Exhausted skills of people of making rural traditional Chinese medicine exhausted of five major contradictions
Korea S.'s benevolence expensive rural traditional Chinese medicine personnel training and team's building-up work of county hospital of Qianshan of Anhui Province are still in bottleneck state at present, shown as five conspicuous contradictions have not been well solved yet. (1) Universities and colleges the intersection of education and structure and rural practical contradiction of demand for talent author participate in the intersection of talent and recruitment work of hospital several years ago, while making the examination content, according to the characteristic of traditional Chinese medicine discipline and this area talent's actual demand of rural traditional Chinese medicine, pay attention to investigating its specialized rudimentary knowledge. But the real state shows the traditional Chinese medicine universities and colleges especially and adjusts the conspicuous contradiction between education structure and actual need, quite a few of personnel are the most basic to the pharmacy of Chinese medicine " Four major classics " For where does it I wonder thing, cure ancient Chinese prose, substitute foreign language, can't can become a short time such as basic unit such as countryside using, traditional Chinese medicine talent of practicability. The traditional Chinese medicine universities and colleges should adjust educational level and professional structure according to the demand for talent of rural traditional Chinese medicine, launch the level personnel training of training facing countryside, in order to meet the demand to traditional Chinese medicine talents of the basic unit. Resume study of some very important basic disciplines of the discipline of traditional Chinese medicine, educate student know new developing the intersection of discipline and the intersection of knowledge and skill of study at the same time, for training, establishing foundationing thoroughly in the future. The promotion of foreign language may not be needed by the work of traditional Chinese medicine at the basic level! (2) The education with record of formal schooling and contradiction continued educating train one batch to obtain greatly through the education with record of formal schooling, the rural traditional Chinese medicine technical backbones of education of special secondary school and the above qualifications of assistant and doctor of obtaining operation finally, it is a part that the traditional Chinese medicine personnel continue educating. But the current continuation education system only pays attention to form or even interlude, will accept education and training all the life, consolidate and refresh one's knowledge, improve the behavior of the actual ability to work to turn into a tool that some departments sought the interests constantly, no matter continue pedagogy something, so long as pay the money and obtain the credit. Such so-called the intersection of education and training and qualified to engage as personnel, technological the intersection of post and promote and requirement that operation registers and then one of. Requirement of " traditional Chinese medicine continue educating the regulation " become a group of wasted paper, Traditional Chinese hospital's specialized department (special disease) at county level The training of the technical backbone is only a kind of form too. The method which solves this contradiction is, the hygiene at all levels, traditional Chinese medicine administrative service division suit measures to local conditions and launch the continuing education of the traditional Chinese medicine personnel on the job, on duty in the countryside, a disciple of traditional Chinese medicine and educate to bring up to very important status, is in conjunction with continuing educating personnel's education with record of formal schooling of traditional Chinese medicine organically, stress practical results. (3) Hygiene at all levels of contradiction of ABC study and skills training, the administrative service division of traditional Chinese medicine includes the knowledge of traditional Chinese medicine and training content of the skill in rural doctor's on-the-job training basic demand and training plan, the organization launches the traditional Chinese medicine knowledge and skill training of the rural doctor. But the traditional Chinese medicine knowledge and skills training of the rural doctor have its particularity, their actual demand and on-the-job training basic demand are stored in the obvious distance, the study of skill of stressing practicability, and the study of the traditional Chinese medicine ABC is comparatively tired. Should take the flexible form, while improving the actual ability to work of their traditional Chinese medicine especially, ABC striving to make them know traditional Chinese medicine, let them pass and accept knowledge of traditional Chinese medicine and skills training, on the basis of knowing ABC of traditional Chinese medicine skillfully, prevent and cure common disease, frequently-occurring disease by flexible method of using traditional Chinese medicine, become a group of qualified traditional Chinese medicine workers at the basic level. (4) A disciple of education and contradiction transmission from master to disciple of education with record of formal schooling and educate one of the most practical forms that is personnel training of traditional Chinese medicine at the basic level, but the personnel at the basic level should take doctor's qualification examination, the education with record of formal schooling is the only route to solve the problem of its qualification to participate in examination; Make the above-mentioned operation assistant and doctor already qualification personnel have not paid attention to being a disciple of study, they would mostly like to accept the education with record of formal schooling of universities and colleges of adult's Chinese medicine, promote the academic level. Solve the contradiction a disciple of the education and rural education with record of formal schooling, first, be a disciple of educating merging with the education with record of formal schooling of rural Chinese medicine, avoid the contradiction, maximize favourable factors and minimize unfavourable ones. A disciple of can launch to educate hierarchically. The rural doctor is a disciple of educating facing the on-the-job medical worker of village clinic mainly, rely mainly on studying the clinical experience with the teacher, should adopt and " concentrate and study the theory on class, disperse and learn the experience from teacher " Basic for way,complement by studies essential and centralized. The health clinics in towns and townships are a disciple of educating teaching teacher with the tape mainly, choose the time of one month to concentrate on studying every year, the traditional Chinese medicine universities and colleges send the teacher to give lessons, study the relevant content of having an examination of the content for the medical practitioner. In order to standardize management it will continue studying, promoting the academic level, comment and engage the professional title etc. in the future, it is a disciple of educating to the traditional Chinese medicine training that adopt " Form a complete set " Method,it is namely while entering school person of two kind of these obtain by traditional Chinese medicine training roll by registering, obtain the training diploma of traditional Chinese medicine while graduating through the regular examination. Second, combine the implementation which continues the education system, launch bringing science and technology to the countryside, popularize suitable technology. Activity that the provincial traditional Chinese medicine administrative service division jointly launches a graduate student to support agriculture with the traditional Chinese medicine universities and colleges, large, doctoral candidate's group according to making up and supporting agriculture voluntarily that there is a clinical experience and obtain medical practitioner's qualification, responsible for a county, f the hospital reach the tape of institute of traditional Chinese medicine of this county to teach and give lectures, promote theory and clinical level of the professional and technical personnel of the hospital fixedly in an all-round way in turn. (5) The operating mechanism of the public hospitals of contradiction of social benefit and economic benefits is not in conformity with public service property of medical care, the government puts into insufficiently, the hospital develops and runs and mainly depends on the medical medicines income, pursuing the economic benefits not only aggravate the burden of the masses, has but also assaulted and fettered the development of the traditional Chinese medicine undertaking seriously; Traditional Chinese medicine to with simple, test, famous for honestly,reflect fully its market value, survive and develop the pressure bigger, has restricted the development of the traditional Chinese medicine undertaking. But it can be analyzed from another angles and sides,it just because have traditional Chinese medicine it is simple, clever, test, honest advantages unique, just gain the broad masses of the people's trust and show favouritism to. The intersection of medicine and simple the intersection of result and good and the intersection of expenses and cheap square medicine technology of Chinese medicine, though what " Hi-Tech " is begun to talk about ,But never mean that lacks the scientific and technological content, the more critical one is, it solves more complicated practical problem with cheaper cost, can benefit most people, welcomed by ordinary people, the material benefit brought to the broad masses is far greater than those " high-grade, precision and advanced " far Technology. We can say, develop traditional Chinese medicine undertaking representative's vastest people's basic benefit and hope. But present reality is: The health organization at village level, individual clinic generally pursue the interests to maximize, the business of traditional Chinese medicine obviously shrinks and does not even launch at all; Manage difference to the public hospital in finance, the hospital manages the performance, the worker's welfare, development of hospital want to rely on the medical business to support to a great extent, rural traditional Chinese medicine service social benefit and body of conspicuous contradiction of the economic benefits The traditional Chinese medicine now? 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Though strengthened the cultivation of the managerial talent in recent years, promoted the development of Chinese medicine undertaking, but it is the irrefutable fact to lack Chinese medicine characteristic and advantage. The basic unit lacks high-quality practical traditional Chinese medicine talents. The current traditional Chinese medicine universities and colleges educate certain drawback, a disciple of educating to lack the motive force mechanism again, quality drops. Situation and intensity of the exhausted skill that Chinese medicine has left no successor, have already reached " endangered state " Edge,clinical curative effect when influencing directly,restrict by Chinese medicine the developments of the undertakings.
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