20 14 In combination with the implementation of the Guiding Opinions, all provinces (autonomous regions and municipalities) should pay close attention to establishing and improving the local training system and job security mechanism, formulate corresponding implementation measures, assessment management regulations and other specific policies and measures in combination with local conditions, and establish and improve the financial subsidy mechanism; At the national level, we will carry out training supported by special funds from the central and local governments, and give appropriate subsidies to trainees and bases participating in the training. From 20 15, all provinces (autonomous regions and municipalities) should fully implement the standardized training for residents within their respective jurisdictions, improve the training ability and level, expand the training coverage, and encourage qualified areas to take the lead in realizing the basic full coverage of training targets. By 2020, a standardized training system for residents will be basically established nationwide, and a relatively complete policy system and training system will be formed. All new clinicians with bachelor degree or above have received standardized training for residents, which has effectively improved and guaranteed the clinical diagnosis and treatment level and comprehensive ability of the new generation of doctors nationwide and benefited hundreds of millions of people.

5. Who needs to participate in standardized training for residents?

All graduates with bachelor's degree or above in medical major in colleges and universities who are ready to engage in clinical medical work, or those who have engaged in clinical medical work and obtained the qualification certificate of practicing doctors and need to improve their clinical diagnosis and treatment level and related business ability and receive training, are all training objects. The training objects are divided into three categories: personnel appointed by the unit, social recruiters and graduate students. The personnel appointed by the unit refers to the personnel who establish the personnel (labor) and salary relationship with the employer and then participate in the standardized training of residents. Social-oriented recruiters refer to those who have not established a relationship between personnel (labor) and wages with the unit, but only signed a training agreement with the training base. Postgraduate refers to a college student who has passed the national full-time postgraduate examination for master of medicine.

6. Where do residents receive standardized training?

Trainees receive training at training bases recognized by health and family planning administrative departments at or above the provincial level. In principle, the training base is located in a third-class first-class hospital, and can also be supplemented by other qualified third-class first-class hospitals and second-class first-class hospitals in combination with the actual local medical resources. Training bases in the region can cooperate with each other to undertake training tasks. The administrative department of health and family planning at or above the provincial level shall determine the training needs and training base standards, implement dynamic management and rationally plan the layout. The standardized training base for general practitioners includes not only clinical bases, but also grass-roots medical and health institutions and professional public health institutions.

7. What basic treatment do residents enjoy during the standardized training?

Residents who participate in standardized training are part of the resident team in the training base, and shall abide by the relevant management regulations of the training base and enjoy relevant treatment in accordance with the regulations. For the training object appointed by the unit, the original personnel (labor) and salary relationship will remain unchanged during the training period, and the appointed unit, the training base and the training object will sign an entrustment training agreement. If the salary paid by the employed unit is lower than the salary level of residents with the same conditions in the training base, the insufficient part shall be paid by the training base, and the finance shall give appropriate subsidies. Social-oriented trainees sign a training agreement with the training base, and the living allowance during training is paid by the training base. The standard is determined by referring to the salary level of residents with the same conditions in the training base, and the finance gives appropriate subsidies. Training objects with postgraduate status should implement the relevant provisions of the national postgraduate education, and the training base can issue appropriate living allowances to them according to the training assessment.

Eight, how to effectively play the role of training base?

Establish a multi-input mechanism of government investment, base self-financing and social support. The government gives necessary subsidies to the training base infrastructure construction, equipment purchase, teaching practice activities, unit-oriented employment and social recruitment and training objects determined according to the planning and construction, and the central government gives appropriate support through special transfer payments. The base undertakes the task of standardized training for residents, and the preparation department will make overall consideration when approving the preparation of the base.

9. What preferential policies do people who have passed the standardized training of residents enjoy?

In the provinces (autonomous regions and municipalities) where standardized training for residents is carried out in an all-round way, it is only after obtaining the certificate of standardized training for residents that the employment conditions for intermediate technical posts in clinical medicine are met. To work in primary health care institutions, you can take the national health vocational intermediate qualification examination 1 year in advance, and give priority to employment under the same conditions. The internship time of students at the grass-roots level can be included in the accumulated service years in grass-roots health units before being promoted to senior and intermediate titles. Those who apply for individual medical practice will be given priority under the premise of meeting the conditions, and will gradually participate in standardized training for residents as a necessary condition.

In the degree connection, explore the method of organic connection between standardized training of residents and postgraduate education of master of medicine (clinical, oral and traditional Chinese medicine), and gradually unify its training contents and methods. A master's degree in medicine can be awarded to those who have obtained the certificate of standardized training for residents and meet the requirements of the national degree. Medical postgraduate students who have been trained and passed the examination according to the standardized training standards for residents can obtain the standardized training certificate for residents if they meet the requirements of standardized training management for residents.

X. What are the characteristics of standardized training for Chinese medicine residents?

Standardized training of Chinese medicine residents is an important part of standardized training of residents. Under the guidance of "Guiding Opinions on Establishing a Standardized Training System for Residents", it is promoted according to its own characteristics.

The standardized training targets for Chinese medicine residents are graduates with bachelor degree or above majoring in Chinese medicine, integrated traditional Chinese and western medicine and ethnic medicine who intend to engage in clinical medical work, or Chinese medicine doctors who have engaged in clinical medical work and obtained the qualification certificate of practicing doctors and need training. Among them, state administration of traditional chinese medicine will organize experts to formulate standardized training standards for graduates with bachelor degree or above majoring in traditional Chinese medicine (including integrated traditional Chinese and western medicine), and the standardized training standards for ethnic medicine majors will be formulated by the provincial administrative departments of traditional Chinese medicine (ethnic medicine) in ethnic areas with reference to the standardized training standards for Chinese medicine residents.

The standardized training base for Chinese medicine residents is mainly established in the third-class first-class Chinese medicine, integrated traditional Chinese and western medicine, and ethnic medicine hospitals, supplemented by other qualified third-class or second-class hospitals. The standardized training of general practitioners of traditional Chinese medicine will be carried out in accordance with the Guiding Opinions of the State Council on Establishing a General Practitioner System. At present, state administration of traditional chinese medicine, together with the Health and Family Planning Commission and the Ministry of Education, has promulgated the Standardized Training Standard for General Practitioners of Chinese Medicine and the Training Standard for Assistant General Practitioners of Chinese Medicine.

There are two main points in the standardized training of Chinese medicine residents, which are different from other specialties (categories). First, the standardized training of Chinese medicine residents should follow the characteristics of the theoretical system of Chinese medicine and the growth law of Chinese medicine talents. In the three-year training process, the "2+ 1" model should be adopted, that is, all departments and auxiliary departments such as internal medicine, surgery, gynecology, pediatrics, acupuncture, massage and orthopedics should be accepted for two years first. In the third year (9 months), students will enter the relevant departments for rotation training according to their upcoming clinical specialties. The second is to introduce the apprenticeship education mode of traditional Chinese medicine. According to their major and future development direction, students choose qualified clinical teachers in their training bases as their tutors and study with them for half a day every week.