perspective of hierarchical structure,the ratio of enrollment levels among college,undergraduate and postgraduate for higher medical schools in Province S is 1:1.3:4.2,with more enrollment at the college level,followed by the undergraduate level,and the postgraduate level the least.(7)From the perspective of professional structure,as of 2020,a total of 26medical-related programs have been opened at the college level of higher medical schools in Province S,and a total of 33 medical-related programs have been opened at the undergraduate level.(8)From the perspective of regional structure,the distribution of higher medical schools in Province S is uneven and concentrated in City C.(9)From the perspective of faculty structure,the composition of full-time teachers has changed greatly.The number of teachers with a bachelor’s degree and below has been decreasing year by year.Among them,the reduction of teachers with a college degree and below is particularly obvious,while the number of teachers with a postgraduate degree continues to increase.The structure of teaching staff tends to be rationalized,and the level of teaching staff continues to improve.The hierarchical structure of higher medical schools in Province S is unreasonable,and the scale of college is much larger than that of undergraduate and postgraduate.It is necessary to further strengthen overall planning,expand the scale of postgraduate-level medical education,seek progress while maintaining stability,develop the scale of undergraduate medical education,and appropriately reduce college medical education scale.The establishment of programs such as clinical medicine,nursing and Chinese pharmacy fails to meet the policy requirements,and the number of programs such as anesthesia,pediatrics,geriatrics,and psychiatry is insufficient.According to the specific conditions of regional economy,population,and social needs,it should flexibly and dynamically adjust professional settings,pay attention to the development of scarce majors,set up new majors reasonably,and appropriately streamline the time limit for the approval of local medical programs.Higher medical schools are concentrated in City C,which is not conducive to the rational allocation of educational resources.Therefore,it is necessary to speed up the optimization of the resource allocation structure,combine the actual situation of each city in Province S,refer to the corresponding city’s GDP and its health care level,scientifically plan the number of higher medical schools that each city can accommodate,and make reasonable adjustments to their levels.The loss of medical talents within Province S is relatively serious.Province S should strengthen policy guidance and support to broaden the employment channels for medical students;appropriately regulate the difficulty of physicians qualifying examination,increase the practicing rate,and increase the number of qualifying physicians reasonably.In the future,Province S should summarize the development experience and shortcomings,clarify the connotative development goals of higher medical education,focus on improving the quality,promote the high-quality development of higher medical education,build a strong province in higher medical education,and provide strong talent support to develop the economy,society,and health care. |