Global Engagement of Health Professions Education Programs in China: Trends over a Five Year Period

Article Sidebar

27-Oct-5919.pdf
Published Oct 22, 2024
DOI: https://doi.org/10.18103/mra.v12i10.5919

Downloads

Download data is not yet available.

Submit your own article

Register as an author to reserve your spot in the next issue of the Medical Research Archives.

Author Registration

Join the Society

The European Society of Medicine is more than a professional association. We are a community. Our members work in countries across the globe, yet are united by a common goal: to promote health and health equity, around the world.

Join Europe’s leading medical society and discover the many advantages of membership, including free article publication.

Membership

Main Article Content

Jianlin Hou
Institute of Medical Education, Peking University, Beijing, China.
Robert M. Rohrbaugh
Yale School of Medicine, New Haven, CT, US.
Michael J. Peluso
University of California, San Francisco, CA, US.
Youhui Luo
Office of Education, Peking University Health Science Center, Beijing, China.
Yang Ke
School of Oncology, Peking University, Beijing, China.

Abstract

Background: An important component of global engagement in health professions education is facilitating students having international experiences. Although cross-border visits have existed at some of China’s academic medical centers (AMCs) for more than 30 years, there are few quantitative studies on its overall development and variations between different types of AMCs.


Aims: We aim to provide an overall description and measure trends of global engagement of Chinese health professions education programs by comparing inbound and outbound visits of health professions students over a five year interval.


Methods: In 2019, Chinese AMCs whose undergraduate medical education programs were eligible for accreditation by the Ministry of Education were invited to complete a web-based questionnaire. Data were analyzed using descriptive analyses, t tests, and Fisher exact tests.


Results: A total of 93 AMCs (57.8%) responded to the survey. The number of outbound visits increased by more than three times and the number of inbound visits increased by almost two times between the 2013-14 and 2018-19 academic years. Both the mean and median of outbound visits in 2018-19 academic year were higher than those in 2013-14 academic year (mean 23 vs. 72, p=0.0016; median 4 vs. 22, p=0.000). The mean of inbound visits in 2018-19 academic year was also higher than that in 2013-14 academic year (37 vs. 20, p=0.032). The mean and median of outbound and inbound visits for central government affiliated AMCs were significantly higher than those for other AMCs in these two academic years.


Conclusion: Comparison between 2013 and 2018 demonstrated an increased frequency of inbound and outbound visits, indicating a significant expansion of global engagement at China’s AMCs. Measures may be needed to incentivize global engagement at AMCs that are not affiliated with the central government. Trends in the exchanges of students may be related to historical, geographical, and political issues. The findings related to China may be useful to other low- and middle-income countries as they manage global health student exchanges.

Keywords: Cross-border visits, global engagement, health science faculty, health professions student, China

Article Details

How to Cite
HOU, Jianlin et al. Global Engagement of Health Professions Education Programs in China: Trends over a Five Year Period. Medical Research Archives, [S.l.], v. 12, n. 10, oct. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5919>. Date accessed: 22 dec. 2024. doi: https://doi.org/10.18103/mra.v12i10.5919.
ABNT APA BibTeX CBE EndNote - EndNote format (Macintosh & Windows) MLA ProCite - RIS format (Macintosh & Windows) RefWorks Reference Manager - RIS format (Windows only) Turabian
Issue
Vol 12 No 10 (2024): October Issue, Issue 10, VOl.12
Section
Research Articles

The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.

 

References

1. Koplan JP, Bond TC, Merson MH, et al. Towards a common definition of global health. Lancet. 2009; 373(9679):1993-5. doi: 10.1016/S0140-6736 (09)60332-9

2. Bales AM, Oddo AR, Dennis DJ, et al. Global health education for medical students: when learning objectives include research. J Surg Educ. 2018; 75(4):1022-7. doi:10.1016/j.jsurg.2017.09.015

3. de Zeeuw J, van de Kamp J, Browne JL. Medical schools should ensure and improve global health education. Lancet. 2019; 394(10200):731. doi: 10.1016/S0140-6736(19)31254-1

4. Civitelli G, Tarsitani G, Censi V, Rinaldi A, Marceca M. Global health education for medical students in Italy. BMC Med Educ. 2021; 21(1):355. doi: 10.1186/s12909-021-02792-8

5. Kaffes I, Moser F, Pham M, Oetjen A, Fehling M. Global health education in Germany: an analysis of current capacity, needs and barriers. BMC Med Educ. 2016; 16(1):304. doi:10.1186/s12909-016-0814-y

6. Ehn S, Agardh A, Holmer H, Hagander L. Global health education in Swedish medical schools. Scand J Public Health. 2015; 43(7):687-93. doi: 10.1177/1403494815591720

7. Sawleshwarkar S, Zodpey S, Negin J. "Public health is global": examining Indian stakeholders' perspectives on global health education. BMC Public Health. 2020; 20(1):1259. doi: 10.1186/ s12889-020-09357-2

8. Hwang WJ, Jo HH. Development and application of a program for reinforcing global health competencies in university nursing students. Front Public Health. 2020; 8:263. doi: 10.3389/ fpubh.2020.00263

9. Bentley CZ. Global health in medical education. Med Sci Educ. 2021; 1-4. doi: 10.1007/s40670-021-01399-4

10. Peluso MJ, Rodman A, Mata DA, Kellett AT, van Schalkwyk S, Rohrbaugh RM. A comparison of the expectations and experiences of medical students from high-, middle-, and low-income countries participating in global health clinical electives. Teach Learn Med. 2018; 30(1):45-56. doi: 10.1080/10401334.2017.1347510

11. Peluso MJ, van Schalkwyk S, Kellett AT, et al. Reframing undergraduate medical education in global health: rationale and key principles from the Bellagio Global Health Education Initiative. Med Teach. 2017; 39(6): 639-45. doi: 10.1080/0142159 X.2017.1301654

12. Office for National Medium and Long Term Educational Reform and Development Planning, People’s Republic of China. [Outline of the national medium and long term educational reform and development plan (2010-2020)], published 20 October 2011. http://www.moe.gov.cn/srcsite/A01/s7048/201007/t20100729_171904.html

13. Ministry of Education (China). [Promoting the co-construction of educational actions in Belt and Road Initiative countries], published 13 July 2016. http://www.gov.cn/gongbao/content/2017/content_5181096.htm

14. Wei LQ, Hu YH. [Retrospectus on the international exchange of education over the past 40 years]. J Hebei Norm Univ. 2018; 20(3): 19-26. doi: 10.13763/j.cnki.jhebnu.ese.2018.03.003

15. Zhang L, Du WW, Li XJ, et al. [Reflections on management of short-term overseas exchange program for medical students]. Chin J Med Educ. 2012; 32(4):511-4. doi: 10.3760/cma.j.issn.1673-677X.2012.04.012

16. Zhao J, Cao YH, Zhang S, He YM, Pan H. [Short-term exchange program of international students in PUMC hospital]. Basic & Clin Medicine. 2015; 35(5): 711-3. doi: 10.16352/j.issn.1001-6325. 2015.05.028

17. Zheng LB, Li H, Wang WM. [Management of overseas short-term exchange programs for medical students: current status and innovations]. China High Med Educ. 2016; 2: 32-3. doi: 10.3969/j.issn.1002-1701.2016.02.016

18. Lin L, Lou YL. [China Directory of Medical Schools]. Science Press, Beijing, 2019

19. Chen XQ. [Study on management problems and countermeasures from international undergraduate students at medical universities-a case study of Zhejiang Chinese Medical Universit]. [master’s thesis]. Wuhan: Zhejiang Chinese Medical University, 2019.

20. Huang RY. [On undergraduate education of clinical medicine for international students in China]. Med Philosophy. 2019; 40(16): 70-4. doi: 10.12014/j.issn.1002-0772.2019.16.17.

21. Chen JY. [Design of a Chinese language course for international students based on flipped-classroom model]. Health Occup Educ. 2020; 38(1): 62-4.

22. Li H, Wang YJ, Xu QY, et al. [Survey of international students’ studying status—using Kunming University as an example]. Health Occup Educ. 2017; 35(23): 84-6.

23. Yang Y. [Thoughts on management of clinical medicine students from south Asia in Yunnan]. J Dali Univ. 2016; 1: 96-100. doi: 10.3969/j.issn.1672 -2345.2016.02.028

24. Zhang YY, Li JR. [Practice and thoughts on overseas short-term clerkship exchange programs for medical students]. Cont Med Educ. 2019; 33(9): 65-7. doi: 10.3969/j.issn.1004-6763.2019.09.031

25. Zheng SY, Yang MH, Yang M, He P, Bian JH. [Successful reform in internationalization of medical education]. China High Med Educ. 2011; 11: 5-6, 40. doi: 10.3969/j.issn.1002-1701.20 z11.11.003

26. Pan C, Liu Y, Sun H, Cai HX. [Exploration on internationalized vision training mode of medical students in China]. Northwest Med Educ. 2014; 22(4): 634-6, 644. doi: 10.3969/j.issn.1006-2769. 2014.04.002

27. Deng ZJ, Xin D, Li Q, Zhang L. [Study on the issues in the training and management of international students at health science faculties]. Econ Res Guide. 2017; 23: 63-4.

28. Wang K, Sun J, Na J, Xu SY. [On the characteristics and countermeasures of medical students in China]. Educ Teach Forum. 2017; 26: 15-6. doi: 10.3969/j.issn.1674-9324.2017.26.007

29. Li JH, Cao JM. [Develop graduate medical education for international students in China to serve the Belt and Road Initiative]. Educ Degree and Grad Med Educ. 2017; 7: 7-12. doi: 10. 16750/j.adge.2017.07.002

30. Wang JY. [The Ministry of Education issued the 1st study-abroad alter for year 2019]. China Educ Daily. June 4, 2019.

31. Ministry of Education (China). [Summary Statistics on international students to China in 2014], published 18 March 2015. http://www.moe.gov.cn/jyb_xwfb/gzdt_gzdt/s5987/201503/t20150318_186395.html

32. Ministry of Education (China). [Summary Statistics on international students to China in 2018], published 12 April 2019. http://www.moe.gov.cn/jyb_xwfb/gzdt_gzdt/s5987/201904/t20190412_377692.html