Many people just have a general understanding of general practitioners, and think that general practitioners are omniscient and omnipotent and can provide any services. In fact, this is a general overview. In the medical industry, general practitioners are defined like this. General practice is a special medical specialty integrating biomedicine, behavioral science and social science. It is a personal-centered, family-based and community-based medical and health service. It is the front line of medical treatment and the whole process of medical service. Responsible for coordinating medical services and introducing patients or their families into a convenient and effective medical system. So what is the scope of practice of general practitioners? What is the employment situation of general practitioners? Let me give you an analysis of salary, work intensity, employment situation and career development prospects.

I. Wage and work intensity

Most of the reasons for training general practitioners in China are related to alleviating the shortage of primary medical talents. Because it is a great waste of medical resources to see some minor illnesses with colds and fever in specialized hospitals, which should be studied. In order to establish a referral system, we began to strengthen the training of general practitioners. It is not only the policy in recent years, but also the policy after that. General practitioners serve the grassroots. In order to solve the problem of serious loss of general practitioners every year, the state is also trying to improve various benefits. As the first batch of general practitioners, the experience accumulated now is not comparable to that of future people, but a sunrise industry. Then the wage level is indeed closely related to the region and hospital level, and the stratification gap is large. Let's start with the municipal level and the hospital level.

1. General practitioners in first-tier and second-tier cities from dimethyl community hospital to 3A hospitals or community health centers have moderate work intensity, mainly out-patient, without night shift, which is relatively suitable for girls, and arrive at 10 at the latest.

2. Working in community health service stations below first-tier cities is relatively easy, and the salary is definitely not very high, but it is proportional to the workload. Excluding five insurances and one gold, the monthly salary is about 2,000 to 5,000 yuan/month. For example, the starting salary of Shanghai general community health service station is about 4,000 yuan/month, excluding five insurances and one gold, and the starting salary of Hangzhou community health service center is about 2,500 yuan/month. The work intensity of community health centers is mainly: to master the detailed health status of residents in this area and guide patients with chronic diseases such as diabetes and hypertension to eat and exercise correctly; Responsible for the diagnosis and treatment of common diseases and frequently-occurring diseases of residents in the area; Monitor the symptoms of serious illness of residents in time, so that residents can get treatment as soon as possible when they are seriously ill. In addition, rehabilitation and health care after illness will also be transferred to community hospitals. The work includes questionnaire survey, health file management and chronic disease management. The work is a little more trivial than community health centers and hospitals, but the work intensity is lighter.

3. State-supported special posts: With the strong support of the state, a special post allowance plan for all doctors was launched, that is, the government set up special posts for general practitioners in township health centers in some areas and openly recruited them. In addition to the normal salary, people will get extra special post allowance every year. At present, the standard of special post subsidy is that the central government and provincial finance add subsidies every year. For example, in a hospital in Henan Province, the annual allowance is 40,000 yuan (excluding wages), and the allowance in poor areas will be higher than this, and the work content is not much different from the above. Moderate strength.

Second, employment analysis and professional development prospects

1 training system

The general practice postgraduate training program has been merged with the general practice resident training. The popular understanding is that the average graduate student has five years of undergraduate study experience, and the training programs in the three-year postgraduate stage are mainly rotated in large hospitals. Graduate degree certificate and standardized training certificate were obtained through different assessments before graduation, and the latter was the same as the standardized training certificate three years after graduation. General practice, like internal medicine, surgery, gynecology and pediatrics, is a two disciplines. For example, Peking University Hospital, Peking University People's Hospital and Beijing Third Hospital are all national clinical training bases for general practitioners, and there are more than 50 graduate students and general practitioners in these units.

During the above three years' training, 27-month-old graduate students were rotated in 3A hospitals, including internal medicine, surgery, gynecology, pediatrics, ophthalmology, otolaryngology, dermatology, rehabilitation, Chinese medicine, psychiatry and emergency department. After the rotation, medical students have half a year to go to the community health center for rotation. Therefore, you can practice through three years of formal training for undergraduate students and three years of master's training for graduate students, and obtain the standardized training certificate for general practitioners. But township hospitals and other places still accept medical undergraduates to a great extent.

2. Policy analysis:

Recently, the National Health and Family Planning Commission compiled and issued the 13th Five-Year Plan for the Development of Health and Family Planning Talents. According to the principles of overall deployment, service demand, innovation mechanism, structure optimization and quality improvement of healthy China construction, the 13th Five-Year Plan puts forward five main indicators, seven main tasks and four aspects of institutional mechanism innovation. Strengthening the construction of grassroots health and family planning talents has become the primary task, and measures such as improving the income level of grassroots doctors and adjusting the evaluation system of professional titles of grassroots doctors have been put forward. At the same time, the subsequent Opinions on Deepening the Reform of Professional Title System once again put forward the reform opinions on the professional development of medical and health talents, and directly implemented the specific measures to adjust the professional title evaluation system of grassroots doctors.

The above is "what is the scope of practice of general practitioners?" What is the employment situation of general practitioners? "I hope it will help you. The future career development prospects of general practitioners are very huge. Little friends can sign up for study, which can help their families and engage in related occupations, killing two birds with one stone.