How is ethics educated to meet the challenge of job market

How is ethics educated to meet the challenge of job market
" whether white stuffed dumplings darken egg-type briquette " It is that some people are right " Medical science is grown " To " doctor " Description of this role's transfer process. Went on work position to those just now " New doctor " To say, a lot of people in them not merely want to consider how to improve the skill of making a diagnosis, how does it face also and where one stays cultural break-in of medical organization, how the intersection of person who meet the challenge of values and realistic difficult problem. Scholars do not think the ethics lesson teacher of the university should only immerse oneself in " spring snow type " Educate,see student enter ethics faced is puzzled behind being clinical, face the value based on hygiene system and and clinical practice straightly and lead the question initiated, guarantee medical employees' job spirit from system. " doctor Zhang, thanks you for curing the disease for my father to harvest the green water clear river or not. Want, celebrate a festival, I know, give you give what is better to order, you oneself buy some things likeds. " The relatives of 10 beds pass over a covert payment. Doctor Zhang one ordinary doctor of surgery, how long does it work, but target that party branch train especially. Taking the covert payment to the doctor, doctor Zhang is very discontented, publish several articles and attack this kind of phenomenon bitterly on the net. 10 beds of patients are that an acute gastric perforation erupt filling the air peritonitis simultaneously, is close to shock when sending to the hospital. Through the urgent operation, the patient pulls through. Doctor Zhang to in charge of the intersection of bed and doctor, participate in operation of patient, resume, be finished under the guidance of director while being postoperative. "No. " Doctor Zhang waves repeatedly, " it is what our doctor should do to see the doctor for the patient, your compliment my heart neck. " "This of mine does not draw you over to one's side, moreover the operation of my father has already been finished. I want to thank you genuinely. Tell you the truth, your doctors of higher authorities thank a director for already accepting, are you still afraid what it is? " Patient relatives have set the covert payment free directly to in the pocket of doctor Zhang's work clothes. "The directors have all accepted, I do not accept, OK? " Doctor Zhang remembers, before about two months, a patient gives the medical worker who participates in operation a large covert payment, the director has divided 200 yuan for him. He felt improper at that time, but have to be accepted for fear of the director's face, returned to the patient stealthily when the patient leave hospital. Has never expected the patient tells the director this instead, the implication, do doctors dislike the few money? Performing the operation has any impropriety, otherwise why dare not the doctor accept covert payment? And then, doctor Zhang is called in the office by the director to reprimand some: "You have worked for 34 years, how is it angry and sheer to return to students? Accept covert payment, seem you high awareness have? Let I Zhang Lao this where like face? Besides, this is that it is given that a patient is perfectly willing, are not asked for on purpose by us, you did not accept patients to think yet the operation was not done well " Saying, directors passed the money over. Doctor Zhang is very contradictory, return the patient the money again, the patient has already left hospital; Return a director the money, how in the desk work he will return afterwards; Give institute the money to run, seem really a little excessive While hesitating, he has put the money into the drawer, thinks that put it aside afterwards. Think of here, it is difficult that doctor Zhang makes even more: Is 10 beds of patients' covert payment really accepted? Do odds and ends in my non-governmental hospital in a family comparing with the time when more important Liu Jing of technology originally just took up a job as a doctor in conscience. This non-governmental hospital is fairly regular, but even so, " teach " that I accept Besides medical technology, mostly " how to earn money" " how to protect oneself " for sum ,etc.. Understand a bit that talks about it just, how they are teaching me can not allow patients to catch the handle for earning the money in the hospital. This kind of idea has violated the original intention that I take up a job as a doctor greatly, agony and contradiction of my heart were beyond expression at that time. My teacher is an old intellectual, " the doctor is sacred, if the lover is own " whom she said ; " the doctor comes into the ward, just the same as the pastor comes into the church " ; " either a best doctor is a worst doctor " Been encouraging me in taking up a job as a doctor on the road of my frustration all the time, has made me spend that that enter the job market for the first time and temper course in words. I have obtained assistant doctor's qualification quickly, begin to breathe the disease hospital to do to a resident doctor non-governmental one. In spring of 2006, we rescued over 3 and breathed the depleted patient. While rescuing the first patient, patient relatives are anxious and fretful, reprimand a nurse loudly. However, our medical personnel stands the test, make concerted efforts to bring the patient back to life. Afterwards, we discuss privately, find no doctor or nurse will think how to protect oneself while rescuing, only want to bring the patient back to life wholeheartedly. At the end of 2006, let me work for public commune hospitals of communities of villages and towns. After entering the community, I never make the great prescription for patients, and tell patients modestly I am a young doctor, need patients to cooperate. Over the past 3 years, community resident and I have established the good relationship between doctors and patients. For the previous period, I am a patient's acupuncture and moxibustion in the afternoon. Because the patient has not had lunch in advance and I am ignorant, the result leads to the fact it is dizzy that he has presented the hypoglycemia, profuse sweating all over the body. I have fed a candy to him at once, this is relieved. Soon, the doctors of higher authorities come to inquire the situation, unexpectedly the patient also speaks for me, it is too wrong to have a meal to declare in oneself at noon. All these make me guilty and moved. It is 100% that 1% of the mistakes of doctor happen on patient, so for doctor, the conscience is more important than technology. I think, turn into long and a real doctor perhaps needs 4 conditions medical science. Two subjective conditions: First, personal values and moral character, second, artistic appreciation. Such as the doctors of U.S.A. and Australia, can enter the medical college after obtaining a bachelor's degree. In addition, there are two external conditions: Social conduct of becoming reconciled in good medical system. Do not approve but accept reality Liu Yong As one is in hospital shortly after the gate " New doctor " ,I describe the relation practised in medical ethics and medical treatment like this: What the medical activity of reality is followed is not but ethics but the system. The teacher of the medical ethics lesson tells us, the doctor should be in line with " the patient is the highest " Idea,cure pair that first. Can in fact, without money the intersection of cancer and patient come hospital is impossible to treat and cure. Though I do not approve this, must accept such reality. Bring up, teach to exhort doctor whether sense of self-protection break away from books enter, form already right away first day of the hospital from me only in fact. This is the result of receiving medical environmental impact, because the relationship between doctors and patients is the interests relation, interweave of legal relation and ethical relation between men. Entering the hospital, someone will tell you, write the case history should be very careful. This is " Play with words " . For example a finger patient with traumatism goes to ordinary surgery to see the doctor. Ordinary surgeon think, feel nothing, but he will " push " the patient Give to the orthopedist, because the patient's condition at this moment is not within the ordinary surgeon's range of making a diagnosis and giving treatment. The orthopedist has seen and thought it out of question too, but he will seldom write " this patient's nerve tendon was not damaged on the case history " directly ,etc.,because if can disadvantageous to doctor when doctors and patients will take place being contradictorying. If the campus is the umbrella, then the hospital is equivalent to a small society. Here, we may be accepted covert payment, made and deduct a percentage, take the commission, self-protection etc. only and sneak the rule, and this will bring challenges for the values of growing of medical science that has just graduated. But as an individual, sneak the rule as to these, we must accept when wanting to survive, natural heart will feel uncomfortable. Try, look for equalization point David Li some the intersection of university and 2002 the intersection of clinical medicine and specialized student in I, study ethics course in the university in the sixth year. I think one's own values have few part to come from the ethics lesson, the majority is and taking shape in study, practice naturally from daily life constantly. After coming to some ENT dept.s of large hospital in Beijing to work, it is different that it has many that I am affected by the atmosphere of cultural environment of the hospital and campus, the most obvious manifestation is getting in touch in the life and work closerly between men. Through studying, I think it is insufficient that the problem existing in reality mainly displays in the governmental input, this it brings great doctors and patients to be contradictory, problem that medical reform should first solve at present too. The hospital should make profits, support oneself, develop as a public institution; And treat the patient, the doctor should adhere to the humanistic principle even more. As doctor, I try, look for one equalization point, let patient get, try hard kind treatment already, give some poor patient try hard cheap treatment again. In fact the doctors have been all equilibrating the relation between the government, hospital and patient making great efforts all the time. Because of the national conditions of our country, I understand to existing medical treatment system and medical environment, basically suit. If say that does not suit, not a impact of the ethics in idea, but the increase of the working pressure. In fact, most doctors are in overdrawing in physical power, energy state, this is not the problem that ethics can contain, the strength of government helps to solve. From " medical and raw " To " doctor " The transition of the identity, is resulted from diligent study and tempering day and night. In fact, cultural environment and what the ordinary masses thought of of the hospital might not be the same, what has been spoken to the ethics teachers in the university classroom is different too. This can only say: Shed tears among them. (Yang Yan DaPeng Liu of cub reporter sweet Beibei of this newspaper interviews and puts in order)

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