Where is the employment highland for medical students?

Where is the employment highland for medical students?

? In recent years, the number of medical graduates has greatly increased, and the employment pressure is also increasing.

On the one hand, the demand for urban medical talents is saturated. Top three? The starting point of hospital recruitment is master's degree, which makes many undergraduates flinch, let alone junior college students. On the other hand, there is a serious shortage of people in primary medical institutions after the medical reform, but many graduates are unwilling to go because of salary and working environment.

20 12 Li Ling, an economics professor at the National Development Research Institute of Peking University and an expert on medical reform, published a set of data. The country trains about 600,000 medical students every year, and only about 654.38+10,000 people can wear them? White coat? . ?

Hospitals in big cities can't get in, and primary hospitals don't want to go. Are you online? Cracks? Where have all the medical students gone? Is it to give up your career dream of becoming a doctor and change careers completely? Or choose to take root at the grassroots level and become an ordinary general practitioner?

According to the introduction of the relevant departments of Anhui Provincial Health and Family Planning Commission, in view of the new functions and tasks of township health centers after deepening medical reform, Anhui has formulated new standards for the establishment of township health institutions and re-approved the staffing. At present, there are more than 6.5438+0.2 million vacant posts in township hospitals in the province, which creates opportunities and leaves room for medical graduates to work at the grassroots level.

Recently, China Youth Daily reporter learned in an interview in Anhui that the comprehensive coverage of the primary medical security system, the proportion of reimbursement for the new rural cooperative medical system is obviously inclined to county-level and township hospitals, and the construction of the rural three-level medical and health service network has created a broad space for junior college students to find jobs at the grassroots level, and also built a platform for their future career development. More and more young people are turning their attention to primary hospitals.

Why do they choose primary hospitals?

In July this year, Anhui Medical College (hereinafter referred to as? Anhui Medical College? ) 20 1 1 Clinical medical students Cheng Renbao and Liu Can are about to graduate. As a graduate of the first rural order-oriented free medical college in Anhui province, Cheng Renbao, like 230 other students in his class, has already made clear his future after graduation? Go back to the basic township hospitals and become an ordinary general practitioner.

Cheng Renbao, who was born in the eastern foot of Dabie Mountain, was deeply impressed when he watched his grandfather dig herbs and grow up. He is also very eager to be a doctor. At the time of the college entrance examination, I originally planned to apply for the physical education major, but I saw someone fill it in in advance? Free medical orientation students? He also changed his decision.

Now, Cheng Renbao plans to go back to his hometown? Shucheng county wanfohu town health center.

? Rooted in the countryside, it is impossible to be completely separated from the land? . In his view, after studying for more than ten years, he can finally come back willingly, in addition to his constant nostalgia, there is also the reality that the medical conditions in towns and villages are backward. In this small town with a population of more than 40,000, and most young people go out to work, the left-behind elderly and children are precisely the groups with the greatest medical needs.

Liu Can, a native of Chengguan, Qimen County, Huangshan, has some yearning for big cities. This girl in her early twenties once dreamed of being like a female doctor in a TV series. Get a high salary and enjoy a relaxing weekend. ?

? But the reality is that city life is stressful. For girls, slow-paced work and grassroots life are more suitable. ? More importantly, Liu Neng's point of view? The job is stable, and there is a preparation as soon as you get employment, and the development prospects of township hospitals are also good. ?

Liu Can admits that he is willing to choose primary hospitals, and there is another consideration. She once worked as an intern in a 3A hospital. What impressed her the most? The doctor-patient relationship is tense? Even though the pain is inevitable when the patient's wound heals after operation, some family members still care. If it's not the doctor's fault, it's also the doctor's fault, and sometimes it's unclear. ?

? In contrast, it is very easy between doctors and patients in township hospitals. ? During her internship in a health center in Qimen County, she found that as long as patients feel better, they will treat doctors as benefactors and sometimes thank them with eggs. ? Here, you can find the doctor's sense of professional belonging. ?

? For today's medical students, a good working environment and a harmonious doctor-patient relationship are the conditions they need to consider when they are employed. Sometimes, we regard this as important as good or bad treatment. ? She said.

In order for students to go down, schools should first? Makes sense?

Chu, deputy director of the Health Bureau of jin an district City, Lu 'an, thinks that although the new medical reform has made primary health centers? Resurrected? However, there is a shortage of talents. At present, township hospitals are basically supported by doctors over 40 years old, and the proportion of young doctors aged 25 to 35 is extremely small.

? After the medical reform, judging from the number of health workers per thousand agricultural population, township health centers are seriously short of staff, but the staffing in various places is strictly controlled. Even in county-level hospitals, it is difficult to introduce some urgently needed professionals in imaging, pathology and pharmacy. ? Chen Ming, deputy director of the Health Bureau of Lujiang County, analyzed that from the perspective of village clinics, there are fewer junior college students, mainly because they are not compiled.

He admits that the financial strength varies greatly from county to county. Although some grass-roots hospitals have introduced needed talents, if these young people feel that the treatment is lower than expected, once they are qualified, they may jump to public hospitals in developed areas or private hospitals in cities.

In fact, as early as a few decades ago, Anhui Medical College? Not hiding it? Put forward your own direction of running a school? Training for the grassroots? Can you go down, use it and stay? Practical talents. Last year, this school was selected as one of the top 50 employment models of college graduates in China. In fact, except for a small number of targeted students, there are nearly 3,000 students in all majors in the school, and the employment rate at the grassroots level exceeds 60%.

Jin Chen, director of the school's employment office, believes that after the new medical reform was piloted in Anhui in 2009, all primary hospitals have come to life, and the employment direction of medical graduates has also changed, and the focus has begun to shift to towns and communities. The employment orientation of Anhui Medical College conforms to this general trend.

According to the relevant departments of Anhui Provincial Health and Family Planning Commission, from 20 1 1 2 to 20 12, in view of the shortage of township hospitals, we openly recruited 4 124 people for two consecutive years. However, only 3% of the recruits are undergraduates. ? Because of undergraduates? Can't you come down? The phenomenon is more prominent, and it is estimated that the demand for college-level talents is still great in the future. ?

In this regard, when analyzing the employment situation of graduates, Jin Chen noticed more specific changes: before the medical reform, the employment of graduates of this school was mainly in coastal areas such as Jiangsu and Zhejiang; With the promotion of a series of policies such as the new rural cooperative medical system, the demand for talents in Anhui primary health system and private medical institutions has increased, and more and more graduates choose to work at home.

? However, market demand alone is not enough. For schools, the most fundamental thing is to change the concept of education and employment. ? Jin Chen said that in order to adapt to the new medical reform, the school boldly carried out teaching reform and changed the tradition? 2+ 1? (2 years in school, internship hospital 1 year), changed to? 1+ 1+ 1? (65,438+0 years in school, 65,438+0 years in teaching hospital and 65,438+0 years in practice hospital) to improve students' clinical skills and make them more suitable for the development of primary health care.

However, more importantly, how to make graduates? Would you like to? Underground grassroots employment? In Jin Chen's view, this cannot be solved by shouting slogans and pulling slogans. If the students want to get down, the teacher must first? Makes sense? Change your thinking. ?

To this end, the school conducts a survey of the province's primary health system every five years, and the school leaders are divided into groups, middle-level cadres and teachers to conduct field research in various towns and villages. The headmaster should first make a summary and reflection, communicate from top to bottom, reach a * * * knowledge, and then tell the students the most real situation of the primary health system, so as to be firm? There is much to be done at the grassroots level? Confident.

In Anhui Medical College, graduates who work in villages and towns are often invited back to their alma mater to talk about their growth experiences. Every summer? Going to the countryside? The school will take students from various majors to the countryside to let them feel the thirst for talents at the grassroots level.

? Those who are down-to-earth have basically achieved little?

Do your students develop well at the grassroots level? This is what Zhou Mengping, secretary of the Party branch of the Department of Stomatology of Anhui Medical College, values most.

He investigated the development of graduates who have worked at the grassroots level for more than 5 years, and the conclusion is: Those who have been down-to-earth have basically achieved little. What about everywhere? Wandering? Our students are not doing well now. ?

Liang Zhen, who graduated in 2004, is now the vice president of Wang Tie Town Health Center in Feidong County. Now, he and his father are colleagues. Although he learned about the grass-roots situation from his father very early, when he first reported to the health center, I still felt a little lost when I saw the medical facilities and diagnosis and treatment environment here. ?

? The more poor and backward areas, the more places you need to go and the more places you can display your talents. ? Recalling Guo Yi's encouragement, Liang Zhen decided to stay and give it a try. ? The income may not be high, but I must learn a lot. ? He comforted himself like this.

Is that what he thinks? The platform is a little low? The basic requirements of hospitals for doctors are not only to know how to treat frequently-occurring diseases such as colds and fever, but also to know internal medicine, surgery, orthopedics and obstetrics and gynecology. Clean up every day, be on duty at noon, and improve medical records at night. In those days, Liang Zhen thought? Time seems to pass slowly? .

After a long time, Liang Zhen fumbled out some doorways. It is not easy to be a good general practitioner? As soon as patients step into the door, they should meet their needs as much as possible. If there are no treatment conditions, they should do a good job of referral.

Referral needs to consider more things. How to refer patients, which hospital to refer them to, how to register, which department to find and which doctor is the best, all kinds of situations should be considered comprehensively.

Not long ago, a woman came to the rescue with a child bitten by a snake in her arms. At that time, the child was in a coma, his forearm was swollen and black, and his life was in danger at any time. Liang Zhen immediately contacted the transfer hospital. Through rescue, the child finally turned the corner.

? In primary hospitals, we are more like an all-round nanny. ? He smiled. However, here, Liang Zhen is growing rapidly. According to him, more than a dozen students who used to be rooted in various places have now been promoted to the backbone, and four of them have become vice presidents of health centers.

Unlike Liang Zhen, Chu Liang, a graduate of Anhui Medical College in 2007, entered Shucheng Second People's Hospital after graduation. After working for one year, I have obtained the qualification of practicing doctor, and can independently carry out the diagnosis and treatment of common diseases in general surgery and carry out basic surgery.

However, due to low academic qualifications, I can't keep up with the work rhythm of others. Later, the college entrance examination was admitted to Anhui Medical University. After graduation, I applied to work in Shucheng County New Rural Cooperative Management Center. After training at the grass-roots level, he was promoted to deputy director of jin an district Health Bureau of Lu 'an City on 20 12.

Looking back on my transition from a doctor to a grass-roots civil servant, I regret to say that university teaching tends to be practical and suitable for grass-roots employment. The greatest help of undergraduate study lies in providing theoretical guidance and making faster progress. ?

Like Chu, a general practitioner who has worked in Yicun Township Health Center of Mengcheng County for 7 years also hopes to improve himself through exams. After the medical reform, the salary in Marco rose from 600 yuan to 4,000 yuan per month. In his view, although the income is not bad, it can't? Stand still? . Now, he intends to apply for the special post general practitioner in Anhui Province. If you are admitted, you can enjoy the salary of not less than 60 thousand yuan per year during the four-year employment period, which is also very helpful to improve your professional ability and professional title. ?

? Grassroots hospitals are the best places for our young doctors to grow and exercise. In the final analysis, only when the treatment is guaranteed and the promotion channels are smooth can talents really stay. ? He said.

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