The following articles are for reference only.
Gui Pei, a little-known Shenzhen resident
As an intern resident, I am both excited and worried to learn that the country will fully implement standardized training for medical graduates in 20 15. Excited because this system has finally begun to be fully implemented, which will certainly be of great benefit to the growth of our young doctors; I am worried that the imperfection of the relevant system will once again dampen the enthusiasm of young doctors and make them become cheap labor.
As a trainee in Shenzhen, it is necessary for me to introduce the resident training system in Shenzhen. Shenzhen began to implement comprehensive regulation training on 20 10. From that year on, new health technicians in the city's medical and health system must receive standardized training for residents at various training bases 1-3 years (undergraduate 3 years, master 2 years, doctor 1 year) and obtain training certificates before taking up their posts. Of course, the key point of this system is that the training expenses and living allowance during the training period are all paid by. Once again, I have to praise the financial resources, courage and vision of the Shenzhen Municipal Government.
The recruitment of resident trainees in Shenzhen is also very standardized and strict, and they need to pass written examination and interview, and they are selected according to the number of positions in the recruitment position, so it is still difficult for medical graduates without certain strength to be selected. After selection, students will be sent to major well-known teaching hospitals in China for standardized resident training according to their own wishes. During the training period, you must pass the national examination for practicing doctors, and after the training, you must obtain a training certificate before you can return to Shenzhen for employment.
Of course, Shanghai also implemented a standardized training system for residents a few years ago. The difference is that most of the students in Shanghai are trained in the training base in the city, while most of the students in Shenzhen are trained in other places. Every time I think that I spend 70-80 thousand taxpayers in Shenzhen every year, but I don't really serve the people of Shenzhen, I always feel a little ashamed. Indeed, in recent years, Shenzhen's finance is pure investment, and the output is estimated to wait until 10. Similarly, this has also caused a temporary shortage of young doctors in Shenzhen, and the training base of the provincial capital teaching hospital not far from it is full of doctors who have come to Shenzhen after training, so there is no shortage of doctors in hospitals here.
Doctors trained in Shenzhen have become the cheapest labor force in these top three teaching hospitals, and the training base can charge a lot of training fees without paying any fees to these students. Trained doctors are engaged in front-line clinical work under the guidance of the attending physician or professor in this department, such as treating patients, taking turns on duty, writing a large number of medical documents, etc. As a trainee in Shenzhen, the only thing we are thankful for is that our living allowance is more generous than that of other trainees, and most trainees have already booked hospitals, so they can go back to hospitals in Shenzhen directly after the training.
As graduates of key medical colleges, many students in the class took part in Shenzhen citizen recruitment and postgraduate entrance examination at the same time, and many of them held two tickets, so many people were confused at that time: are they going to graduate school or participate in training? I think maybe only our medical graduates in China can really understand this entanglement. Under this medical system, this choice is full of black humor, and it also satirizes all kinds of disadvantages of this medical system.
In China, as a resident, the trained students will be looked down upon to some extent, especially as a graduate student. In the rotation department, the position is slightly higher than that of interns and lower than that of graduate students. In the eyes of doctors in this department, you are neither their colleagues nor their students. You are here to work, and it is right to do a good job, because you train doctors. If you don't do well, you will be reprimanded because there is no "boss" behind you. No matter how hard you try, the superior doctor will not be more partial to you. When you leave the undergraduate department after the rotation, you really leave completely, because you are a cheap labor force on the assembly line. As for how much clinical knowledge the superior doctors will teach you and how much clinical experience the professors will teach, it depends on your own personality and your self-study ability. With such a position and such a teaching environment, it is no wonder that many people did not want to be residency trainees at the beginning, and it is no wonder that many graduate students simply disdained to participate in residency training.
However, China's medical and health professional title system requires students to obtain higher academic qualifications and brush more papers. At that time, my roommate advised me to go to graduate school first and not to be disciplined. He said that in this social evaluation, academic qualifications are the most important and papers are essential. It's different for anyone who has been in the clinic for several years and has clinical experience. Now get your education and thesis, and then you will be promoted soon. No matter how severe the clinic is, no matter how hard you work, the benefits of an undergraduate course will never reach you. Then he listed several people who worked in affiliated medicine. Because I focus on the clinic, I don't upgrade my academic qualifications and don't publish papers. At the same time, his colleagues who are debuting are professors, junior high school students and high school students. He is still the attending, and he has to take part in the first-line clinical work.
I like clinical work very much, but I am not very interested in scientific research, so I planned to participate in standardized training for residents very early. When I met many masters or even doctors with low clinical level, I was more determined to engage in standardized training for residents. I sometimes think that maybe one day I will regret not choosing to go to graduate school. But in any case, I think the standardized training of residents is an indispensable part of my experience on the way to becoming a doctor.
Finally, I want to say that the resident training system is really good. The standardized training system for American residents, which has been gradually improved in the last 65,438+0 century, has indeed provided many excellent medical and health talents for the society. Now a similar system in China has just started. I hope this system is not only the so-called training of compulsory medical graduates for several years, but also the implementation of this training system, the provision of teaching environment, the guarantee of teachers' funds, the living guarantee of trained doctors, the assessment of training quality and so on.
I always believe that our country should have such financial resources, courage and foresight to train a batch of doctors with exquisite medical skills and noble medical ethics for our nation, and ultimately benefit our whole nation, country and society.