【I've been too busy recently, I'm probably going to have a day off tomorrow】

From 0:00 to 14:00 on November 30, 34 new confirmed cases of new coronavirus in Manzhouli City, Inner Mongolia, with a total of 73 reported. Among them, 40 to 73 cases, all of which were positive for large-scale nucleic acid screening.

According to the notice, Manzhouli City has completed two rounds of nucleic acid tests for all employees. 60 cases were detected in the first round. 15 cases were detected in the second round, and the remaining results are to be released.

From 0:00 to 24:00 on November 29, my country added 21 new local confirmed cases, all in Inner Mongolia. The Inner Mongolia Health Commission reported that there were 13 cases in Hulunbuir Zhalai Nuoer District.

Zhalai Nuoer District is located north of Manzhouli City. The first, second, third, fourth, fifth and Lingquan Town in the district have been adjusted to medium-risk areas. Except for providing main and non-staple food stores and pharmacies, all other places in the district will be closed.

The northeast of Hulunbuir Xinbaer Huyou Banner is adjacent to Manzhouli. On the afternoon of November 30, Manzhouli City, Inner Mongolia held a press conference to report that Xinbaer Huyou Banner reported 2 confirmed cases. The residential communities and workplaces have been closed and controlled.

As of this article, the South District and North District Streets of Manzhouli City have been adjusted to high-risk areas, and Xinghua Street has been adjusted to medium-risk areas. So far, there are 3 high-risk areas and 1 medium-risk area in Manzhouli City.

Manzhouli’s press conference today pointed out that the top three cases involved in this epidemic may have the possibility of contacting imported goods, and the entire genome sequence of the virus has low homology with the previous domestic epidemic. Preliminary analysis of this round of Manzhouli epidemic is that incoming goods carry viruses, and the epidemic is spread through "human to person, and matter to person" means.

The Suifenhe Railway Port and the Manzhouli Railway Port have upgraded epidemic prevention measures and will suspend some imported goods that require manual loading and unloading.

At today's press conference of the State Council's Joint Prevention and Control Mechanism, Cui Gang, a second-level inspector of the National Health Commission's Disease Control Bureau, introduced that this round of epidemic has seen small-scale cluster cases in family, residential communities and schools in Manzhouli City. The risk of community transmission of the local epidemic is relatively high, and the investigation of outflow risk personnel is in progress.

The activity trajectory of confirmed cases as of 14:00 on the 29th showed that the Fuxin Community, where two confirmed cases live in Manzhouli City, has a total of 17 confirmed cases.

As of this article, the epidemic in Manzhouli has been linked to 2 provinces, 3 cities and 5 places. Among them, the first round of COVID-19 nucleic acid results for key groups in key areas of Tongliao City were negative. The close contacts and second close contact test results were also negative.

At present, the number of blockade and control areas in Tongliao City has increased to 2, with 15 control areas and 2 defense areas. In addition to one blockade and control areas established in Korqin District on the 29th, the new blockade and control areas are mainly located in Kezuo Zhong Banner and Kailu County.

The situation in Zhalainuoer District, Hulunbuir City also needs to be closely watched. The activity trajectory of earlier confirmed cases in Manzhouli showed that one case had recently been to Zhalainuoer District. There were two confirmed cases living in the First and Fourth Streets of Zhalainuoer District. One of them was a student of a vocational and technical college in Manzhouli. The school has reported 4 confirmed cases.

"Jimu News" quoted Zhang Yu, an associate researcher at the Chinese Center for Disease Control and Prevention, as saying that a asymptomatic infection in Nehe City, Heilongjiang Province took a train from Manzhouli to Qiqihar on November 23. According to this calculation, Manzhouli may have an epidemic before November 23, with an interval of about one week, and there will inevitably be some other people infected.

Hailar District, Hulunbuir City, which has a frequent movement of people, has announced that each school will have a history of travel in Manzhouli City and Zhalai Nuoer District within 14 days. On the basis of not affecting the normal educational and teaching order, each school will coordinate and implement online teaching.

Cui Gang, a second-level inspector of the National Health Commission's Disease Control Bureau, pointed out that many local clustered epidemics in my country have recently broken out, all of which are imported from overseas epidemics through port cities, exposing the shortcomings and weaknesses in epidemic prevention and control in some port cities. We must continue to adhere to the overall strategy of "preventing imports from outside and preventing rebound from inside" and further strengthen epidemic prevention and control measures.

The Suifenhe Railway Port in Heilongjiang has taken action. From 0:00 on the 30th, the port suspended the import of non-containers including coal, iron powder, fertilizers, pulp, non-gold mines, agricultural and sideline products and other categories that require manual loading and unloading. The Suifenhe Municipal Epidemic Prevention and Control Command announced that this is a temporary control measure for epidemic prevention and control at the port, and will be dynamically adjusted depending on the prevention and control situation.

From 0:00 on December 1, the Manzhouli Railway Port will also suspend the import of non-containers including wood, coal, mineral powder, fertilizer, pulp, non-gold mines, agricultural and sideline products and other categories that require manual loading and unloading. The above-mentioned goods that have entered the loading and unloading operation area before 0:00 on December 1 will be suspended. The specific operating time will be notified separately.

The National Health Commission said on the 29th that the prevention and control strategy of "preventing imports from outside and preventing rebound from inside" is still effective for the Omickron mutant strain.

Xu Wenbo, director of the Institute of Virus Disease Prevention and Control of the Chinese Center for Disease Control and Prevention, introduced at a joint prevention and control press conference today that as of November 30, except for Hong Kong, China, no import of the variant strain has been found in other provinces and cities in my country. He said that the sensitivity and specificity of mainstream nucleic acid detection reagents in China have not changed, and it can cope with the import of the Omickron variant.

The Chinese Medical Association has evaluated the residential training bases for seven consecutive years, with a total of 384 training bases, 1,850 professional bases, 30 training bases and 172 professional bases being required to be rectified, and 32 professional bases were withdrawn. At the same time, the provincial health administrative department also revoked the qualifications of 5 training bases.

While achieving these achievements, we are also clearly aware that my country's residential training work still faces problems such as insufficient attention from some regions and training bases, unbalanced development between majors among regions, uneven student source quality and training quality, and the structure needs to be optimized. Health and health administrative departments at all levels and training bases should do a good job in improving ideological awareness, focusing on the construction of training quality, increasing the training of scarce talents, and resolutely implementing the "two equal treatments" policy.

Next, Yu Jingjin, executive vice president and secretary-general of the Chinese Medical Association, summarized the main achievements made in the implementation of the residential training system in the past eight years and analyzed the challenges and opportunities faced by the in-depth advancement of the residential training system. He pointed out that the residential training system has entered a critical stage. The successful practice over the past eight years has allowed us to gain a grasp of the characteristics and laws of residential training, and accumulated and created many advanced training models. In the next step, the Chinese Medical Association must strictly grasp the quality of training, strictly supervise and evaluate, and deepen theoretical research.

In accordance with the general requirements of "normal, don't disturb" and "four no and two straight", the evaluation method is optimized, and the base self-evaluation, three-level residential training management platform data monitoring and on-site evaluation are organically combined. Based on the self-evaluation report, platform monitoring data, completion assessment pass rate, and annual business level test ranking, the on-site evaluation objects and evaluation methods are determined. While conducting comprehensive assessments and flight inspections, we actively explore professional assessments and carry out network assessments, and integrate assessments with annual key tasks of residential training.

Immediately afterwards, Director Mao Qun'an gave a report on "Healthy China Doctors First". He first reiterated the importance of implementing the Healthy China Strategy and the strategic theme and main tasks of building a Healthy China. He then mentioned that the current situation of poor health status such as "high work pressure, darkness under the health awareness light, and common bad lifestyles". Hospitals should create an environment for medical staff to promote physical and mental health. Medical staff should take the lead in practicing a civilized, healthy, green and environmentally friendly lifestyle, and jointly build a health promotion hospital.

Then, Inspector Guo Yanhong, the Medical Administration Bureau of the National Health Commission, gave a detailed and in-depth explanation of the revision background of the "Doctors Law" and the highlights after the revision. She proposed that to promote the high-quality development of the physician team in the new era, we must adhere to the Party's overall leadership over the construction of the physician team and establish a coordinated and coordinated work pattern. We must adhere to the basic positioning of the physician team and protect and safeguard the rights and interests of the vast number of physicians.

Subsequently, Vice President Qi Xuejin gave a report on the theme of "Comprehensively Promoting the Quality Improvement Project of Post-Graduation Medical Education Promoting the Sustainable and Healthy Development of the Housing Training System". He paved the way for quality construction and accelerated quality construction from the comprehensive revision of the "two standards", focused on the shortcomings in quality construction, made key breakthroughs, strengthened process management to promote the implementation of quality construction requirements, and promoted the complementary quality construction and institutional construction to advance the total progress of quality construction. He summarized the quality construction situation in 2021 from the five aspects of "teaching", "learning", "management", "construction" and "research", and deployed the task of promoting quality construction in 2022.

He emphasized that a series of effective measures should be taken to make leaders value education, teachers know how to teach, and backbones good at teaching; they should keep a good entrance to students, optimize training conditions, strengthen moral education, and enhance students' learning awareness; they should focus on process assessment, strictly evaluate and supervise, and rely on scientific management to promote quality progress; they should make comprehensive efforts from the level of system, system and mechanism construction to provide support and guarantee for quality construction; they should grasp the major issues that restrict quality construction, concentrate on intelligence research, innovate breakthroughs, and promote quality construction to continue and steadily move forward.

At the end of the opening ceremony, Deputy Secretary-General Guo Haipeng explained the revisions of the "Standard for Standardized Training Base for Residents (2021 Edition)" and the "Content and Standardized Training Content and Standards for Residents (2021 Edition)", the first batch of six teaching activity guidelines, and explained the relevant situation of the 2021 "Good Teachers in the Heart of Residents" essay contest one by one.

He said that after more than 20 special seminars and revision meetings, opinions from the entire industry were solicited four times and 29 special committees were organized to review and proofread and other procedures, the final draft of the revision of the "two standards" was completed in November 2021. After review by the Science and Education Department of the National Health Commission, the 2021 edition of the "two standards" was formed. On November 26, it was officially issued as a draft for soliciting opinions and widely soliciting opinions.

The full text content and notice of soliciting opinions can be downloaded from the post-graduation medical education website. The deadline for soliciting opinions is March 31, 2022. Key professional bases can be tried first, and newly recruited personnel in 2022 are expected to be implemented according to the new version of the residential training standards. The new version of the "two standards" is to be officially released in 2022.

Secondly, the "Guidelines for Standardized Training and Teaching Activities for Residents (Trial)" compiled by the Chinese Medical Association will be officially released at this summit forum. The content and format of the six teaching activity guides (admission education, teaching rounds, teaching case discussion, clinical short lectures, bedside teaching of clinical operation skills, inpatient medical record writing guidance) released this time are mature and have high consensus among experts. For other teaching activities such as outpatient teaching, subject assessment, etc., they will be launched one after another based on the principle of mature one and publishing one.

Next, the meeting entered the main forum, chaired by Jia Mingyan, chairman of the Supervision and Guidance Work Committee. First, Professor Bian Xiuwu, director of the Pathology Teaching and Research Department of the Army Military Medical University and academician of the Chinese Academy of Sciences, gave a report on "Specifications on Standardized Training for Medical Talents and Residents".

He proposed that in the course setting of residential training, knowledge and skills should be given equal importance to humanities; managers should consider how to cultivate medical professional talents with innovative scientific research, strengthen the construction of the teaching staff of basic medical disciplines and train clinicians and scientists. He also suggested that diagnosis-related majors such as pathology, laboratory medicine, ultrasound medicine, nuclear medicine, medical genetics, etc. should be cross-trained.

Subsequently, Professor Song Erwei, director of Sun Yixian Memorial Hospital of Sun Yat-sen University and academician of the Chinese Academy of Sciences, shared the development history and characteristics of the hospital's inpatient training. It is reported that the hospital implements early handover class review teaching. The students on duty use PPT to report on duty during early handover class, covering all cases in the department. The teachers in various sub-professions are also concentrated here for comprehensive evaluation.

In addition, the hospital has built an information platform, and the functional management department can extract data for reporting and analysis at any time. Videos and courseware are released online, and students can check the viewing records, and cheating is prevented by setting up timed questions and answers. The hospital has also developed innovative teaching methods such as MOOCs and VR. For example, Professor Li Chunhai of the orthopedic department of the hospital won the first prize of Guangdong Province's teaching achievements for "Constructing a medical teaching system based on virtual reality (VR) technology."

In the report "The core of standardized training for residents is "standardization", Professor Liu Jin, director of the Department of Anesthesiology at West China Hospital of Sichuan University, proposed that a good residential training base should do its best to help all residents grow into basically qualified clinicians, rather than conducting elite education through the elimination system. He also emphasized that residents are not cheap labor, but students who must complete standardized training.

Professor Hu Weiguo, deputy director of Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, mainly shared the heartwarming story of the hospital's resident doctors participating in the fight against the epidemic during the fight against the epidemic. He mentioned that the resident doctors had undergone the most dangerous anesthesia intubation many times during the stimulus of Hubei, but none of them were infected. This is due to the school's anesthesia training platform. Within 6-8 weeks of closed training, the resident doctors must complete tracheal intubation, lumbar puncture, deep venous puncture, electrocardiogram monitoring and other training content to cultivate solid life support and first aid skills.
Chapter completed!