The resident is trained: Should be in time of lower foot of the standardization
Staff reporter Tan Jia ' 2009 residents / training doctor train the summit forum to hold recently. This forum is cured SCTE and Shanghai Municipal Health Bureau to hold by China. The intersection of Beijing and the intersection of Municipal Health Bureau and popular science a tie Lu, division chief of place, to participate in forum reveal a survey report just finished. The result of this survey report makes representatives who attends the forum both worried and glad. Representative think, set up the intersection of resident and standardization train, should promote the intersection of resident and standardization train to work hard more on being sustainable system, in quality of guaranteeing. One flat investigation Lu have 121 accept complete resident that standardization train participate in. Among them, 95.9% of the students think one's own clinical thinking ability is improved, 94.2% of the students show that has promoted operation ability, many students think one's own self-study ability, level of foreign language, scientific research ability have promotion. But the investigation reflected students at the same time and underwent training worried and puzzled: 68.6% of the students think incomes relatively low, 46.3% of the students think the unequality of chance, 44.6% of the students feel that lack acceptance, 38.8% of the students think the high pressure of the job. Such an investigation result, some are that people who participate in the training hope to see, some make them anxious. It is reported, Ministry of Public Health began to try resident's standardized training in 1993, regional medical organizations begin to plan to train the standardization to the resident of our unit according to rotating in succession too. On this basis, the system that Ministry of Public Health began to pursue a training doctor to train in 2003, and started pilot work in 2004. This it trains re-set targets of system to be newly, medicine it studies the intersection of universities and colleges and graduate to be must train and examine qualified through the intersection of resident and standardization, could enter clinical work in the capacity of training doctor. Train pilot work to already last 5 years in standardization, there are no doubt many effects, but the question is as the above-mentioned investigation reflected, also have it much. Among them, personnel management and funds are raised and become " bottleneck " restraining the standardized training from further pushing away . According to the new medical reform scheme, students' income and treatment problem are expected to be solved, this is undoubtedly a good news. But should meet students and enjoy the equal development opportunity, strengthen the psychological demand of acceptance, await each side to pay and pay close attention to more. Lu puts down and says, except that external policy and system are not formed a complete set, not improved, it is not neat that Beijing resident's standardized training still faces the level of training base, training quality is not unified " Inside " Question, show, register, it enters the intersection of base and number to be uneven mainly, stage pass the examination rate have difference. In addition, the clinical practice ability to improve the medical graduate is the core trained in resident's standardization, but many hospitals, department are all while training " Take the place of training in order to do " ,Examine and become a mere formality too, the result causes some doctors in " three bases three are tight " The training of the respect can not reach the requirement. Spend on, finish, write medical history, take blood pressure, fill out laboratory test report trifling clinic at work most of the time in resident, training time can not be guaranteed, clinical thinking and clinical operation ability are difficult to promote. The southern medical university attaches to southern hospital king Huaming and says, resident's standardization is trained still in the pilot project, popularize in an all-round way, guarantee training quality is a basic prerequisite. This teaches competence and proposes higher requirement to the construction of the training base, teachers' tape too. The middle and southern university refined Vice President of medical college Sun WeiJia in Hunan proposes, trains the unit to change " the resident is the clinical workforce of working mainly " Idea,task of lasting every training. In addition train teachers need, move towards professionalism or half professionalism progressively too. The hospital of Shandong University Shandong trains Guo Yuan, division chief of place to propose, students train the most direct participant, beneficiary, should improve the initiative that they accept training and sense of duty, communicate through exchanging, it suits target's characteristic and training scheme of the demand to make. Vice President in School of Continuing Education of Harbin medical university Bi XiaoMing thinks, train and regard resident as the centre, give the persons who undergo training more cultural and educational care in standardization, really train the doctor of the heart with kind-heartedness.
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