Hosted by Wenzhou Medical University (WMU), the Journal of Chinese General Practice (CGP) and Zhejiang Medical Association (ZJMA), the “2016 International Forum on General Practice Education and Development of Medical Service” was held at the Xuguang Hall of Wenzhou Medical University (WMU) Chashan Campus from March 19thto 20th. The Forum has two sessions including “Forum on International Community Health Service Models and General Practice Education” and “OCMDA Lecture Series of General Practitioner Standardized Training”. Three seminars entitled “Workshop on General Practice Teacher Training”, “UWA (the University of Western Australia) Forum on General Practice” and “General Practitioner Standardized Training Standards and Evaluation System” were also held during the Forum.
Leaders and experts including Jin Shengguo, Deputy Director General of the Department of Health Science, Technology and Education of the National Health and Family Planning Commission, Qi Xuejin, Vice Chairman of Chinese Medical Doctor Association (CMDA), Prof. Geoff Riley, Dean of the Faculty of Medicine, Dentistry and Health Sciences of the University of Western Australia, Prof. Ronald Epstein, Director of University of Rochester Medical Center, Prof. Qu Jia, an adviser to President Lu Fan of WMU and Yu Xin, the former director general of the Institute of Mental Health, Peking University and the current dean of the School of Psychiatric Medicine at WMU made keynote speeches on the Forum. More than 200 prominent experts and scholars of general practice and psychiatric medicine from home and abroad, domestic community health service administrators, general practitioners and President Lu Fan of WMU attended the Forum.
Jin Shengguo pointed out in his speech: Since the national general practitioner system was introduced 5 years ago, thanks to constant efforts of reform and improvement, the medical education system of “5+3+X Years+Lifelong Education” has been emerging. The general practitioner training model of “5+3” training supplemented by “3+2” training is gradually taking shape. Meanwhile, intensified training efforts have been made and various supportive measures have been implemented. However, the full implementation of the general practitioner system faces serious challenges and remains a tough task because of problems including the shortage, poor quality, undesirable talent structure and unbalanced distribution of general practitioners; the imperfect general practitioner cultivation system in need of improvement in cultivation level and quality, inadequate policy incentives for general practitioner development and lack of job appeal as a general practitioner. As he pointed out, talent is the core and the most valuable resource of the pharmaceutical and health care fields. Talent is an inexhaustible driving force and source of power for the reform and development. The most prominent weakness of the supply-side structural reform of the pharmaceutical and health care fields is the lack of talents, in particular, the general practitioners. The problem of talent development with general practitioner as a priority should be well addressed, so that the health care reform can succeed and the goal of providing primary health care to everyone and building a “Healthy China” can be realized .
Qi Xuejing shared his views of “carrying out extensive reemployment training to break the bottleneck of the construction of the general practitioner system. He believed, intensifying the efforts of reemployment training to make full use of the talents available is a practical and feasible way to speed up the general practitioner cultivation. For those who have a training of basic medical knowledge such as doctors working in village or township hospitals, 6 months of supplementary training of medical theory and practice is a definitely workable way to transform them into qualified general practitioners. This is also a way of redeveloping and making full use of the medical talent resources at hand. It is conducive to optimizing the allocation of medical and health resources to provide better medical and health care services. He proposed that the training of doctors transferred to general practitioners should be a national strategy. Scientific planning, careful implementation, strong administrative promotion and support as well as workable action plans are needed to realize the objectives.
Qu Jia delivered a speech entitled “Practice and Reflections on the Integration Plan of the Cultivation and Use of General Practitioners for (Grassroots) Villages and Townships”. Based on his analysis of the current shortage of grassroots health care talents, he pointed out “talent is the key to the success of health care reform”. He introduced three innovative initiatives of WMU including the grassroots health care talent cultivation, cooperation of hospitals at different levels and categories and the training model of “Unified Provincial Enrollment and Examination Under National Standards and County Hospital Management of General Practitioners Working for Rural Grassroots Medical Institution”, summarizing the practice and experience of WMU in building the models and environment for grassroots health care talent development. He also shared his experience and reflections on how to make general practitioners graduating from WMU “work, stay, develop and succeed at the grassroots” .
Prof.Geoff Riley described the General practitioner-patient relationship in Australia by introducing the concept of “My Doctor”. He argued, successful doctor-patient relationship should be based on their mutual trust that is developed and deepened by repeated contact. General practice depends fully on the well-developed doctor-patient relationship. In this way, patient satisfaction and the sense of accomplishment for the doctor will be stronger and the health care system will be more rational. In his speech, he also introduced the general practitioner system in Australia, and their practice and experience of general practitioner training.
Prof.Geoff Riley introduced the construction of the general practice system in the United States by a true story about how a 68 year old man suffering from diabetes, hypertension, prostate cancer and other diseases changed from distrusting his general practitioners to getting continuous diagnosis and treatment from them.
During the Forum, Prof. Yuxin of Peking University, Prof. Li Tao of Sichuan University, Prof. Du Xueping of Capital Medical University, Fang Caimei, the deputy researcher of Zhejiang Provincial Medical Science and Technology Education Development Center, Prof. Dai Honglei of Zhejiang University made keynote speeches on the development of psychiatry, the status and role of psychiatry in general medicine, ward-round in general practice training, general medical department construction in general hospital, general practitioner competency and other topics.
The Forum is co-organized by the US Overseas Chinese Medical Doctor Association (OCMDA), American Academy of Family Physicians (AAFP) , and the University of Western Australia (UWA). During the forum session of “OCMDA Lecture Series of General Practitioner Standardized Training” , 10 OCMDA experts including associated professor Lin Jin of Mount Sinai School of Medicine and the president of WMU-North America Alumni Association, WMU alumni Cai Hui and Pan Tianli systematically introduced the US general practitioner standardized training system in 10 lectures.