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Optimizing preventive medicine to bridge the gap between clinical medicine and public health for disease control in China: A lesson from COVID-19.
Zeng, Wu; Li, Guohong; Turbat, Vincent; Hu, Guoqing; Ahn, Haksoon; Shen, Jie.
  • Zeng W; Department of International Health, School of Nursing & Health Studies, Georgetown University, Washington, DC, USA. Electronic address: wz192@georgetown.edu.
  • Li G; School of Public Health, Shanghai Jiao Tong University, Shanghai, China; China Hospital Development Institute, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Turbat V; Department of International Health, School of Nursing & Health Studies, Georgetown University, Washington, DC, USA.
  • Hu G; XiangYa School of Public Health, Central South University, Changsha, China.
  • Ahn H; School of Social Work, University of Maryland, Baltimore, MD, USA.
  • Shen J; China Hospital Development Institute, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: shenjie@shsmu.edu.cn.
Prev Med ; 143: 106324, 2021 02.
Article in English | MEDLINE | ID: covidwho-917459
ABSTRACT
The pandemic of Coronavirus Disease 2019 (COVID-19) highlights the importance of early detection of disease outbreaks, taking swift and decisive public health actions, and strengthening public health systems. Preventive medicine, as a specialty of medicine, trains students on both clinical medicine and public health and is of a particular need in battling against this pandemic. In China, preventive medicine plays a unique role in the disease control system where preventive medicine graduates represent a large share of the workforce. However, there is a shortage of qualified staff in the Chinese disease control system. The reasons for such a shortage are multifaceted. From the human resource perspective, the undergraduate preventive medicine curricula and exclusive public health training for preventive medicine postgraduates limit their clinical capacities. A series of disease control and public health education reforms may further incapacitate preventive medicine graduates' clinical skills, unintentionally widening the gap between public health and clinical medicine and thus posing threats to effective disease detection and control. The authors call for reforming and optimizing preventive medicine to bridge the gap between clinical medicine and public health by strengthening curricula on clinical medicine, diversifying curricula on public health, enhancing preventive medicine residency programs, and rectifying regulations that restrict preventive medicine graduates from practicing curative medicine.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Preventive Medicine / Public Health / Delivery of Health Care / Pandemics / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Prev Med Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Preventive Medicine / Public Health / Delivery of Health Care / Pandemics / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Prev Med Year: 2021 Document Type: Article