| 1. Research purposeThe fundamental objective of medical activities is to protect human’s life and health. As is known us, doctors are the main executers of medical activities, so their skills and moral integrity not only influence people’s happiness and health, but also affects stability and development of the whole society. With a rising global competition, Governments the world over are taking the cultivation for medical talent with international competitiveness as a fundamental, strategic, forward-looking work. In the 1970s, Prof. G.L. Engel from University of Rochester School of medicine American proposed that modern medical mode is transforming from the biomedical mode to the Bio-Psycho-Social Mode (BPS mode), which became an important milepost in medical history. It is not only related to the basic concepts and principles of disease prevention, but also promotes the profound changes in the mode of medical personnel training. Under BPS mode, medical training pay more attention to the humanistic quality education in the process of medical students cultivation and emphasize that medical students should take the earlier participation in community practice, learn to communicate with people from different social and cultural background. Especially with the World Federation for Medical Education (WFME), WHO Regional Office for Western Pacific, and Institute for International Medical Education (TIME) has released the global standards in medical education, and with the integration of the world economy, the international exchanges and cooperation in the field of education are accelerating, medical students cultivation has become an important work of medical education in China. S Medical University is one of China’s biggest medical institutions at present, through the case study of international cultivation for students in S Medical University, and learn from the successful experience of students cultivation in medical universities or schools in developed countries, focus on the analysis of existing problems and causes of domestic medical institutions in aspects of international cultivation for students, combined with their current situation and academic advantages, put forward the countermeasures to promote the international cultivation for medical talents.2. Research significance2.1 Theoretical significanceThis study takes S Medical University as an example, with reference to the experience of international cultivation for students of medical institutions in developed countries, focuses on the significance, current situation and existing problems of implementation of international cultivation for students in medical institutions under the transformation of medical mode, put forward the corresponding countermeasures, and provide theoretical support and some constructive suggestions for carrying out international cultivation for students medical colleges in China, and lay foundations for the following research from the empirical perspective.2.2 Realistic significanceAt present, Chinese government are widespread promoting Accreditations of Medical Education and Project of Excellent Doctors, aiming to cultivate excellent medical talents, for enhancing the international competitiveness of China’s medical education. This research takes S Medical University, one of the national key universities as an example, to analyze the main problems of international cultivation for students in domestic medical institutions, and combine with advanced experience in developed countries, in order to propose measures to further enhance the level of international education in medical institutions, cultivate innovative medical talents with international vision, and to promote the internationalization of China’s higher education and reformation of the medical and health care, which is realistically significant.3. Research methods3.1 literature researchReading the books, literature published in China and foreign countries about International Cultivation for Students of Medical Institutions under Bio-Psycho-Social Mode through the print and electronic resources in the library of the university, logging in the websites of related institutions to find the mode of education and international cultivation status, and search the policy or other information about international project management, personnel training mechanism, then analyzing and using it.3.2 Case study methodTaking S Medical University, on of independent national key medical institution as example, to analyze its advantages and disadvantages, principles, measures, the current situation and problems, in order to reveal the common problems existed in international cultivation for medical students in domestic medical institutions, and combining with favorable factors for implementation of international cultivation for medical-students under BPS mode and actual work, to put forward countermeasures and suggestions.3.3 Investigation methodInvestigating the practice of international cultivation for students under the modern medical mode and the new trend of medical education including interviews and questionnaire survey on the staffs and some teachers from International Affairs Office, Teaching Affairs Office, School of International Education to get the latest situation of the university’s international cultivation for students, and find the existing problems, and analyzing the causes. Meanwhile, through the interview to the experts from medical institutions in United States, Germany, Singapore and other developed countries, to know the situation of international cultivation for students in these institutions, as well as their successful experience, and discuss the inspiration for medical institutions in China.3.4 SWOT analysisThrough analyzing the strength(S), weakness (W), and opportunities (O) and Thread (T) of S Medical University, to have an in-depth study on the strategy, achievements and problems of the university’s international cultivation for students, in order to provide a reference for the medical institutions to carry out international cultivation for students with their actual situation.3.5 Comparative studiesApart from in-depth investigation of the current situation of international cultivation for students in S Medical University, studying the same topic in the medical institutions in main developed countries and doing comparison, in order to find out the difference, and puts forward the countermeasure.3.6 Inductive reasoningThrough the comparative study on the international cultivation for students in S Medical University and medical institutions in developed countries, to sum up the suggestions and countermeasures for the development of international cultivation for students in China’s medical institutions.4. Research results4.1 Systematic investigation and analysis of the current situation and existing problems of international cultivation for students in S Medical UniversityBased on the analysis of S Medical University’s advantages, disadvantages, opportunities and threats in the implementation of international cultivation for students, to investigate the principles, approaches to carry out international cultivation for students in recent years, and analyzes the achievements and existing problems in international cultivation, for carrying on the summary and analysis in depth the causes of the problems.4.2 Comparative analysis of the successful experience of international cultivation for students in medical institutions in developed countries.The medical institutions in developed countries are emphasizing the cultivation of the students’ international vision and competitiveness as an important content of "elite education", and taking a series of measures such as listing overseas internship programs for medical students into the syllabus, and encouraging students to go to the hospitals for clinical practice in other countries by granting corresponding credits, developing Global Health Training program, to send the medical students to developing and underdeveloped countries, carrying out tropical disease research and medical volunteer activities. In the organization and implementation process of above project, the institutions pay more attention to combining the education philosophy and the characteristics and advantages with the need of national economic, political development and diplomacy, and establishment of international mode of medical education, integration of resources, complete service and security system for project quality control.4.3 Summary, countermeasures and suggestions promoting international cultivation for students in medical institutions in China.With the development of the internationalization of education and transformation of medical mode, to accelerate the internationalization of students training will become one of the important tasks for medical institutions in China. So the educators need to clear the concept of international education, make strategies scientifically, straighten out the internal management mechanism, learn the advanced experience of developed countries, speeding up the course system and credit system in line with international standards, broaden the channels for students studying abroad through the institutional exchange program, China-foreign cooperation in running schools, Study-tour overseas programs, and enlarge the scale of international students education, promote the exchange among medical students from China and foreign countries, pay attention to improve the level of faculty internationalization. 5. Research conclusion5.1 To set new concept the of medical talents cultivation under new medical modeMedical education is an important carrier of medical talents training. The BPS medical mode is not only an important reformation of basic medical concept, but also puts forward new requirements and standards for medical education. With the the integration of the world economy and educational internationalization accelerating, cultivating "five-stars doctor" has become a common issue of global medical education. The implementation of outstanding doctor training plan made by The Ministry of education and Ministry of health clearly put forward that in the future, China’s medical education goal is to cultivate a group of high-level medical talents with the international eye-sight and innovative thinking. Therefore, the implementation of international cultivation has become essential task for China’s medical education to adapt to new medical mode, and it is also a prior question which the medical educators have to clear.5.2 To promote the reformation of curriculum system and management mechanism to adapt to the requirements of international cultivationCourses recognition and credits transfer is a bridge for the exchange among institutions, and directly affect the students’ graduation when they return. However, based on the current situation of domestic medical institutions, different curriculum system and credit system is the biggest problem for the students. Therefore, medical institutions should learn from foreign advanced experience, to take the system integration based on ability training as the training focus, promote PBL teaching method, establish a new mode of medical talents cultivation constructed by the core module (including basic courses, humanities and social sciences, the system-integrated curriculums, as well as the core and elective courses of clinical skills) to improve the comprehensive quality of students, accelerate the construction of credit system, and standardize the management of international exchange programs, for promoting international cultivation for medical students.5.3 To further broaden the channels for international cultivation for studentsThe approaches ncludes sending ow grade students abroad to comprehensive university to study mathematics, physics, chemistry and other science courses and language, literature, sociology, in order to make use of the strength of developed countries in science,technology and the humanities and social sciences, encouraging students whose economic conditions allows to participate in Study-tour overseas programs, to enrich experience and broaden their international perspective of social practice during holidays. In addition, to carry out cooperation with foreign medical institutions, colleges, and international organizations of medical students to send qualified medical students aboard for overseas clerkship and global health programs, with purpose of enhancing their ability of face unfamiliar medical environment, diagnostic skills and cross-cultural communication and increasing the understanding of medical service system in other countries.5.4 To emphasize teachers’ key role in international cultivation for studentsStudents and teachers are essential elements of university internationalization. The level of international cultivation for students cannot be realized without the participation of teachers, so the implementation of international cultivation for students requests the university to strengthen the internationalization of faculty, including increasing the introduction of overseas outstanding teachers and improving management level, encouraging the local teachers to study or taking training abroad and establishing an international mechanism for teachers’ management and inspiration. |
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