Deputy high doctor transfer training, the title turned into a junior!

The author, Duan Xiangxiang, has been a doctor for 30 years, and Li Chu (pseudonym) did not think that he had experienced a period of experience with the lower the training titleIn 2012, physician Li Chu went from a township hospital in Northeast China for 23 years to a local hospital in Sanjia for a one-year general service transfer training, mainly in internal medicine and emergency medicineAfter studying, he returned to work in the township health hospital and will retire at the end of this yearAt that time, the state health department has formulated the "General Practitioner Transfer Training Program (Trial) for Primary Health Care Institutions (Trial)", which aims to implement the training of general practitioners in primary health care institutions in 2010-2012 and to strengthen the training of primary health personnel"At that time thought to be able to go to the Sanjia hospital to study for a year is very happy, thinking of can improve personal professional skills, but also want to further improve the title of the title," Li Chu told "See the medical profession", at that time and he studied with the studenttitle is different, he has been in 2010 to obtain the title of deputy director of internal medicine physician, he wants to further improve his professional skills and titles through trainingAfter training at Sanjia Hospital, Li Chu felt that there was a bottom in dealing with patients, and that it was not as good as before to meet some of the complex casesHe recalled that a patient came to his hospital with a CT tablet report form for infusion treatment, CT reported as a cerebral infarction, but he found that the film showed bleeding lesions, timely contact with the ct room of the higher hospital, to avoid the negligence may cause troubleIt can be said that through a year of training in the Hospital, Li Chu did improve his professional skills, but how he did not expect that his promotion of the title of the idea is already contrary to realityAfter a year of training at the local Sanjia Hospital, Li Chu's change registration records show that in 2013, the internal medicine major changed to general medicineHowever, he did not know the specifics of the "change" until 2019, when he wanted to be promoted to the title of chief medical officer, but after failing to register, he only found himself changing from deputy chief physician to junior general practitioner after changing his registration six years agoThis means that the title of the former deputy director of internal medicine, the doctor, has also been written off"The more training, the lower the (job title), what's the point of this training?" He recalls that when he first attended the transfer training, he was not told that a change of GP would conflict with the title of his deputy medical director"When the same batch of our province to participate in the general practitioner transfer training Zhang Wei (pseudonym) in 2018 when the promotion of the chief physician will be the original change of the general practitioner to the correction, " Li Chu told the "medical community", that year with his same group of doctors to participate in transfer training, and the grass-roots doctors he later trained, can raise, why they that batch can not? "If I were to start my junior year in general, it would be the equivalent of a fresh start in my life, and I'd retire in a few months, could it be?" Li Chu was very helpless and puzzled by the deputy director of internal medicine who had been "abolished" because of the change of registrationNot long ago, Li Chu in accordance with the province's introduction of "reform to improve the general practitioner training system and the use of incentive mechanism implementation program" document to the relevant departments to apply for the scope of practiceLi Chu's basis is that the relevant documents of the province point out that the management of general practitioner registration should be strengthened: all general medical professional residents standardized training, assistant general practitioner training or general practitioner transfer training qualified personnel, should be registered or changed (raised) practice scope of "general medicine professional." Last month, the office replied to Li Chu's letter on the scope of his practice, saying that the basis of the documents he had visited did not apply to himThe reply said that in response to his raised questions, this file has said that the filling is "general section", he is already the general section do not need to raiseIt should be clinical internal medicine and other majors to add general, rather than with the registered general branch to fill the internal medicine major Therefore, the request made by him was different from the content of the document and did not support his reasons But Mr Li thinks the response is biased in his understanding of the policy, because he also took part in a GP transfer training as a physician, and since the current policy can add to the general practice, so can he Even more frustrating for him, the relevant health department told him that if he sees patients with medical diseases are in the ultra-wide range of illegal practice, "I asked in February this year when the outbreak is serious, I set out hot clinic is also illegal practice?" She says strict requirements are also "Li Chu thinks their actions are contrary to national policy, and he can't accept it In fact, the General Office of the State Council issued the Opinions on Reforming and Improving incentives for the training and use of general practitioners in 2018 The Opinions clearly need to speed up the training of a large number of qualified general practitioners, and by 2020, the system of training general practitioners adapted to the characteristics of the industry should be basically established In the management of general practitioner registration, the Opinions clearly define two points: First, to encourage the relevant specialists in secondary and above hospitals to participate in the training of general practitioners, to train qualified, on the basis of the original registered practice scope to increase the scope of general medicine professional practice, allowing them to provide general medical services in training bases and primary health care institutions Second, the implementation of rural doctors in general general knowledge skills training, and planned arrangements for rural doctors to township hospitals, county hospitals and other higher-level medical and health institutions for further study, to encourage rural doctors with the qualifications of practicing (assistant) doctors to participate in general practitioner transfer training It can be seen that the provisions of the state are that specialists to participate in the training of general practitioners transfer, for the training of qualified, can be on the basis of the original registered practice scope of general medicine professional practice, rather than change However, this applies to specialists in secondary hospitals and above An industry insider told the Medical Profession that participation in general practitioner transfer standard training such as Li Chu should not be changed by the deputy director of internal medicine to junior general practitioners under normal circumstances, but should be added to a practice area That is to say, one more general medicine major should be added to the original medical practice, which is equivalent to two occupational areas of internal medicine and general medicine In this way, his promotion to the title of Director-General physician can be promoted on the basis of the Deputy Director of Internal Medicine, rather than from the general practitioner junior physician, because it is clearly unfair to the person concerned in the title, development, work The problem now is that when Dr Li chose to transfer to the training standard, he had acquired the title of deputy director of internal medicine to a junior general practitioner, so that he lost his scope of medical practice, and his personal file also removed the medical director of the medical director of the medical director of the information Since it is unfair, is there a solution? Xu Weicai, deputy director of the Health Andie Bureau of Shanyang County, Shaanxi Province, told the Medical Profession that through consultation with the local staff in Shaanxi who are responsible for the registration of medical practitioners and professional promotion of physicians, the situation can be made up, because he has obtained the qualification of the deputy director of internal medicine, and there is also material to prove that the profession can be added again, it can be added on the basis of the deputy director of internal medicine, if not added, he can only start from the whole junior title, But it is clearly unfair and unreasonable to the parties.