Resident: Rotating and progressing

Resident: Rotating and progressing
See the doctor and run to the large hospital, really have no idea for patient, because large hospitals have concentrated more outstanding doctors. Then, people would rather line up to wait in large hospitals. But the large hospital may not let people rest assured. The large overstaffed hospital, the environment is noisy, crowded, the waiting time of clinic is long, the difficulty per bed of the ward is asked. Under the operation of overload, medical treatment is more difficult with the guarantee safely. During the next 5- 10 years, Shanghai hopes to change this situation. Then, a new system has launched a pilot project since July of this year - -All medical science that wants to practise medicine in Shanghai is grown and must be trained by the standardizations of the residents of 2- 3 years, it examine through after,in being could at hospital obtain employment,is it on duty medicine. "Basic accomplishment, integration capability of all doctors in Shanghai must be qualified, their practising medicine must be the norm, even if in the first class community's hospital, also have enough ability to deal with various situations. " Huang Hong, Deputy Secretary of Shanghai Municipal Health Bureau Party Committee, says. Though wish the scene is beautiful, should take the first step, hygiene system of Shanghai is very heavy in pressure over the past one years. The graduating medical graduate's pressure is the largest in pressure, it is a graduating medical graduate. Master of Shanghai Communications University medical college the intersection of graduate and moustache already newly look for a job one year ago, got suddenly " Sad news " --All medical science is grown and must obtain employment after training. "Having read the book in the past 20 years, heard suddenly that can't look for a job yet by oneself, it was really too painful. " Because the system that Shanghai trains resident's standardization in an all-round way, all one, two, tertiary hospitals do not reengage. A lot of fellow-villager choices of Hu Xin's go back to Shandong, because find a large hospital there very easily to contract, become clinicians. Even if still need to transfer to another school in every department wheel and practise, but " there are unit persons " after all . And if choose to stay in Shanghai, must go through the tight and severe resident to train. Among 2 years training, he is a " social person " ; 2 years later, must look for " unit " again . "I know ' the system that resident's standardization is trained ' is favorable to training the qualified doctor, but for we first group of graduateses, very painful. " Hu Xin determines to stay in Shanghai, the resident that he has entered for Rui Jin hospital is trained. 39 hospitals are qualified to train the resident doctor, is mostly tertiary hospitals that there is Shanghai in all. Undergraduate need, train 3 year among them, master, present to it rotates to be 2 year in training period graduate have by doctor. But the most special one is, the enrollment method of resident's training base is totally " planned economy " ,check and ratify government department by each hospital, each piece enrollment of department. Each figure, checking and rating, factors such as the strength of teachers of hardware condition of comprehensive assessment hospital, doctor,etc. are calculated and obtains. "The purpose is to control quality. " Huang Hong says. The medical graduate is irresolute before the new system. Original Shanghai recruits 2500 residents, in fact recruit the number of people and less than 2000. But after really entering the base, Hu Xin's feeling is different. He says: "On one hand there is not a route of retreat again, on the other hand, the government, hospital and teachers are all very serious to us. " Though without unit, Hu Xin has the one that basically ensures. His monthly incomes at present are about 3000 yuans, the government is responsible for helping him to pay " 6 gold " such as medical insurance, social insurance, housing public accumulation fund, unemployment insurance ,Rui Jin hospital has also offered the dormitory to them, rent per month is only about 300 yuans. If can stay in Shanghai in the future, it will all charged to the length of service these 2 years of stage that residents are trained. In the training of the resident doctor, the expenses with main financial burden of the government of Shanghai, bear the resident doctor's bonus in every training base, after training, the hospital will provide funds to choose the right person" Buy " They, the resulting expenses circulate and include funds in the Shanghai resident and is trained. Teachers key decisive factors, about training quality, the Shanghai resident trains Li Hong, director of Committee of Experts, to say to the professor in standardization: "The attitude toward student of different hospitals often distinguishes, base presidents pay attention to to some extent, the better the result is. " Yan Chai Hospital tape teaches the teachers how to strive to make the training base that Shanghai ranks the top three. It is big train, last general outside, urology surgery surgery altogether, outside chest, outside the brain, dept. of orthopedics and ICUs surgical, each department have one high the intersection of age and service seniority and doctor serve as to lead, teach teacher resident. Bring up, teach teacher every 2 to want, responsible for one teaching make the rounds of the wards week, each responsible for organizing a case of English to discuss month, the students have a basic regulation with a number of times of operation in each department. The resident of Rui Jin hospital is trained since 2009, this is the base where Shanghai launches a pilot project first. The hospital once solicited the appraisal that every department tape was taught to students extensively, the department counting backwards will be talked by the institute leader. Vice President Zheng MinHua says: "The department not up to standard, will lose the qualification of taking teaching to grow. " Yan Yu is to enter the resident who Rui Jin hospital trained in the first batch in 2009. Having it at a student's forum, the students propose not writing the chance in the report at dept. of radiology independently, the hospital has specially purchased a computer for students to use immediately. Under the original training system, rotate doctor's training at dept. of radiology is often ignored. They only need to follow doctor and read and take a photograph of one slice of reports, do not need to provide the case report independently. However, write an intact radiation report is difficult and not merely need to distinguish the ability of disease, there must also be ability to observe, assess and test in an all-round way. Yan Yu says: "Write the report alone, it is a kind of thinking that is trained. This kind of exercise is very useful. " More useful, rotating in department of anesthesia. Yan Yu is a physician, she had no chance to contact and anaesthetize the department at all originally, but in the rotating of her, have departments of anesthesia. "I am ' small nail ' of the department of anesthesia now, keep in an operating room every day, look after all diseases. " In " small nail " Above have " The big nail " ,Responsible for a doctor formally, the above is " hammer " again ,It is the anaesthesia doctor circulating among every operating room. "I have already gone through various dangerous situations, though meet an urgent need and save someone's life with this ' small nail ', but ' big nail ' and ' the hammers ' all go on without any confusion. " Yan Yu thinks, teachers can assess the patient's whole situation accurately, according to a treatment of order of importance and emergency. "They often notice even the patient's face change. " Mode that Yan Yu liked such a resident's training very much. "Really learn a lot, though work hard, we will be overall in the future. " The future doctor is worth expecting to refer to a resident and train the system, the medical matters circle often cites two following examples - -Sino-America medical science are grown while just graduating, almost there is no disparity, it takes a few years subsequently Pull open disparity rapidly. Its key is the resident's cultivation system. In the intersection of American and system that resident train, the intersection of resident doctor and every week the intersection of work and more than 100 hours, about 15 hours of every day on average, even last stage, the U.S. government had to issue the regulation, require the resident working time of every week to exceed 98 hours. Another example is, the residents of 4 different local hospitals in U.S.A. are the same to the diagnosis of the same kind of disease, healing solution, but 4 residents in China will provide 4 sets of schemes. Li Hong was in order to say: "We want, make, can do, there are a lot, it is the first step now, must improve forward step by step. " In the plan of Shanghai, after it is qualified to graduate to wait for a batch of a group of residents, they will hurry to second hospital, first class hospital, will serve as the qualified gatekeeper. Doctor Cao Hui of the department of general surgery of Yan Chai Hospital has already received several second director's order, they say: "Please help to recommend some better doctors. " Cao Hui says: "Resident trained through the standardization, future is certain to be very in great demand. " (gentle Chinese medicine students are all an assumed name) Staff reporter Shi JiaQi

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