Recently, the People's Government of Hebei Province issued a plan on improving the medical and health service system, one of which has aroused widespread attention and heated discussion: clinicians with a bachelor's degree or above who enter a medical position in a secondary medical institution must receive standardized residency training.
Standardized training is standardized training and plays an important role in Chinese medical education. It is a way to systematically train and assess medical students, aiming to improve the clinical ability and professional quality of doctors. However, in the past few years, due to the imperfection of the regulatory training system, many medical students and unregulated doctors have a certain sense of resistance to the standardized training, believing that the standardized training is a waste of time and cheap labor.
It is undeniable that the original intention of involving the implementation of the regulatory training system is good, and it is expected that through 2~3 years of standardized training, the professionalism and professional maturity of doctors can be comprehensively improved. Since most of the theoretical knowledge learned by medical students in school, clinical skills are mostly operated on simulators, and there are fewer opportunities for actual contact with patients. Therefore, they need enough time to transition from "medical student" to "doctor", and this is the point of discipline.
The People's Government of Hebei Province issued this new regulation, which requires that medical institutions above the second level can only recruit doctors who have passed the training assessment, which will undoubtedly improve the overall medical level and service quality of the hospital, and then ensure the safety of patients. At the same time, it also shows that regulation and training are becoming more and more important.
In this way, regulation and training is imperative, and the advantages outweigh the disadvantages, which is completely a good policy, but why are many doctors opposed?
Through the statistics of Kangxun.com backstage, it is not difficult to see that more than 60% of doctors do not recommend regular training, and more than 10% of doctors also described the "disadvantages" of regulatory training in the comment area, summarizing the following 3 points.
1. Excessive work pressure
Trainees are subject to high levels of work pressure and responsibility, and night shifts and weekend shifts result in insufficient rest time. At the same time, due to the new clinical entry, the learning tasks are cumbersome, which will lead some medical students and doctors to be discouraged from training.
2. Relatively low salaries
The salary of regular trainees is relatively low, especially compared with the workload and responsibilities undertaken, hard work and tiring work are all regular trainees, but when it comes to benefits and salaries, the phrase "not the staff of the hospital" is dismissed, which is actually "cheap labor".
3. Lack of space for personal development
Since he cannot practice medicine alone, he mainly undertakes some basic tasks and clinical work, such as basic operations such as dressing change and basic consultation. However, some teaching doctors consider that the trainees are not employees of the hospital and are busy with their own work, so they are reluctant to spend their personal time teaching clinical knowledge, resulting in the lack of opportunities for personal development and professional growth of the trainees, and when the training is over, they find that they have not grown.
It can be seen that although the original intention and purpose of the implementation of national policies are very good, due to the imperfect implementation process in the middle, it is inevitable that some people will "do bad things" under the guise of "good policies", resulting in "good intentions doing bad things" in the end. Based on the above three reasons, optimization can be carried out from the following three aspects.
1. Fair treatment with appropriate rewards and incentives
Although trainees are not employees of our hospital, they are also working and serving patients, and their salary and benefits should be proportional to their efforts; Or provide additional incentives and incentives so that they can get a reasonable return during the training period, increasing their motivation and work motivation.
2. Provide continuing education and professional development opportunities
Trainees should be given ample opportunities for study and training, providing them with pathways for further education and professional development, and encouraging them to continuously improve their abilities and skills.
3. Strengthen doctor management and guidance
The training base should strengthen the management of teachers, clarify the training program of trainees, provide them with necessary support and help, solve the problems and difficulties they encounter in their work, improve their career development and job satisfaction, improve the efficiency and practicality of training and make training more attractive and valuable.
Through these measures, the training system may be more perfect, so that the efforts of trainees will be rewarded accordingly.
The implementation of good policies requires the joint efforts of all parties to better adapt them to the needs of medical and health services through rational adjustment and management, and provide better health care services for the people. At the same time, it is necessary to make the efforts of medical staff get their due rewards, and they are willing to pay for patients!
Text, typesetting丨 Feng Xiwen
Editor丨Wang Shenchong
Audit丨Xing Chen