On February 16, the National Health Commission held a 2022 National Health Science and Education Work Teleconference. Zeng Yixin, member of the party group and deputy director of the National Health Commission, attended the meeting and delivered a speech.
Zeng Yixin fully affirmed the remarkable results achieved by the national health science and education system in supporting the prevention and control of the new crown epidemic in 2021, promoting the construction of a scientific and technological innovation system, strengthening the coordination of biosecurity work, and improving the quality of talent training and training. Zeng Yixin asked the health science and education system to continue to support the prevention and control of the new crown epidemic in 2022, and deployed the work of promoting scientific and technological innovation in the industry, supporting basic and clinical research, accelerating the construction of scientific research systems, creating a good policy environment for the development of scientific researchers, strengthening the construction and supervision of biosecurity coordination mechanisms, and promoting the training of health and health talents, and put forward clear requirements for building a high-quality health science and education team.
Responsible comrades of relevant departments and bureaus of the Ministry of Education, the Ministry of Science and Technology and other departments, the relevant departments and bureaus of the National Health Commission, the direct subordinate and contact units of the commission and other responsible comrades attended the meeting at the main venue.
At present, the new crown virus variant is constantly emerging. In the face of major public health events, workers in the mainland's health industry have bravely moved forward, undertaken urgent, difficult, dangerous and heavy tasks at critical moments, used medical science and technology to maintain public health and safety, and provided strong support for the normalization of the prevention and control of the new crown pneumonia epidemic.
At the same time, the construction of the scientific and technological innovation system has been steadily carried out, the good policies expected by medical talents have taken root, the reform and development of medical education and the training of health talents have been promoted as a whole, and the high-quality development of health science and education has prepared a solid force for the construction of a healthy China.
01 The COVID-19 vaccine has shifted from emergency use to mass vaccination
The most powerful weapon against COVID-19 is science and technology. In 2021, the global covid-19 epidemic is still in a state of pandemic, and the transmission capacity of new variants such as Delta and Omicron has been significantly enhanced, especially in the spring and winter, clusters of epidemics caused by overseas imported sources have occurred in China.
In the face of the complicated situation, the mainland has handed over a beautiful report card for the research and development of the new crown vaccine. Mainland COVID-19 vaccine products not only provide strong support for large-scale domestic vaccination, but also serve as a global public good, supplying to the world at fair and reasonable prices. In 2021, the mainland independently developed and launched 3 inactivated vaccines and 1 adenovirus vector vaccine, of which 2 inactivated vaccine products were certified by the World Health Organization for emergency use, and 1 recombinant protein vaccine and 2 inactivated vaccines have been approved for emergency use in the mainland.
After the successful development of vaccines, how to achieve large-scale production of billions of doses as soon as possible has become another worldwide problem. The production of inactivated vaccines involves a large number of live virus cultures, and workshop biosecurity is a key link to ensure the safety of large-scale production. Before the outbreak of the new crown pneumonia epidemic, there were no mature technical standards in the world, and there were no domestic laws and regulations to clarify the responsible departments.
The National Health Commission was ordered to organize and issue the "General Requirements for Biosecurity in Vaccine Production Workshops" together with the National Development and Reform Commission, the Ministry of Science and Technology, the Ministry of Industry and Information Technology, the State Food and Drug Administration and other units, and organized biosecurity risk investigations in 10 inactivated vaccine production workshops of 5 enterprises, providing a strong biosecurity guarantee for the rapid large-scale production of inactivated vaccines for the new crown virus.
"As the new coronavirus continues to mutate, we will continue to strengthen departmental communication, timely organize and coordinate the collection, separation, transportation, preservation and sharing of mutated strains, and provide basic conditions for the virulence analysis of mutated strains, the research and development of detection reagents, the evaluation of vaccine protection effects, drug screening, and the research and development of new vaccines." The relevant person in charge of the National Health Commission said.
02 Good policies allow talent training to "double rise in quantity and quality"
Optimizing the career development prospects of residents and enhancing the sense of acquisition of residents is one of the core tasks of medical talent education.
In 2021, the document jointly issued by multiple departments to implement the "two equal treatment" policy of zhupei has attracted much attention from the industry. "Two equal treatment" was first proposed in the Guiding Opinions of the General Office of the State Council on Accelerating the Innovative Development of Medical Education. "Two equal treatments" means: for ordinary college graduates recruited by the society, fresh graduates of ordinary colleges and universities who are employed in medical and health institutions in the year of training, in terms of recruitment, dispatch, settlement, etc., they are treated equally according to the fresh graduates in that year; for clinicians with undergraduate degrees who have passed the residential training, they are treated the same as master's degree students in clinical medicine and traditional Chinese medicine in terms of personnel recruitment, professional title promotion, post recruitment, salary and treatment.
The policy was not easy to come by, and all localities have accelerated their implementation. Up to now, 15 provinces such as Shanxi, Zhejiang, Fujian, Hunan and Qinghai have incorporated relevant requirements into the implementation plans issued by provincial people's governments, and Beijing, Guizhou, Jiangxi and other provinces and cities have implemented the requirements in personnel recruitment. "This year, the implementation of the 'two equal treatment' policy should be included in medical and health institutions at all levels, especially the assessment and assessment of residential training bases, assistant general practitioner training bases, and continuing medical education bases, and into the high-quality development of public hospitals." The relevant person in charge of the Education Department of the Department of Science and Education of the National Health Commission said.
At present, the number of medical talents in the mainland is steadily increasing, and the quality of education has been further improved. In 2021, the mainland will focus on emergency departments, pathology, traditional Chinese medicine and other shortage specialties, and select 262 key professional bases for residential training. Nearly 60,000 new residents were recruited, plus 117,000 people in traditional Chinese medicine and professional masters, and 48,000 general practitioners were trained through various channels, exceeding the annual task of medical reform and successfully completing the residential training completion assessment of 93,000 people.
It is understood that Hebei, Guangxi, Hainan, Chongqing and other places have guided the residential training bases, teachers and trainees to pay more attention to the practical training of clinical skills by organizing skill competitions; Tianjin, Shanghai and other places have adhered to quality standards, strengthened the dynamic management of the base, and eliminated 4 residential training bases; Fujian, Zhejiang and other places have implemented the provincial financial input responsibility and improved the training subsidy standards for residents and assistant general practitioners.
In terms of continuing medical education, the central financial transfer payment supports the training of more than 100,000 medical personnel at all levels and all types of on-the-job medical personnel, organizes special training on epidemic prevention and control, trains more than 800,000 grass-roots medical personnel, and vigorously develops distance continuing medical education, newly selects 4 distance continuing education institutions, enriches high-quality distance education resources, and improves the quality of continuing education.
"This year, we must continue to increase the training of shortage professionals such as general medicine, pediatrics, anesthesia, and psychiatry, and strengthen the coordination of provincial medical education." As soon as possible, the provincial coordination mechanism should be established and perfected, and it should be effectively played. In particular, it is necessary to reflect the needs of the industry in the setting of medical colleges, the admission of medical majors, and the formulation of enrollment plans, promote the implementation of the need to set the recruitment, and strictly control the quality of talent training in colleges and universities. The relevant person in charge of the Education Department of the Department of Science and Education of the National Health Commission said.
03 Provide a good environment for medical researchers
In order to make outstanding scientific researchers stand out and innovative achievements continue to produce, it is necessary to have reasonable classification, division of labor and evaluation system suitable for their respective positions.
"It is necessary to take the reform of the evaluation and incentive mechanism as the starting point, create a good environment for the development of scientific and technological talents, and actively reduce the burden and loosen the shackles for scientific research personnel." The relevant person in charge of the Department of Science and Education of the National Health Commission pointed out that it is necessary to improve the evaluation and assessment method of talents. According to the different research fields and types of basic medicine, clinical medicine and public health, we will improve different evaluation standards and methods, and scientifically evaluate the scientific connotation, technological innovation, economic and social value of research results. It is necessary to reform the salary distribution system, expand the autonomy of employers, highlight the value of innovation and contribution orientation, guide public institutions in the field of health and health to establish an income distribution system and a stable growth mechanism that is oriented to increasing the value of knowledge and unified with the objectives of job responsibilities, reasonably determine salary treatment, gradually improve the basic salary guarantee level and basic performance wage level of scientific research personnel, further improve the reward system for job inventions, expand the autonomy of institutions and teams in the use and disposal of innovative achievements, and increase the proportion of income of major inventors. Encourage researchers to focus on scientific research and produce more high-level original results.
At the same time, it is necessary to put forward requirements for the classification of medical institutions. The person in charge said that large tertiary first-class hospitals such as research hospitals, national medical centers, and regional medical centers can advocate the common development of medical education and research, encourage qualified hospitals to carry out scientific research work, and have clear and specific scientific research indicators for those who are promoted to the title of professor or researcher; for those who are promoted to chief physicians, they mainly evaluate their clinical workload and work quality. For medical institutions below the county level and general prefectural and municipal medical institutions, it is not appropriate to mention mandatory scientific research requirements. Units and individuals with the capacity may take the lead or cooperate with others to appropriately carry out clinical research in combination with their own clinical work.
"The primary responsibility of medical institutions is to treat diseases and save people, and medical education and research should always put medicine first." The amount and level of clinical work should be used as the first indicator to evaluate doctors and nurses. The person in charge stressed.
04 Further promote clinical research and achievement transformation
It is not only necessary to attach importance to basic research in the field of health and health, improve the original innovation ability, but also increase the support for clinical research and improve the level of medical treatment.
In order to find more good ways to standardize the management of clinical research, in 2021, Beijing, Shanghai, Guangdong, Hainan and other four provinces and cities launched a clinical research pilot initiated by researchers from medical institutions, and some progress has been made. At the same time, the construction of the national medical research registration and filing information system has been solidly promoted, and the medical research base of medical and health institutions has been initially grasped. "In 2022, we should focus on promoting the implementation of the pilot work of improving the clinical research and achievement transformation capabilities of high-level hospitals, strengthening process management, summarizing experience in a timely manner, and further expanding the scope of the pilot." At the same time, we should do a good job in the construction and management application of the medical research registration and filing information system to improve the overall effectiveness of clinical research. The relevant person in charge of the Department of Science and Education of the National Health Commission said.
The person in charge also said that this year, it is necessary to further accelerate the construction of the scientific research system, continuously improve the construction of the ethical review system, seriously investigate and deal with the untrustworthy violations of scientific research in the health system; further strengthen the national biosecurity system and capacity building, and continuously improve the laboratory biosecurity governance capacity and management level. In terms of the construction of scientific and technological basic resources, it is necessary to continue to promote the construction of basic resource platforms such as national biomedical literature information, human disease experimental animal technology innovation platform, and basic population cohort resources; compile the construction plan of the key laboratories at the commission level of the National Health Commission, lay out a number of key laboratories at the commission level, and improve and improve the management system; newly lay out a number of national clinical medical research centers, form a collaborative research network covering the whole country, and focus on creating a professional platform for transforming basic research and cutting-edge technologies into clinical research.
Text: Health Daily reporter Wang Xiaoyu
Editor: Guan Zhongyao
Review: Xu Bingnan Yan Gong