Improving the overall level of continuing medical education
Xie Ping, Zhang Hui (Chinese Medical Association, Beijing)
AbstractIn order to adapt to the needs of the development of the health cause and the construction of the health talent team, and in accordance with the Ministry of Health's Eleventh Five-Year Plan for Continuing Medical Education, the Department of Continuing Education of the Chinese Medical Association (CMA) recently promulgated the "Measures for the Administration of the Continuing Medical Education Programs of CMA" (for trial implementation). Medical Education Program Management Measures (for trial implementation). This management method fully combines the actual work of continuing medical education, focuses on the implementation of the Eleventh Five-Year Plan, and provides specific regulations to ensure the quality of continuing medical education programs and strengthen the supervision and management of the programs. Involving the management of continuing medical education program is very important to the project evaluation, sampling and related supervision and management of the financial management of the cost, but also to focus on elaboration.
Keywords: continuing medical education; supervision; spot check; financial management
1Related background
"Eleventh Five-Year Plan" period (2006-2010) is the key stage of China's comprehensive construction of a moderately prosperous society, but also the implementation of the scientific concept of development of the health system, and constantly improve the health level of the people. Health level, better for the construction of a harmonious socialist society and
realize the coordinated development of the economy and society in the critical period of service.
Continuing medical education is a kind of lifelong education that focuses on learning new theories, new knowledge, new technologies and new methods after post-graduation medical education. The purpose of continuing medical education is to enable health technicians to maintain high professional ethics throughout their careers, to continuously improve their professional working ability and business level, to improve the quality of service, and to alleviate the doctor-patient relationship, in order to adapt to the development of medical science and technology and health care, as well as to meet the requirements of the residents of our country for health services. Continuing medical education has become an important way and means for medical and health units to enhance their core competitiveness and for health technicians to improve their competence and quality, and has played an important role in the construction of the health personnel team, providing human resources guarantee for improving the people's health and comprehensively building a well-off society.
Therefore, the Ministry of Health's "Eleventh Five-Year Plan" for continuing medical education calls for the continuous improvement of continuing medical education regulations and system construction, and the gradual realization of legalized and standardized management. Courageous to reform and innovation, for the work of the main problems, in-depth investigation and research
Study, and actively explore how to establish with the socialist market economic system in line with the operation of continuing medical education mechanism, innovative management system. Adhere to the unity of form and content, focusing on quality and effect. Make full use of modern management tools to strengthen the management of continuing medical education. Specifically put forward the provinces, autonomous regions and municipalities directly under the Central Government should regularly assess the work of continuing medical education in various places, and annually inspect the implementation of the activities of continuing medical education programs, and the number of inspection projects should not be less than 10% since the 9 overall goal. And for the development of continuing medical education in the process of weak supervision and management and other problems put forward programmatic measures.
2 Chinese Medical Association continuing medical education program management methods (for trial implementation) of the relevant content
In order to adapt to the 2l century medical science and technology development and socialist health development needs, the implementation of the Ministry of Health continuing medical education 11th Five-Year Plan, so that the work of continuing medical education to play a more important role, and at the same time, in order to strengthen the Chinese Medical Association of the continuing medical education program to carry out management, and effectively solve the current problem of continuing medical education program. At the same time, in order to strengthen the management of CMC's continuing medical education programs and effectively solve the problems existing in the current work of continuing medical education, the Department of Continuing Education of CMC, in accordance with the relevant provisions of the national continuing medical education, combined with the actual work of continuing medical education, recently formulated and promulgated the "Measures for the Management of CMC's Continuing Medical Education Programs" (hereinafter referred to as the "Measures for the Management of CMC's Continuing Medical Education Programs"), which was published for trial implementation. (hereinafter referred to as "Management Measures"), which will be implemented on a trial basis from the date of publication. The content of the Management Measures centers on the overall management of continuing medical education programs, with corresponding regulations on the declaration, approval, management, evaluation and supervision of the programs during implementation. In particular, it puts forward specific measures to ensure the quality of continuing medical education programs and to strengthen the supervision and management of the programs. The implementation of the management approach to make the Chinese Medical Association continuing education work in accordance with the law, there are rules to follow, is the Society to strengthen the supervision and management of continuing medical education to improve the overall level of continuing medical education prerequisites and conditions.
The management of all things is the first, standardized management is the foundation of everything, weak management links will inevitably bring a series of problems and hidden dangers. The management approach closely follows the main measures of the "Eleventh Five-Year Plan", focusing on how to manage the management and administration of the project, specifically reflected in the corresponding provisions.
2.1 According to the relevant provisions of the plan, "oriented to the grassroots, focusing on effectiveness, and actively carrying out continuing medical education activities for the rural and urban communities", the management measures in the project content must meet the conditions, in addition to reflecting the advanced content, but also to add for the grassroots (such as community, rural) health services, applicable knowledge and appropriate technology, as well as medical services, and the medical and health care services. In addition to the advanced content, this management method also includes the applicable knowledge and appropriate technology for grassroots (such as community and rural) medical and health services, as well as the content related to medical laws and regulations and guidelines.
2.2 The declaration time of the Society's program is clearly defined, which is in line with the relevant regulations of the National Committee for Continuing Medical Education, and better matches the declaration of the national continuing medical education program in terms of time. Chinese Medical Association continuing medical education program reporting time for two times a year, before the end of December and before the end of June each year. The specific time and declaration matters are subject to the declaration notice issued by the Department of Continuing Medical Education of the Chinese Medical Association.
2.3 The evaluation and supervision and management fees are charged. Anyone who applies for the CMA's continuing medical education program and passes the formal review is required to pay a program evaluation fee, which is used as the approval and supervision and management fee for the continuing medical education program. The fee is 1000 RMB for each single program (including the program for record). The fee will be fully utilized for the management of the program, including the work of evaluation and supervision. On the basis of stabilizing the scale, the quality of the projects will be improved and the smooth implementation of project management will be ensured, so as to realize the transformation of continuing medical education from quantity to quality and from form to content. The financial management of the fee will be elaborated below.
2.4 Give full play to the advantages and role of the medical association experts. The disciplinary expert group of the Chinese Medical Association's continuing medical education program consists of leaders of the Society and experts from different disciplines, whose functions include: (1) formulating relevant work standards, management methods and implementation rules in accordance with the relevant regulations on continuing medical education; (2) evaluating the Chinese Medical Association's continuing medical education program, with the evaluation results serving as the basis for approving the program; (3) conducting guidance, supervision, inspection and evaluation of the Chinese Medical Association's continuing medical education program, and (4) providing the following information to the Chinese Medical Association:
2.4 Give full play to the advantages and roles of the Society's experts. (3) To guide, supervise, inspect and evaluate the implementation of the CMA's continuing medical education programs, i.e., to participate in the actual sampling of the programs.
2.5 The plan calls for accelerating the construction of continuing medical education information, making full use of the information available, and constructing a multi-functional, highly efficient, convenient and applicable information and management system. To establish provincial continuing medical education data management center, real-time understanding, mastering continuing medical education project activities and continuing medical education credit completion, the establishment of a statistical reporting system to improve the scientific and proactive macro decision-making. Data is the basis for inspection and supervision, as well as the foundation for the establishment of information management system. This management method focuses on collecting informative data and gradually utilizing them to better serve the project management. The Department of Continuing Medical Education of the Chinese Medical Association will set up a database on the management of continuing medical education in order to understand and grasp the situation of continuing medical education programs in real time. Each project organizer shall provide the relevant information of the project with the Ministry of Continuing Medical Education of the Chinese Medical Association within fifteen working days after the completion of the project activities, including: project summary, official notification of the project activities, the actual implementation of the schedule (curriculum), training materials (lecture notes and slides, video recordings of lectures, courseware of the network continuing medical education courses, etc.), the address book of the trainees, test questions, and a list of the experts who have given lectures (including the names of the experts and the work they have undertaken in the project). Name, work undertaken in the program, unit, contact information), list of sponsors. The text documents must be bound in a book and the electronic documents must be submitted in the specified way. All information should be kept in the archives of the sponsors of the continuing medical education program for at least five years for review and inquiry. Any refusal to submit the above information or late submission will affect the filing of the program or the declaration of other continuing medical education programs of the organizer.
2.6 One of the measures proposed in the plan is inspection and supervision, regular evaluation. To continuously improve and strictly implement the supervision system of continuing medical education, strengthen the constraint mechanism, regular assessment of continuing medical education work, the implementation of the project to check the timely correction of problems that arise. This management method makes specific provisions about the sampling inspection of the projects and stipulates that the approved projects shall be subject to the supervision of the Department of Continuing Medical Education of the Chinese Medical Association. The Ministry of Continuing Education of the Chinese Medical Association conducts inspections and evaluations of the implementation of the approved projects from time to time every year, and may assign special persons to conduct on-site sampling inspections. The number of sampling projects shall not be less than 10% of the number of projects organized. The organizers of the sampled projects shall actively cooperate with the Ministry of Continuing Education of the Chinese Medical Association to do a good job in the inspection and evaluation, and take the initiative to submit self-assessment reports and project-related information, without any deceptive behavior. The inspection and evaluation staff have the right to enter the venue for examination, and conduct information and investigation with the trainees and presenters. The organizer of each project shall report the determined time of the project to the CMA's Department of Continuing Education two months in advance. The Department of Continuing Education of the Chinese Medical Association will notify the organizer of the program within 20 working days before the program is held to conduct a random inspection of the program.
After the promulgation of the management approach, the implementation should be strengthened, strict management, and further refine the workflow of each link, the establishment of the corresponding standards, templates and SOPs, and pay attention to the relevant fees and expenses of financial management. Trial run for a period of time, constantly identify problems, summarize experience, and promptly amend and improve the relevant provisions.
3 Financial management involved in project management
According to the relevant provisions of the Regulations on Continuing Medical Education (for Trial Implementation), the funds required for continuing medical education shall be solved by raising funds through multiple channels, such as the state, the collective, and individuals. In the "Eleventh Five-Year Plan", it is pointed out that it is necessary to increase investment, establish and improve the virtuous cycle mechanism for the raising and use of funds for continuing medical education, and ensure the funding of continuing medical education. As a non-profit organization, the Chinese Medical Association does not aim to make profits. The management of continuing medical education programs is a specific and important social mission that requires adequate financial support, and the scientific and reasonable financial management of related expenses is also a top priority.
In order to further standardize the financial management, effective use of funds, cost savings, improve the evaluation of continuing medical education projects and supervision of the use of funds to play a real role in the smooth development of the Chinese Medical Association of the continuing medical education program to monitor the work of sampling, to ensure that the quality of continuing medical education projects to promote the whole of the overall level of continuing medical education, the authors of this paper believe that we should be from the following aspects of the gradual implementation of financial management. The authors of this paper believe that the following aspects should be gradually implemented in the relevant financial management work.
3.1 According to the law, the evaluation and supervision of the funding of the continuing medical education program should be managed scientifically
First of all, the relevant leaders should pay attention to the financial laws and regulations, and strengthen the study, fully recognizing the importance of financial management in the supervision of the continuing medical education program. Secondly, in accordance with the inherent laws of financial management and the requirements of the relevant national laws and regulations, we should gradually establish a more standardized, scientific, perfect and self-disciplined financial management system, and establish and improve the financial management system and various work processes. Under the principle of division of labor and collaboration, clear management positions and personnel duties, refine the responsibilities, so that the system manages people, responsibility to people. Strict financial management workflow and approval procedures; at the same time, in accordance with national laws and regulations, combined with the possible weaknesses in financial management, the development of financial planning, cost and expense management, expenditure management and other ancillary management systems, and effectively implement them. Again, communicate with the relevant price supervision departments, handle the approval procedures of the relevant charges, so that it is in line with the provisions of the relevant state laws and regulations, and realize the legal charges.
3.2 Strengthen budget management, make good financial forecasts
Should be based on the objective situation of the management of the secondary education program, taking into account the overall situation, to ensure that the key points, a balance of income and expenditure, comprehensively reflecting all the income and expenditure, will be budgeted with the project management approach and the characteristics of the project are closely integrated with the scientific and rational preparation of detailed budgets to ensure that the budget content of the completeness and scientific nature. In the process of implementing the budget, it is necessary to adhere to the seriousness, authority and constraints, insist on spending according to the project, time and progress, insist on determining expenditures based on revenues, disallow arbitrary changes in the budget, ensure the safety of funds, improve the efficiency of the use of funds, and strengthen the ex post facto assessment and analysis. Due to special circumstances really need to adjust the budget or additional expenditures, should be in accordance with the prescribed procedures for approval.
3.3 Preparation of financial plans, strict control of expenditure
According to the actual situation, should be scientifically and reasonably prepared to review the relay program and supervision of the use of funds plan, strengthen the cost accounting, with reference to the enterprise cost management, the development of their own internal cost accounting management. The company's management team has been working hard to ensure that the company is able to meet the needs of its customers, and to ensure that the company is able to meet the needs of its customers in the future.
The scope of expenditure of the evaluation and supervision costs of further education mainly includes: (1) staff and expert labor costs; (2) round-trip transportation costs for staff and experts, and the cost of the necessary vehicles during the evaluation and supervision of sampling; (3) room and board during the evaluation and supervision of staff and experts; (4) postal and telecommunication allowances for staff and experts; (5) printing costs and production costs for related documents and papers; (6) printing costs and production costs for related documents and papers; and (7) printing costs and production costs for related documents and papers; and (8) printing costs for related documents and papers. (5) Printing and production costs of relevant documents and papers; (6) Costs of relevant office supplies, office equipment and rental of meeting space; (7) Medical expenses incurred by staff and experts as a result of the work of supervision and sampling; (8) Other necessary expenses.
3.4 Establishment of a financial approval system to eliminate wastefulness
DDI though,financial risk awareness, the establishment of a strict expenditure approval system. For each expenditure incurred in the evaluation and supervision and management process of the secondary education program, it must be reimbursed after approval in strict accordance with the prescribed authority. To develop standardized reimbursement procedures, each expenditure must obtain legal documents with relevant approvals, signed by the staff in charge, approved by the supervisor and audited by the financial staff before reimbursement is made. Strengthen the pre- and post-supervision of the evaluation and supervision of the funding for continuing education programs. Insist on working according to the system, resist unreasonable expenditure and eliminate waste.
3.5 Strengthening the management of bills and legal use of bills
Tax invoices are legal bills for charging fees, which should be uniformly purchased and managed by each accounting department, and other internal organizations and individuals are not allowed to purchase them without authorization, and it is strictly prohibited to charge fees using non-compliant bills. Relevant financial expenditures shall obtain true, complete and legal original invoices, otherwise reimbursement shall be refused.
3.6 Strengthening the control and supervision of funding for the evaluation and supervision of continuing education programs
Strictly abide by the financial laws and regulations, standardize the financial management, strengthen the financial control, set up the corresponding control system, with full-time financial personnel, and standardize the behavior of income and expenditure. We conduct regular financial inspections of the accreditation and supervision funds for continuing education programs, correct or solve problems found in the inspection in a timely manner, and formulate precautionary measures. Regularly publicize financial affairs, increase the transparency of the use of funds, and consciously accept public supervision. Improve the relevant evaluation methods, scientific assessment and evaluation of financial management and the use of funds to assess the effectiveness of the financial indicators, through the institutionalization of the evaluation to promote the management efficiency of the Chinese Medical Continuing Medical Education Program and the improvement of social credibility.
3.7 Establishment of a financial analysis system to improve the management level
Establishment of a financial analysis system to compare, analyze and study the financial activities and results of continuing medical education funding for a certain period of time. Through analysis, it can objectively reveal the problems in the financial work, improve and perfect the financial work by summarizing the lessons learned, and improve the level of financial management. At the same time, through the analysis of financial activities, so that the relevant leadership timely understanding of the cost of expenditure and management status, and constantly improve and strengthen financial management. For some special circumstances and problems, but also from time to time to carry out thematic analysis, timely study of new situations and solve new problems.
3.8 Strengthen the financial personnel team building, comprehensively improve the quality of financial personnel
Modern financial management requires accounting personnel from the traditional "accounting type" to "management" and "management" and "operation" accounting change, which will lead to the development of a more efficient financial management. To combine the specific situation of the unit, the financial staff often professional ethics and business skills training and internal assessment, in various forms to comprehensively improve the standard of professional ethics of financial personnel, accounting policy level and professional quality, to promote the strict performance of their duties, enhance the sense of responsibility. Good employment is an important condition for the implementation of good financial management.
4 Summary
Continuing medical education is an integral part of the development of health care, is the implementation of the "science and education" strategy and health talent strategy is an important measure. It is an important measure to implement the strategy of "developing the country through science and education" and the strategy of health talents. We should effectively strengthen the leadership of the work of continuing medical education and the management of the continuing medical education program, and raise the awareness of the importance of the continuing medical education in the reform of health undertakings and even in the construction of a harmonious society. Taking this management method as an opportunity, we should make efforts to explore the effective operation mechanism of continuing medical education adapted to the socialist market economic system, and continuously improve and implement it, so as to scientify, standardize and institutionalize the work of continuing medical education and promote the legalization of continuing medical education. In strict accordance with the relevant requirements of continuing medical education, it will strengthen the standardized management of each work link, further strengthen the supervision and inspection of the activities of continuing medical education programs, constantly improve the quality and effectiveness of continuing medical education, and ensure that the work of continuing medical education is carried out in a healthy and orderly manner. To create favorable conditions and environment for health technicians to participate in continuing medical education activities, and to gradually make health technicians establish the concept of "only lifelong education, in order to practice lifelong", and change passive learning to active learning. The real health technicians to participate in continuing medical education into a conscious and voluntary action.
References
[1] Continuing Medical Education "Eleventh Five-Year Plan" of the Ministry of Health, Health Science and Education Development [2006] No. 349, 2006.9.
[2] Continuing Medical Education Program Management Methods of the Chinese Medical Association (Trial), 2007.4.
[3] Meng Qun countries specialist physician training and quasi eight system [M]. Peking Union Medical College Press, 2004.8.
[41 Li Chao 0 Jun, Hu Qiaoping. Problems and Suggestions of Financial Management of Administrative Institutions [J]. Audit and finance, 2006.(4):56.
[5] Zhao Peirong, Jiang Qingmei. Strengthening the Financial Management of Institutions [J]. China Agricultural Accounting, 2004.(6):22.
[6] Liu Yuhua. New ideas of financial management of institutions [J] Finance and Accounting, 1999, [5]: 59-61.