Jianlin Hou 1 , Catherine Michaud 2 , Zhihui Li 2 , Zhe Dong 1 , Baozhi Sun 3 , Junhua Zhang 4 , Depin Cao 5 , Xuehong Wan 6 , Cheng Zeng 7 , Bo Wei 8 , Lijian Tao 9 , Xiaosong Li 7 , Weimin Wang 10 , Yingqing Lu 11 , Xiulong Xia 12 , Guifang Guo 13 , Zhiyong Zhang 14 , Yunfei Cao 14 , Yuanzhi Guan 15 , Qingyue Meng 16 , Qing Wang 11 , Yuhong Zhao 17 , Huaping Liu 18 , Huiqing Lin 19 , Yang Ke 20 , Lincoln Chen 2
Aug 30 2014
In this Review we examine the progress and challenges of China's ambitious 1998 reform of the world's largest health professional educational system. The reforms merged training institutions into universities and greatly expanded enrolment of health professionals. Positive achievements include an increase in the number of graduates to address human resources shortages, acceleration of production of diploma nurses to correct skill-mix imbalance, and priority for general practitioner training, especially of rural primary care workers. These developments have been accompanied by concerns: rapid expansion of the number of students without commensurate faculty strengthening, worries about dilution effect on quality, outdated curricular content, and ethical professionalism challenged by narrow technical training and growing admissions of students who did not express medicine as their first career choice. In this Review we underscore the importance of rebalance of the roles of health sciences institutions and government in educational policies and implementation. The imperative for reform is shown by a looming crisis of violence against health workers hypothesised as a result of many factors including deficient educational preparation and harmful profit-driven clinical practices.