Medical network - on January 11, recently, the general office of the central committee of the communist party of China, issued by the general office of the state council on deepening the reform of the system of professional titles of the opinions and requirements to overcome extreme degree, qualifications, the thesis tendency, and issued a circular, urged all localities departments combined with real earnest implementation. "Opinion" is put forward, strive to over 3 years, basically complete engineering, health, agriculture, the accounting reform of teachers in colleges and universities, scientific research, such as title series. At the same time, the "opinions" requirement, to focus on professional ethics of professional and technical personnel, the highlight of innovation ability evaluation, setting up reasonable professional titles of papers and research conditions, the title foreign language and computer application ability test should not be unified requirements.

Finally final professional-title system reform, the reform of the health title impressively in the column! In fact, for a grassroots doctors, title evaluation reform has been started.

For a long time, single-minded focus on clinical doctors paper, take an examination of the foreign language and computer has become a review of the titles of "iron law", make the doctor not only struggling to cope with, also derived a lot of papers to fraud. And these hard requirements also let grassroots doctors promotion way is particularly difficult.

Around in the past two years, successively have papers, grassroots doctors title assess escaped the constraints of these hard. Professional evaluation easier, gold content decreased? Doctors at the grass-roots level in the health care system should play what role?

Doctors at the grass-roots level, determining the threshold decreased

Health professional and technical personnel at the grass-roots level title appraisal work to do? The relevant documents in liaoning province is in November 30, 2016 in Taiwan. Clear since 2017, cancel grass-roots health professional and technical personnel titles foreign language, computer power requirements, paper required. At the same time, also reduces the normal academic requirements of promotion.

Liaoning province introduced the file is not an accident.

"Grassroots doctors professional evaluation to their papers is a hollow." In 2015 the country during the two sessions, premier li keqiang to the jiangsu delegation review notes.

Subei people's hospital dean jing-cheng wang was so to the prime minister's advice: "the doctor's title problems, to the hospital under BuShengJi like municipal hospital, should put the professional evaluation of autonomy, completely don't unified all papers, to come to a foreign language. The doctor's technology ability and service level, the most important thing is to patient satisfaction. Let the doctor take energy is mainly used in writing a paper, take an examination of the foreign language, to find the hospital completely unnecessary."

This is the doctor at the grass-roots level, determining the cancellation of a foreign language, computer power, paper requirement that the biggest significance.

In fact, since then, from national to local, are the ills "hand". In October 2015, the health development planning commission of zhejiang province issued "on deepening the reform of health system of professional and technical position appraisal and opinion (draft)" and "on deepening the reform of health technology position appraisal system about the specific item", put forward to lower the examination and approval authority, take measures such as for examination and approval of classification.

In November 2015, the national level onslaught. People club department and national health development planning commission jointly issued by the "on further reform and perfect the grass-roots health title appraisal work the guidance of professional and technical personnel, clear from the evaluation system, optimizing the evaluation conditions, perfecting the evaluation standard and establish a long-term mechanism to perfect the grass-roots health professional and technical personnel titles evaluation work, no longer wait for academic papers, the title foreign language as a" hard prescription "to declare.

At the same time, emphasizing the evaluation indicators to "ground". For medical and health institutions at the county level and in towns and townships, community health service center of health evaluation standard of professional and technical personnel, focus on strengthening the common disease, frequently-occurring disease diagnosis and treatment, nursing care and rehabilitation, such as tasks, as well as the public health service tasks such as evaluation, implement "do review what", avoid the title appraisal and the practical work, the phenomenon of the "two skin".

"The threshold decreased." Tianjin beichen district west dike head town, according to community health service center director kevinbales grassroots doctors more support for the measure, before a lot of grassroots doctors also want to take an examination of senior titles, but because demand is higher is difficult to get. Nowadays, with the loss of the threshold, a lot of doctors take an examination of the lust of the senior titles, virtually improve the overall quality of the team, to enhance the service ability of the basic medical institutions.

According to incomplete statistics, the health following the national guidance documents issued later, hunan, jiangsu, anhui, shaanxi, yunnan and other places have issued similar documents, academic and technical titles for local grassroots doctors from English, computer, paper these ties.

More likely to get the title Gold content?

However, in the face of more likely to get the title, but also some question will reduce the grassroots doctors the level of business.

Analysis points out, a move that will make the grassroots doctors for medicine of new technology, new knowledge reserves less and less, although there are to superior medical institutions the opportunity to study, but with big hospital doctors gap will be more and more big.

At the grass-roots level in order to solve this problem, a perennial gp li Ming (a pseudonym) through health sector gave his opinion.

He thinks, first of all, people don't care about grass-roots doctor can speak English, also don't care about the doctor how many articles, they focus on is the doctor can solve pain; In addition, according to the moment, the Chinese gp can completely through domestic professional doctors and data to improve the service level; The computer and the scientific research, the ability to deal with problems for grassroots doctors apparently is not a veto.

About gold content, kevinbales think, grassroots doctors before the promotion title, mainly in order to obtain the title title, real title match what kind of level, and no special significance. With the implementation of the hierarchical diagnosis, grass-roots medical institutions is no longer a "big pharmacy". For doctors at the grass-roots level, to be able to see more patients with quality, also have more chance to display their talents, therefore, they are gradually changing ideas, from the past to watch, become must now see gold, "if there is no corresponding technical, even gave a subtropical high title, can't match the job".

Another question is grassroots doctors with senior technical titles in the liquid. Now, even with the title, grassroots doctors want to rise to the big hospital also is not easy. National documents in part points out that "long-term mechanism", "made of grassroots health professional and senior titles of grassroots health professional and technical personnel, in principle should be limited in grassroots medical institutions employed, from the grassroots health institutions to superior flow, medical and health institutions should obtain the province (area, city) unified health senior titles".

Although tianjin related policies have not yet, but according to kevinbales, at this point, tianjin will be consistent with the state file.

This limitation is not surprising. Kevinbales introduces, in tianjin in recent years, the reform of grassroots doctors after registration as a general practitioner, transferred to the superior hospital there is a certain limit.

According to health statistics, at present in the provinces of follow up file, about the long-term mechanism of each are not identical.

With liaoning province as an example, the "departments in all localities should further emancipate the mind, deepen the reform of the basic health system of talent development mechanism, completes the post arrangement, post appointment, wages and so on related work, to establish a long-term mechanism of the basic health reform senior titles." So, want to see from the statement that specific operation path, really hard.

More provinces is a reference to guidance of the country, from the grassroots health institutions to municipal and medical institutions above the flow, should obtain the province unified health and family planning series titles.

Grassroots health gatekeeper still need to refine standards with a physician

Although the implementation of rugged, but remove grassroots doctors professional evaluation chains, is still considered improved hierarchical diagnosis is important one annulus.

"The new rules not only let you stay at the grass-roots level, large supply, doctors have to siphon power weakening big hospital." Kevinbales believes that in the past, doctors want to go to big hospital work, mainly at the grass-roots level is difficult to see a mysterious illness, their technical skills will be degraded, "in the future as grassroots doctors treatment has increased, the implementation of the classification and treatment, it can make a big change, the doctor is more and more confident about their work at the grass-roots level."

For grassroots doctors professional evaluation reform, li Ming said: "very good!" The new standard, but should come first and then cancel the original standard.

Li Ming said to the doctor at the grass-roots level health well the gatekeeper, the new policy is necessary to reform the rigid standard. He admits, remove the practicability of relatively poor old standard, the new standards were not high enough, executive standard is strict enough, can suit the, these are crucial.

Even now the doctor in case to replace the paper review title, detailed rules for the formulation is not simple. Li Ming with an example illustrates the complexity of things.

A few days ago, li Ming's colleague accepts a patient, the patient had heart medicine in a big hospital, diagnosed with mild heart failure. But in the community hospital, li Ming's colleagues found that patients with anemia is one of the inducing factors of heart failure, and then let the blood routine examination, asking the history about patients with long-term indigestion, and checked the digestive tract tumor markers. Although the patient also came back to the big hospital, but the "no diagnosis, no substantial treatment" the case for reflects the grassroots doctors medical quality and theoretical level?

"Title evaluation test is a kind of ability examination, is bound to have a quantitative standard, take an examination of the foreign language and computer used to be the things simple, now you should have a new evaluation criterion, and then cancel the original standard, so as to realize the reasonable transition of evaluation standards." Li Ming said.