Suggestions to Improve Medical Education in China-Learning from Diagnostic Errors of Kidney Diseases

Abstract

A correct diagnosis is key to deliver the safe and effective medical interventions. However, diagnostic errors that can jeopardize patients’ safety are common in clinical settings. Herein, we
analyzed diagnostic errors in kidney disease cases based on our clinical experience, explored
the factors underlying diagnostic errors, and discussed ways to improve medical education in
China. In kidney disease, diagnosis is complicated by the kidney’s physiological characteristics and the lack of sensitive early diagnostic methods. Additionally, there are shortcomings in
Chinese healthcare service patterns and the Chinese medical education. There are not enough
qualified General Practitioners (GPs) in China, resulting in a low-efficiency referral system.
Clinical training for postgraduates is hindered by the pressure to publish papers. Continuing
medical education in China seems to be oriented improperly, with insufficient focus on the
progress of clinical practice. We believe that targeted measures should be enacted to address the
aforementioned problems in China. Specifically, we recommend that medical education should
incorporate evidence-based diagnostic mind maps and lessons from diagnostic errors.