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CME in China

CME in China. Zeng Zhechun MD., MPH. Beijing Association of Medical Education Beijing Institute of Heart Lung & Blood Vessel Disease. Outlines. Basic Information of China Chinese Health Care and CME System Major Challenges of Current CME System Future Development.

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CME in China

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  1. CME in China Zeng Zhechun MD., MPH. Beijing Association of Medical Education Beijing Institute of Heart Lung & Blood Vessel Disease

  2. Outlines Basic Information of China Chinese Health Care and CME System Major Challenges of Current CME System Future Development

  3. Basic Information of China

  4. 34 Provinces • Autonomous Regions • Administrative Municipalities • 2 Special Administrative Regions

  5. Basic Information of China ●Total area:9.6 million square kilometers ● Total population: 13 21.26 millions ◆Urban population: 5 93.79 millions ( 44.9%) ◆ Rural population: 7 27.47 millions (55.1%) ◆ Age distribution: 0-14: 256.60 millions (19.4%) 15-59: 911.26 millions (69.0%) ≥60: 153.40 millions (11.6%) ● GDP(2010): RMB3979.8 billions, about $ 568billions ● Life expectency(2006): 70.9 male/ 74.5 female

  6. Thirty Year Economic Development in China GDP (Billions) RMB 3979.8 billions RMB 365 billions (Years)

  7. Double Burdens of Diseases • Increasingly serious threats from… • Communicable diseases • Re-emerging: TB, STD, plague, cholera… • Emerging: AIDS, SARS… • Non-communicable diseases (NCD) • Stroke, cancer, CHD, diabetes, chronic obstructive pulmonary diseases (COPD), mental diseases…

  8. 2015 Aging 14% 1949 Total 0.058 billion Aging 8% 2000 Total 0.126 billion Aging 10% 2050 Aging 25% Trend of Population and Aging (0.1 Billion) 18 16 14 12 10 8 6 4 2 0 1953 1964 1982 1990 1995 2000 2015 2050

  9. Tendency of Death Pattern, China, 1954-1998 Injuries & poisoning Others Non-communicable diseases Communicable, maternal and child diseases

  10. Non-communicable diseases Mortality rate of Leading Causes of Death in China(2003)

  11. Chinese Health Care and CME System

  12. The organization structure of Chinese health system CAMS China CDC FDA PUMC State Department The Ministry of Health General/Specialized Hospital Local CDC MCH Hospital (Clinic) Drug Inspection Station Medical college or university Government of Provincial, Municipal, Autonomous Region The Bureau of Health Specialized hospital Anti-epidemic station MCH Hospital (Clinic) Drug Inspection Station Regional Administrative Office The Board of Health General Public Hospital Anti-epidemic Station Endemic Disease Prevention Station MCH Care Center (Clinic) Secondary Health School Government of Municipal, County, District The Board (department) of Health Township government, Sub-district Office Three tiered prevention and health care system Township hospital (clinic) District health center(outpatient clinic) MCH care center Villagers’ committee, Neighborhood residents’ committee Village health station Red Cross health station

  13. College Medical Education in China Starting point + 3yrs MD 2-3yrs Master Bachelor+ Master 5yrs MD

  14. History of Chinese CME

  15. The organization structure of Chinese CME system • Overall Planning & Policy making • Approving State Level CME Courses • Organizing the Development of Teaching Materials • Managing Distance Learning System • Evaluating & Instructing Subordinates Steering Committee of CME(1996) The Ministry of Health Academic Subgroups Chinese Medical Association • Local Planning • Approving Provinical Level CME Courses • Managing CME Bases • Evaluating & Instructing The Bureau of Health(Provincial) Department of CME Academic Subgroups CME Bases • Implementing CME Programs • Running the CME Base • Courses Arrangement • Managing Credit The Board of Health(Regional) Office of CME • Organizing Hospital Level CME Courses • Running the CME Base • Services Office of CME (Hospital)

  16. Classroom in a CME Base Internship program

  17. Who pay for CME ? Government Hospital Individual

  18. Types of Credit Type I Attending state level CME courses 1 credit/3hours for students 2 credits/hour for teacher 10 credits/person at most Attending provincial level CME courses 1 credit/6hours for student 1 credits/hour for teacher 10 credits/person at most Attending state level distance learning courses 1 credit/3hours for student 5 credits/person at most

  19. Types of Credit Type II Scientific publications Got research grant Organizing academic activities Oral presentiation or poster in academic conference Self-study

  20. Credit Management The minimum credits required for one person in a year is 25 5-10 type I credit 15-20 type II credit <10 for distance learning TypeI and II should not substitute Credit related with individual’s promation IC Card

  21. Credit Management IC Card Credit Certificate of State Level CME Course

  22. Distance Learning inCME Website Satellite transmission

  23. Process to Apply a State Level CME Course Filling Application Form Reviewed by ProvincialCME Academic Subgroup Distance Learning Application Form Reviewed by theState CME Academic Subgroup Approved &Announced by the State Steering CME Commitee The Web based CME Course Application System Implementation

  24. Samples of State Level CME Courses in 2010 (CVD)

  25. Rapid Development of CME

  26. Major Challenges of Current CME System

  27. Imbalance Development Among Different Provinces 110 83 4 4 85 554 137 224 618 203 0 118 92 111 357 Geography Distribution of CME Courses,2009

  28. Geography Distribution of CME Courses,2009

  29. Quality of Courses: Unevenness • Monotonous content • Few consideration of different person’s qualifications • Outdated teaching methods and • Outdated knowledge • Few apply of educational theories Major complains to CME course among 700 physicians in Beijing

  30. Insufficient of “Patient Centered” Related Courses Subjects of CME Courses,2009

  31. Subjects Constituent Ratio of CME Courses in 2009

  32. Other Problems Lack of evaluation & monitoring Insufficient recourses (Teacher, bases & funds) Challenges in Rural Area Staff aging: Transform from barefoot doctors Lack of staff recruiting Low academic level Geographically dispersed

  33. Future Development More government investment Optimize regulation and organization structure Improve teaching quality by Design courses base on physician’s demand (Real Practice) More patient-centered training Follow the frontier of medical science Multi-level courses facing different levels of person Diversify teaching pattern Apply educational theories and research outcomes Further informationize Enhance international collaboration

  34. Thanks for Your Attention !

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