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南方医科大学国际教育学院,广州 510515
陈君,Email:chenjun@smu.edu.cn
收稿:2026-01-09,
网络首发:2026-05-20,
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陈君, 代颖琳. 来华留学医学人才高质量培养的多国比较与启示[J/OL]. 中华医学教育探索杂志, 2026,1-6.
Chen Jun, Dai Yinglin. Enhancing the quality of medical education for international students in China: A cross-nation comparative study and its implications[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-6.
陈君, 代颖琳. 来华留学医学人才高质量培养的多国比较与启示[J/OL]. 中华医学教育探索杂志, 2026,1-6. DOI: 10.3760/cma.j.cn116021-20260109-02292.
Chen Jun, Dai Yinglin. Enhancing the quality of medical education for international students in China: A cross-nation comparative study and its implications[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-6. DOI: 10.3760/cma.j.cn116021-20260109-02292.
在“留学中国”品牌建设持续推进和医学教育国际化深入发展的背景下,来华留学医学教育已由规模扩张逐步转向以内涵建设为重点的提质升级阶段。与国内医学人才培养相比,来华留学医学人才培养在生源学术准备、语言与临床情境转换、培养标准落实及毕业后执业衔接等方面具有更突出的复杂性和特殊性。本文采用制度分析与比较研究方法,围绕国际学生招生筛选、培养标准、学生支持和职业过渡等维度,对英国、美国和澳大利亚的相关做法进行比较。研究发现,我国来华留学医学教育的主要瓶颈并非国家层面临床医学专业认证框架本身,而是项目实施层面仍存在招生门槛不统一、毕业要求与同质化培养落实不到位、临床教学跨文化适配偏弱、执业与职业发展支持不连续等问题。基于此,本文提出构建“引—育—用”一体化培养体系,即在“引”上强化分层分类招生与入学前后衔接支持;在“育”上坚持同标培养与差异支持并举,完善胜任力导向课程、形成性评价和教学基地质量监测;在“用”上加强执业考试指导、职业发展服务与毕业后桥梁培训。研究旨在为构建兼具国际可比性与中国情境适应性的来华留学医学人才培养模式提供参考。
Against the backdrop of the continuous advancement of the "Study in China" initiative and the deepening internationalization of medical education
China has gradually transitioned from enrollment expansion to quality-oriented development in international medical education. Compared with domestic medical education
international medical education presents distinct complexities and unique characteristics—particularly regarding students' academic preparation
transition across linguistic and clinical contexts
implementation of training standards
and post-graduation transition into professional practice across borders. Using institutional analysis and comparative research methods
this study examines practices in the United Kingdom
the United States
and Australia with a focus on screening criteria for enrollment
training standards
student support
and transition to practice. The study reveals that the main challenges for international medical education in China do not lie in the national accreditation framework for clinical medicine but in uneven implementation across programs
including inconsistent admission criteria
insufficient enforcement of graduation requirements and homogenized training
weak cross-cultural adaptation in clinical teaching
and fragmented licensure and career support after graduation. Accordingly
the article proposes an integrated framework of recruitment
cultivation
and utilization. Specifically
the focus of recruitment is on strengthening stratified and categorized admissions as well as providing seamless transitional support both prior to and immediately following enrollment. Regarding cultivation
the approach emphasizes a dual strategy of maintaining standardized training while offering differentiated support; this entails refining competency-oriented curricula
enhancing formative assessment
and monitoring the quality of teaching bases. Regarding utilization
efforts are directed toward strengthening guidance for professional licensing examinations
providing career development services
and offering bridging training for graduates. This study aims to provide a reference for developing an internationally comparable yet contextually grounded model of medical education for international students in China.
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Association of American Medical Colleges . Applying to medical school as an international applicant [EB/OL ] . [ 2026-03-27 ] . https://students-residents.aamc.org/applying-medical-school/applying-medical-school-international-applicant https://students-residents.aamc.org/applying-medical-school/applying-medical-school-international-applicant .
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Australian Medical Council . Review of accreditation standards for primary medical programs (medical school standards review) [EB/OL ] . [ 2026-03-27 ] . https://www.amc.org.au/accredited-organisations/review-of-accreditation-standards-for-primary-medical-programs/ https://www.amc.org.au/accredited-organisations/review-of-accreditation-standards-for-primary-medical-programs/ .
Australian Medical Council . Guidance matrix: Standard 4 and Standard 5 [EB/OL ] . [ 2026-03-27 ] . https://www.amc.org.au/accredited-organisations/medical-schools/guidance-matrix-overview/guidance-matrix-standard-4/; https://www.amc.org.au/accredited-organisations/medical-schools/guidance-matrix-overview/guidance-matrix-standard-5/ https://www.amc.org.au/accredited-organisations/medical-schools/guidance-matrix-overview/guidance-matrix-standard-4/;https://www.amc.org.au/accredited-organisations/medical-schools/guidance-matrix-overview/guidance-matrix-standard-5/ .
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National Resident Matching Program . Results and data: 2024 main residency match [EB/OL ] . [ 2026-03-27 ] . https://www.nrmp.org/wp-content/uploads/2024/06/2024-Main-Match-Results-and-Data-Final.pdf https://www.nrmp.org/wp-content/uploads/2024/06/2024-Main-Match-Results-and-Data-Final.pdf .
Australian Health Practitioner Regulation Agency . Applying for registration [EB/OL ] . [ 2026-03-27 ] . https://www.ahpra.gov.au/Registration/Applying-for-registration.aspx https://www.ahpra.gov.au/Registration/Applying-for-registration.aspx .
徐佳 , 王国利 , 张汝峰 , 等 . 医学院校临床教学质量同质化分析及改进建议 [J ] . 中国高等医学教育 , 2024 ( 6 ): 34 - 35, 38 . DOI: 10.3969/j.issn.1002-1701.2024.06.013 http://dx.doi.org/10.3969/j.issn.1002-1701.2024.06.013 .
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