Medical Science Undergraduate Free Training Programs Specifically Designed for Rural Practice in China
1.XiangYa School of Public Health，Central South University，Changsha 410000，China
2.Graduate office，Xinjiang Medical University，Urumqi 830011，China
*Corresponding author：CHEN Li-zhang，Professor，Doctoral supervisor；E-mail：Chenliz@csu.edu.cn
Abstract：Objective To identify the challenges and areas for improvement in medical science undergraduate free training programs specifically designed for rural practice in China，providing support for the reform of rural general practitioner training mode.Methods From April to June 2016，we conducted a survey in a purposive sample of managers responsible for educational administrative affairs from 19 medical universities（4 in eastern China，6 in central China and 9 in western China） offering free training programs for medical science undergraduates specifically designed for rural practice with a self-developed questionnaire for collecting the data concerning curriculum structure，general medical courses，training mode and practical training courses.All of the 19 questionnaires were completed.Results The total credit hours of medical science undergraduate free training programs specifically designed for rural practice ranged from 2 748 to 3 736，averaged 3 259.84.The ratio of theoretical and practical training courses ranged from 1∶0.80 to 1∶0.21，averaged 1∶0.43.The average credit hours for common and humanities courses，basic medical science courses，clinical medical science courses，and public health and general medical science courses was 1 051.32，919.79，1 031.37，257.37，respectively，accounting for 32.25%，28.22%，31.64%，7.90% of the total credit hours，respectively.The number of general medical courses offered by these 19 universities was 0-4，with credit hours of 0-168（mean 80.32），accounting for 0-5.14% of the total credit hours （mean 2.46%），and credits of 0-9 （mean 4.66）.11 universities employed “4+1” training mode（4-year theoretical learning and 1-year practical training），while other 8 universities adopted “3.5+1.5” training mode （3.5-year theoretical learning and 1.5-year practical training）.16 universities offered integrated experimental courses，8 offered courses about introduction to medicine，10 offered clinical skill training courses，4 offered interning in CDC schemes，13 offered interning in community healthcare settings schemes，and 2 offered social practice schemes，but all of them offered clinical teaching and practice schemes.Conclusion The current medical science undergraduate free training programs specifically designed for rural practice need to be improved in some aspects such as the number and credit hours of general medical courses are to be increased.
李玉华1，郝婷2，陈立章1*. 我国高校农村订单定向医学本科生培养方案现状研究[J]. 中国全科医学, 2018, 21(16): 1989-1992，1997.
LI Yu-hua1，HAO Ting2，CHEN Li-zhang1*. Medical Science Undergraduate Free Training Programs Specifically Designed for Rural Practice in China . Chinese General Practice, 2018, 21(16): 1989-1992，1997.