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Transitioning to Competency-Based Continuing Medical Education in High-Altitude Medicine in China: Barriers and
Wenjin Sun1,2, Xuan Zhang1,2
1Department of High Altitude Medicine, Center for High Altitude Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Abstract:
Hypobaric hypoxic high-altitude environments trigger unique altitude illnesses and chronic altitude-related complications. China possesses extensive plateau territories with large permanent and mobile populations, yet medical staff across these regions suffer marked gaps in clinical competency. Continuing medical education (CME) serves as the core channel to upgrade the professional capacity of plateau clinicians. Globally, competency-based medical education (CBME) has become the mainstream reform framework for specialist training. This Commentary summarizes prevailing CME delivery formats for high-altitude medicine in China, identifies key barriers to transitioning from traditional hour- and credit-based training to CBME, and proposes corresponding policy recommendations. These proposals are intended as a framework for discussion and future piloting, and may offer localized reference for CME improvement in other resource-limited highland regions worldwide.
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