Medical colleges and universities blindly, excessive expansion. Enroll each year of the nation's medical students only 1/6 eventually became a doctor --

Cultivate the doctor cannot "extensive cultivation"

Publication date: 2013-03-22 source: People's Daily

        Medical education must be an elite education. Doctor cultivation should be less good quality, overall consideration, completes the top-level design

        Across the country each year medical students enroll, only 1/6 of the people turned out to be a doctor, medical students do not do huge loss of doctor, doctor, become a social phenomenon. On the two sessions this year, Chinese people's political consultative conference YiWeiZu members joint proposal more, hope to health and education departments to strengthen cultivation of medical students.

        "Medical specialty in China has been expanding with the other professional, the buyer and the supplier is out of line." National development research center of Peking University economics professor and health expert advisory committee under the state council said li ling.

        She said, after the founding of new China, our country energetically building hospitals, have been set up in almost every city and county people's hospital, and lower cost way, cultivate a large number of "barefoot doctors", grassroots medical and health personnel, medical and health undertakings in our country face of improvement. Later, medical treatment to walk back to the "advanced", a large number of training high-level talents, the talent XiaBuQu rural, grassroots, grassroots talents lack, lead to the doctor's training and the actual out of line.

        "Health care has its own particularity, the cultivation of medical students should be the most expensive, because his face is one of the world's most sophisticated 'instrument' -- the human body, party's life and death. As a result, the doctor's training should be less good quality, rather than extensive cultivation." Li ling said that Taiwan's only training was conducted among 1300 students each year; America is also planned to recruit students, medical students were about $500000 each. And, according to the ministry of education in 2011, the central budget at the corresponding level for medical education of appropriations of $14000 per person.

        "When mass enrollment expansion of higher education, is the inevitable demand of our country at a certain stage of historical development, but now I want to put the quality in a higher position." Beijing union medical college principals, member of Chinese academy of sciences Ceng Yi shin, school of medicine blindly, excessive expansion has not been a unique phenomenon in China, 100 years ago the United States has also faced the same situation.

        Then, there are a large number of medical colleges and universities in the us, students quality is uneven. Until the last century, medical education, the United States finally decided to clean up the medical colleges to 100 or so, and the starting point of the medical professional admissions and made a comprehensive, systems and specification requirements.

        Ceng Yixin argued that elite medical education must be education. On the one hand, increases the demand for health; The change of the disease, on the other hand, the medical work quality requirements for the doctor is also higher. As for our country, should assess the demand of medical institutions, determine the train number, according to the requirements of social setting minimum standards strictly, make reasonable use of teaching resources.

        Zhongshan university President Xu Ningsheng advice, education department, the department of health in terms of policy and funding should establish more effective communication and coordination mechanism, to medical school and hospital management has more to coordinate and guide.

        , vice President of zhongshan university, zhongshan medical college, dean of Li Mengfeng feel the same way: "can't consider the national health department of health, a thing, the medical education as a education department, and to the relationship between medical education as a national health, health care, one part of the complex system to overall consideration, at the central level, there should be a package as a whole the problem of medical education, beyond the top design, the top agencies and top operating department."

        Medical education ideal of schooling should be to "5 + 3", after five years of solid undergraduate education, followed by went to the hospital to participate in the standardized resident training

        A 25-year-old henan guy Guo Peng exhibition, Shanghai east hospital standardized training in general medicine. Guo Peng exhibition think himself very lucky: no relationship, no money, undergraduate course graduation can find a job in Shanghai, have a career.

        Guo Peng exhibition in dongfang hospital was accepted as the training objects at the same time, also signed a contract of employment that involves training unit, commission, training objects, the competent administrative department. During the training, subsidies of at least $4000 a month, providing 2 rooms free housing. Expires returned to entrust unit - what he signed weeks home cross a community service center, which will be the basic developing the hospital back to the east.

        Training with Guo Peng show there are 16 community family doctors, and other Oriental hospital clinical skills training center specifically tailored for them a new theory, new skills and characteristic training program. Guo Peng exhibition 7 a.m. every day to the hospital, normal 7 p.m. to go off work. Follow on Monday of grand rounds, teaching the teacher every day following the patient rounds, on Thursday to follow in business study, two times a week training and study, five days a graveyard shift.

        Guo Peng exhibition learned many new skills now: chest wear, wear, bone, stomach tube, abdominal breathing, chest compressions, etc., also accepted the BLS (basic life support), the ACLS (advanced life support) characteristic training, won the American heart association (AHA) certificate issued by the relevant course.

        After training, Guo Peng exhibition changed a lot. "In the beginning will only question patients by item according to the process, to ask after the brain a blank. Now, teaching ge the doctor said I asked question already very targeted, on the accuracy of the assessment of symptoms of progress." He said.

        In 2010, Shanghai's first in the country to establish a provincial level resident standardization training system, in accordance with requirements of the system, the medical graduates in Shanghai engaged in clinical work, must get certificate of resident standardization training.

        "To improve medical students' clinical professional quality and clinical skills, become an important breakthrough to promote the reform of clinical medical education." Yin jie, deputy director of Shanghai's commission said. Shanghai's main approach can be summarized as "series", namely the combination of graduate student recruit students and resident enroll, and combination of resident standardization training of graduate student training, professional degree awarded standard combined with clinicians access standards.

        Jay said, graduate student enroll organized by universities and training hospital resident enroll and graduate admissions. Admitted graduate students, both graduate student identity, get graduate student status, also have residency status, signed with training hospital "training and labor contract". Clinical skill examination qualified, qualified after the examination for the practicing physician qualification certificate and the certificate of resident standardization training in Shanghai. Through the dissertation, master graduate student degree certificate can be obtained and clinical medicine master's professional degree certificate.

        Shanghai training mode of "5 + 3" is a common recognition in the industry. Li Mengfeng said, according to the rule of medical education, ideal leading educational system should be "5 + 3", after five years of solid undergraduate education, followed by would have to go to the hospital to the standardized resident training. This set of system to perform rigorous standard, needs to set two thresholds: one is the medical students to employment, have to accept the residency training; The second is to carry out the "resident training" hospital will accept qualification administration.

        Li Mengfeng thought, education departments should establish a set of strict medical education quality control system. Can consider to draw up a road map, allows for a certain amount of time to improve, and gradually to the medical colleges and schools are included in this quality system regulation.

        After a liberal education, own humanities accomplishment, a graduate student to study medicine, and to pass the interview, selected a group of dedicated and good people as a doctor

        How to make medical students to do a doctor? Li ling thinks, from the beginning of the admissions will choose to believe, after a liberal education, humanistic literacy foundation of graduate students to study medicine, and to pass the interview, select a group of dedicated, outstanding people as a doctor. In addition, to intensify elimination. Trained doctor to make sure have good treatment, ensure that medical staff set his mind at to protect public health, maintain the dignity of the profession.

        "In the United States, only be able to study medicine undergraduate full excellent talent, pass the interview, make sure there are feelings of people practise medicine and helpful to study medicine. Although the medical process elimination rate is higher, but well after treatment is also high." She said.

        Li Mengfeng thinks, to cultivate qualified doctors, involved in the personnel system, evaluation system and the reform of the social security system. Break XueLiLun promotion standard, the paper guide, make medical students attaches great importance to the clinical practice, medical teachers enthusiasm for teaching, and involving the entire health care system and social security system.

        "Make the medical students when the doctor is the ideal state, like America, each doctor every day to see about 10 patients, while functioning the income, the patient or social security can afford medical treatment." He said.

        Affiliated zhongshan hospital of fudan university, vice President of Yan Zuoqin thinks, can practice the doctor job employment, practice more. "Choose to be a doctor, are considered in advance. From the hospital now, eight years of student test scores high, quality is very good," he said, the medical dispute and conflict great impact on the industry as a whole, and relevant departments should act in accordance with the law to solve disputes.

        "Doctor long growth period, the labor intensity is big, and pay is not consistent. Foreign doctors treatment is several times of social average wages, are relatively low in our country." He thinks, when national enrollment plan, to do a good job in information guidance, let students understand the professional situation, let the students rational choice. To big subject and local demand, has a tendency to policy. "Good policy guide, you can find a reasonable balance." Yan Zuoqin said.

        Will cultivate talents XiaBuQu grassroots? To this, the state has explicitly implement gp, work plan, to encourage medical students to when the doctor in the countryside, and formulate policies to big hospital doctors support base.

        Li ling thought, should carry out two rail trains doctors, graduate students and above of specialized subject doctor, the other as a gp, doctors at the grass-roots level to develop.

        "Choose some high cultural level, people want to study medicine, training a few years back to hometown to do a doctor at the grassroots level to give them a decent income treatment, let them have the pursuit of long-term, retirement security, have certain social status, let grassroots doctors have is different from a doctor in a hospital career track." Li ling said, "this two orbitals are two separate systems, cannot let the above to the grassroots medical institutions to" pull ", if you really want to go to the development, must pass a rigorous training. (reporter Li Gongmei Wang Youjia royal Lin Ping)

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