<正>高等医学教育事业的发展和招生规模的不断扩大,为我国医疗卫生系统培养了大量人才。然而,医学生就业难、医学院校逐利招生、医学教育质量滑坡等现象的存在也引起社会广泛关注。我国迫切需要重新审视高等医学教育扩招政策。在此过程中,除了关注招生总量的变化情况外,还有一个重要而容易被忽略的因素就是扩招中的结构性问题,包括医学专业招生中不同专业、学历的学生数量变化情况,以及不同类型院校在扩招中的作用。伴随高等医学教育招生规模的扩大,内部结构性问题不断凸显,不但对于医学教育质量产生极其不利的影响,而且造成人才培养

Health professional education in China faces unprecedented challenges and opportunities because of the increasing serious ageing problem.In this article,the authors summarized the current status and tendency of population ageing,analyzed the impact of population ageing on health professional education and problems in geriatric health professional education in China,introduced relevant international experiences,and put forward several suggestions on developing geriatric health professional education in the country.

Sources and career preference of healthcare students play an important role in affecting the quality and supply of health professionals.Based on stratified multistage cluster sampling,a questionnaire survey was administered with 6 129 medical,nursing,and public health undergraduate students from 15 higher medical education institutions in China.It was found that the majors of 45.6％ respondents were not their first choices upon admission.The proportion was 73.1％ and 70.9％ for public health and nursing undergraduates,respectively.Furthermore,21.0％ of public health students and 39.3％ of nursing students were unwilling to choose their major as a career,indicating poor attractiveness of the two majors.In contrast,75.0％ of medical students chose their major on a first choice basis.Meanwhile,90.0％ of medical students were willing to choose their major as a career although the employment rate was quite low for students in the major.Finally,the authors discussed implications of study findings on relevant higher medical education policies,such as admission and setting of majors.

北美地区大学对医学院与附属医院、教育医院的管理体制采取不同的模式,"教学机制"是维系医学院与医院关系的根本.北美医学高等教育只设博士学位,医学博士学位(MD)和行医执照的获得是分离的,北美的医生学习和培训所需时间可长达16年之久,并需要通过多次考试.MD教育强调基础和临床结合.北美公共卫生学位教育不属医学范畴,主要是大学毕业后教育.我国高等医学教育可以借鉴北美模式,设定科学合理的学制、管理体制和学位制度,加强大学对附属/教学医院的管理,明确其教育功能,健全医师资格考试制度.

专业英语教学日益受到重视,但又是大学英语教学中的难点.北京大学医学部利用计算机与网络,在这个领域进行了实践和探索.我们从2000年9月起以临床医学院三、四年级作为试点开设专业英语课,授课中大量运用CALL(计算机辅助语言教学),取得了一定成效,但也发现了一些问题.希望我们的探索能为专业英语教学提供借鉴.

本文作者以北京大学医学部1999年入学的96名医学系本科生为对象,采用实验前后测试的控制组方法,分析研究了计算机辅助语言教学对大学生英语学习所起的作用与效果.本项研究结果表明:计算机辅助语言教学,对重点大学学生而言,同传统课堂教学一样有效.