1. What is the background of the revision of the new version of the examination syllabus?
In 1999, China established and implemented the medical qualification examination system, promulgated the medical qualification examination syllabus (hereinafter referred to as the examination syllabus) for the first time, and revised it four times in 2002, 2009, 2013 and 2019. In the past five years, the content of the 2019 version of the syllabus for the qualification examination of physicians has basically covered the basic theories, basic knowledge and basic skills required for qualified physicians to be competent for their posts, and has played a good role in the evaluation and admission of physicians, which has played an important role in the construction of the team of physicians in China. Entering the new era of socialism with Chinese characteristics, comprehensively deepening the reform of the medical and health system and implementing the healthy China strategy have put forward new ideas and new requirements for the qualification examination of doctors, the continuous improvement of people's living standards, the advancement of industrialization and urbanization, the change of the ecological environment, the aging of the population and the change of the disease spectrum, there are higher requirements for the quality of medical and health services: the continuous innovation of life sciences, biology and information technology, the wide application of artificial intelligence and big data, and the The integration between medicine and humanities and social disciplines has become more prominent, and the transformation of the job competency-oriented evaluation mode of medical talents has also put forward new requirements for the knowledge structure and knowledge level of doctors. Therefore, it is necessary to adjust the content of the examination in a timely manner and revise the examination syllabus to meet the new needs of the people for the quality and ability of physicians and meet the new requirements for the high-quality development of health care.
2. What are the principles followed in the revision of the new version of the examination syllabus?
The revision of the new version of the examination syllabus adheres to political guidance, takes people's health as the center, and implements the requirements of the health work policy of "focusing on the grassroots", "focusing on prevention", "paying equal attention to traditional Chinese and Western medicine", "integrating health into all policies, and building and sharing with the people". Emerging infectious diseases, etc., attach importance to medical humanities, focus on ability evaluation, optimize the content of the examination, promote the effective connection between the admission of physicians and the reform of medical education in colleges and universities, further reflect the integration of multidisciplinary knowledge, and steadily realize the transformation of subject knowledge examination into post ability examination.
3. What is the process of revising the new version of the examination syllabus?
It is a solid research. Through questionnaire surveys, on-site inspections, symposiums, in-depth interviews and other forms of research, widely solicit the opinions and suggestions of medical schools, industry organizations, experts and scholars, departments, and candidatesThe implementation of the "14th Five-Year Plan" for the development of traditional Chinese medicine puts forward the requirements of "improving the implementation of the system of Xi of Chinese medicine in Western medicine" and "increasing the knowledge of Chinese medicine in the qualification examination of clinical doctors", and organizes expert demonstrations for many times, and fully solicits the opinions and suggestions of Chinese and Western medicine experts on the part of "Fundamentals of Traditional Chinese Medicine".The assistant physician program solicits the opinions and suggestions of the Industry Steering Committee of the Ministry of Education;The outline of military medicine solicits the opinions and suggestions of the Health Bureau of the Logistics Support Department of the **Military Commission. The second is to carry out special research. Make full use of the clinical, stomatological and public health categories and the research results of the competency research and simulation of the position of assistant physicians in rural general practice, and transform the assessment and evaluation index system into the ability requirements of physicians. The third is to organize multiple rounds of seminars. Organize experts in basic medicine, clinical medicine, stomatology, public health, military medicine, medical humanities, medical education, educational measurement, policy research, examination management, etc., to conduct multiple rounds of discussions, carefully study, and complete the revision of the examination syllabus.
4. What are the changes in the new version of the examination syllabus for physicians?
The revision of the 2024 version of the examination syllabus still adheres to the guidance of job competency, and is guided by the basic requirements for physician admission. According to China's national conditions, the medical examination center organized experts from all walks of life to study and revise the basic requirements for physician access, including basic quality, basic knowledge and basic skills, which were released together with the outline, and the basic requirements for clinical practitioners include: professional education and work experience and professional quality and teamwork ability, medicine and related knowledge, clinical skills and medical service ability, disease prevention and health promotion ability, interpersonal communication ability, information management and research ability six core competencies. These abilities are more prominent in the specific requirements of physician positions, and are more closely related to work tasks, which is helpful to accurately grasp the admission criteria in the assessment and evaluation.
5. What are the main contents of the revision of the clinical examination syllabus?
Coordinate the content of the original practical skills test syllabus and the medical comprehensive examination syllabus, and rearrange it with ability evaluation as the core to reflect the integrity and comprehensiveness of the examination. The new syllabus is divided into six parts: medical humanities synthesis, basic medical synthesis, preventive medicine synthesis, clinical medical synthesis, and traditional Chinese medicine basic and practical synthesis, and the main revisions include the following aspects. (1) The first part of the medical humanities comprehensively integrates medical psychology, medical ethics, health regulations, and medical humanities, and standardizes the content description. (2) The second part of the basic medicine synthesis absorbs the basic medical content involved in various diseases in the original clinical medicine comprehensive, so that it is closer to the clinical application on the premise of maintaining the relatively complete knowledge system, and also strengthens the integration of basic and clinical practice. (3) In the third part, preventive medicine comprehensively deleted the part of statistical methods that are less commonly used in clinical practice and standardized the noun formulation. (4) In the fourth part of the clinical medicine synthesis, the specific knowledge points under each disease in the original outline are deleted and replaced with diseases as the basic examination points, which further emphasizes the organ system as the guide and attaches importance to the comprehensive understanding of diseasesIn terms of disease coverage, the types of diseases were adjusted according to the changes in the disease spectrum, and the candidates were guided to master a certain level of knowledge, and more than 20 kinds of diseases were added to the licensed physicians and practicing assistant physicians, and some non-key examination diseases were deleted. (5) Part 5 Fundamentals of Traditional Chinese Medicine (6) Part 6 Practical Synthesis combines the practical skills and practical synthesis in the original examination syllabus and combs them into three parts: clinical thinking, physical examination, and basic operation. The original medical history collection, case analysis, and practice synthesis are integrated and standardized into "clinical thinking", which mainly examines the ability of information acquisition, data analysis, and reasoning and decision-makingOriginal electrocardiogram diagnosis, imaging diagnosis, and interpretation of auxiliary examination results were classified as corresponding diseases for examinationStreamlining the content of the "physical examination" to make it more systematic and comprehensive;In the "Basic Operations" section, the surgical brush technique in the original outline was changed to surgical hand disinfection.
6. What are the main contents of the revision of the syllabus of the dental examination?
Taking into account the new requirements for the basic literacy of physicians in the new era, taking the "Physician Law" as the foundation and post competency as the guidance, re-examining the positioning of dentists, applying holistic and systematic thinking, and integrating the content of the original practical skills examination syllabus and the medical comprehensive examination syllabus. The new syllabus is divided into six parts: medical humanities comprehensive, basic medical comprehensive, clinical medicine comprehensive, preventive medicine comprehensive, stomatology comprehensive and stomatology clinical practice comprehensive, and the main revisions include the following aspects. (1) The first part of the medical humanities synthesis integrates medical psychology, medical ethics, health regulations and medical humanities, absorbs new developments in the discipline, and standardizes the content description: the "Regulations on the Management of Medical Waste" is added, and the "Maternal and Child Health Care Law and its Implementation Measures" are deletedThe content and concepts of the section on medical ethics have been revised;(2) The second part of the basic medicine synthesis, combined with the characteristics of oral clinical medicine, selects the concepts, principles and basic theories of basic medical disciplines that are closely related to oral diseases, so that they can be closer to clinical application under the premise of maintaining relative integrity. (3) The third part of clinical medicine synthesis adjusts the types of diseases according to the changes in the disease spectrum and the actual clinical work of stomatologists, focusing on the diagnostic knowledge that needs to be mastered and the principles of identification and prevention of important diseases, and also strengthens the integration of basic and clinical practice. (4) The fourth part of preventive medicine is comprehensive, which summarizes the basic theories and methods of preventive medicine, clinical preventive services and population health management of dentists. (5) The fifth part of the clinical synthesis of stomatology, the integration of various disciplines of stomatology, highlighting the ability of thinking analysis and problem solving, reflecting the systematization of stomatology disciplines, reorganizing the assessment content, and deleting the outdated or not closely related to clinical practice of the examination content;Appropriate integration of basic medicine, clinical medicine, humanities and other knowledge, reflecting the integration of basic knowledge and clinical knowledge, emphasizing the comprehensive clinical application of stomatology and the prevention of oral diseases. Adhere to the prevention first and the integration of medical prevention and prevention, strengthen the assessment of the disease prevention and treatment and health management ability of grassroots dentists, follow up the development of the discipline, and update the relevant content in the syllabus: emphasizing "infection and control in oral health care", highlighting occupational protection and environmental disinfection;According to the clinical needs, the relevant content of "**Key Points of Permanent Tooth Pulp Preservation**" was added, and the assessment content of "colorimetry", "inlay" and "single-core full denture" was added. The basic theoretical knowledge of oral mucosal diseases, salivary gland diseases, oral soft tissue and lymphohematopoietic system tumors and neoplasia lesions is assessed. The syllabus of dental practice assistant physicians clarifies the assessment requirements of "mastery, familiarity, and understanding". (6) The sixth part is the synthesis of clinical practice of stomatology, including the comprehensive use of professional theories and knowledge by dentists, the standardization of basic oral examination, basic clinical diagnosis and treatment, preventive operation techniques and first aid techniques: medical history collection and case analysis in the form of cases, examination of clinical thinking ability, and medical humanistic literacy that should be possessed in the corresponding clinical work. According to the requirements of the competency of the post of assistant physician, "alveolar abscess incision and drainage" and "intraoral suture" were added to the basic diagnosis and treatment techniques of the outline of dental practice assistant physicians.
7. What are the main contents of the revision of the syllabus of the public health examination?
According to the actual practice of public health physicians, combined with the requirements of job competency, the original practical skills examination syllabus and medical comprehensive examination syllabus are integrated, which are divided into five parts: medical humanities comprehensive, basic medical comprehensive, clinical medicine comprehensive, public health comprehensive and practical comprehensive. The main revisions include the following aspects. (1) The first part of the medical humanities synthesis integrates medical psychology, medical ethics, health regulations and medical humanities, etc., and absorbs the new development of the disciplineIn accordance with the latest revision of national laws, regulations and departmental rules, adjust and update the relevant assessment content in the health regulation profession and other specialties, and standardize the content description. (2) The second part of the basic medicine comprehensive, combined with the characteristics of the actual work of public health physicians, selects the basic medical disciplines that are closely related to public health positions, highlights their concepts, principles and basic theories, and emphasizes practical applications. (3) The third part of clinical medicine is comprehensive, according to the changes in the disease spectrum and the characteristics of the position of public health physicians, emphasizing bridging the gap between medical prevention and prevention, adjusting the types of diseases, and focusing on the clinical medical knowledge that public health physicians need to master and the principles of identification and prevention of important diseases. (4) The fourth part of the public health synthesis carefully analyzes the specific requirements of the functions of the public health system and the core capacity building of disease prevention and control institutions in the new era for the basic quality, basic theory, basic knowledge and basic skills of public health physicians, especially the requirements under the normalization of the prevention and control of the novel coronavirus infection epidemic, and adds relevant content to the outline. For example, the spectrum of infection and its epidemiological significance, the concept and application of basic reproduction number (RO) have been added to the epidemiology specialty. The Public Health Practice Assistant Physician Supervisor Outline adds basic epidemiological concepts, epidemiological characteristics, and prevention strategies for chronic diseases, injuries, etc. Organize experts to analyze the syllabus of the examination for practicing assistant physicians, and divide each knowledge point according to the requirements of mastery, familiarity and understanding, so as to highlight the characteristics of grassroots work and reflect the actual work of grassroots level. (5) The fifth part of the practical synthesis, adhere to the principle of the unity of theory and practice, combined with the characteristics of public health work to integrate the original outline, the comprehensive practical outline includes three parts: basic clinical skills, basic skills of disease prevention and control, and basic skills of public health. In the part of basic clinical skills, the relevant clinical operation skills and first aid technology items have been optimized and adjusted, so that the content and form of the assessment are more in line with the characteristics of the post of public health physicians. According to the changes in the disease spectrum, the basic skills of disease prevention and control have increased the number of infectious diseases in hospitals, adjusted the types of key infectious diseases, added new infectious diseases, and increased the assessment of "monitoring, early warning and risk assessment of infectious diseases". "Identification, monitoring and evaluation of environmental and workplace hazards" has been added to the basic skills of public health, and the content of the examination has been adjusted according to the types of production poisoning that are currently frequent in the field of occupational health, and the assessment of sampling skills related to it has been added.
8. What are the main contents of the revision of the examination syllabus for rural general practice assistant physicians?
To meet the competency needs of rural general practice assistant physicians, the Healthy China strategy, cancer prevention and screening, emerging infectious disease surveillance, critical illness referral and a small number of common clinical symptoms and common diseases at the grassroots level have been added, some knowledge points that are not the focus of the examination have been deleted, the names of diseases have been further standardized, and the assessment requirements of some knowledge points have been adjusted.
9. Will the difficulty of the exam increase after the revision of the new version of the examination syllabus?
The revision of the 2024 version of the examination syllabus is carried out according to the results of the competency study of various categories of physicians and the basic requirements for physician admission, and some adaptation adjustments have been made to the content of the examination. The requirements of the new version of the examination syllabus for the assessment content are still the basic theories, basic knowledge and basic skills necessary for the admission of physicians. The difficulty of the exam is set according to the physician admission criteria and will not be adjusted due to the adjustment of the content of the exam syllabus. Therefore, the difficulty of the exam will not change due to the revision of the exam syllabus.
10. How should candidates Xi prepare for the new version of the exam syllabus?
First, it is necessary to carefully analyze the new version of the examination syllabus and clarify the content and scope of the examinationThe second is to carefully study the examination plan and be familiar with the examination items and processesThird, we should find out our weaknesses and formulate a feasible Xi plan in light of our own actual situation. The practical skills examination should pay attention to the cultivation of practical hands-on ability, carry out practical training in advance, and at the same time should not ignore communication and humanistic care: the comprehensive medical examination should pay attention to the in-depth understanding and practical application of basic theories and basic knowledge, and should not only stay at the level of simple memory, but should constantly update knowledge, pay attention to professional integration, and continuously improve comprehensive thinking ability.
In order to better guide candidates to prepare for the Xi exam, help students effectively master the basic theories, basic knowledge and basic skills necessary for practice, and safely and effectively engage in medical, preventive and health care work, the Medical Examination Center also organized experts to compile the "Physician Qualification Examination Series Guidance Book" that is compatible with the 2024 version of the examination syllabus, including the "Practical Skills Guidance Book", "Medical Comprehensive Guidance Book" and "Mock Test Question Analysis" for clinical, stomatological and public health practitioners and practicing assistant physicians , as well as "Outline of Medical Humanities" and "Guidance Book for the Qualification Examination of Rural General Practice Assistant Physicians", etc., a total of 20 kinds, published by the People's Medical Publishing House.
*: National Center for Medical Examinations.
Disclaimer: This article is for the purpose of transmitting and sharing more information, if there is any problem that violates your legitimate rights and interests, please contact us to delete it in time. AI assistant creation season