Is Pei Pei and the doctors of our hospital the same as the general trend?

Any kind of rules for the treatment of students are aligned with the employees of our hospital. Will other hospitals keep up?

Written article | Li is not empty

Source | "Medical Community" public account

Recently, a reform measure of Peking University People's Hospital has aroused widespread discussion in the industry.

According to the official public account of the hospital, starting in August 2022, the basic award of clinical students/trainees will be fully implemented.

Specific include:

Basic Awards: At present, the amount of basic bonuses in the staff is 3,000 yuan/person (if more than half of the month of the month is not on the job, the basic bonuses must be deducted throughout the month), students and students participating in clinical rotation will be distributed equally.

Performance Award: The rotation department evaluates the level of posts according to the training grade and posts of students/students. According to the department's performance award distribution principles and the benefits of the month, the department's performance award of various students/students reached the performance award of the residents of the capital academy in the same year.

Annual Award: In February 2022, the final award has been issued the same quota to students and students.

Covering range:

The commissioned residents, independent training inpatients, and communist specialists recruited by the People's Hospital of Peking University;

Rotating other departments of the hospital (non -person personnel department) in resident physicians and specialists in our hospital;

Student students at the second -level disciplinary stage of the People's Hospital of Peking University.

···

In short, any of the rules of the rules of the nature will be aligned with the employees of our hospital. The news quickly attracted the attention of the doctors, and the author's circle of friends alone had seen a lesson of reposts of less than 20 times.

The People's Hospital of Peking University said that the equal pay system of the same post is the same as the same as the same as the same aspect, including basic awards, performance awards and year -end awards. Participate in clinical work in the same post in the same department, and to harvest the same labor remuneration. This is the true recognition of the hospital's clinical rotation students, inpatients, and specialists.

With the stricter of supervision, the treatment of social regulations in recent years has improved significantly. In some hospitals with strong profitability, it can indeed realize the salary of the inpatient of the hospital. But mentioning the special masterpiece treatment is so high, in the author's impression, Peking University People's Hospital should be the first.

For a long time, the poor treatment benefits have almost become the industry consensus. Although the relevant groups have complained constantly, they have not set off too much waves. The main reason is that it is both a doctor and a student. Under the incentives and temptations of graduation certificate, degree certificate, and regulatory certificate, even if you pour money, there are no shortage of people who are willing to enter the pit.

Based on this, the opinions of the reform of the People's Hospital of Peking University became two levels of differentiation.

The majority of colleges and regulations are naturally agreed with their hands. They are basically at the age of 23 to 26 years old. The pressure of establishing a family business is also in front of them. No one is willing to miss the opportunity to improve treatment.

"It is a doctor when I work, and it is a student when I divide the money." This sentence was widely circulated in the special masterpiece circle.

Xiao Chen, a special master of the Three -A Hospital in Shandong, told the author that the current operation of the hospital is extremely dependent on the rules. Some of the attending doctors can not touch the computer for several consecutive months, and divide the work of writing cases to the master's masterpieces. Some courageous teachings even give the night shift full power to students to deal with it, and go home to sleep.

"So I 100 % support the reform of the People's Hospital of Peking University, and the treatment is on the one hand. It is more that my dedication can be recognized and respected."

Regarding this statement, a Beijing attending physician Lao Sun gave different views--

"I do not deny that some teachings have exploited students. I also agree with appropriate subsidies to a special master within a certain range, but I personally think that the practice of Peking University People's Hospital is a bit aggressive."

She believes that the majority of specialty and regulations cannot do "same work" with the doctors of our hospital at all. In this case, forcing "homesickness" will cause another unfair.

"Imagine that you are a teaching and training task in addition to your job. If the trainees are in trouble, you need to take responsibility. In this case, the treatment of teaching and students is not much different. Is this reasonable? ? "

The author believes that the reality is indeed the case. In this reform, everyone gave more attention to "homogeneity", but ignoring the "same job and same work" behind it was the real foundation. As Dr. Sun said, fairness is relative, and he must be judged from a more macro perspective, otherwise it will be lost and eventually lost.

The Peking University People's Hospital clearly considers this level, and its new policy clearly proposes to evaluate the students' posts. However, it is still in the exploration stage, and how to wait for the follow -up situation.

So aside from fairness, whether this reform is universal in the country.

In this regard, the author's point of view is not yet.

Judging from the current reality, the annual funding of the central government is not enough to support the treatment of doctors' treatment, and its gap also needs to rely on local finance and hospital income to make up. The People's Hospital of Peking University is located in the capital and is also attached to the top universities in China. The conditions of these two alone fully show that it does not have replication.

But this does not mean that other hospitals do not need to make changes. When communicating with a medical reform expert, he revealed that the implementation of the standard and track system to the qualified hospital saves a lot of labor costs each year. The masterpiece does not cause much pressure on the hospital.

This is essentially a matter of concept. It is not considered a real doctor in essence whether the social rules are cultivated or specialized. Just like the little grandson in Shandong, the treatment is one aspect, what they really need is respect. According to a rational analysis, the reform of the "same -post" reform of the Peking University People's Hospital may be difficult to promote, let alone extensive promotion. But it is like a "signal", which indicates the direction of future development.

This is not good for the Chinese medical community.

Come and vote ~

Source: Medical Community

Editor: Wang Hang

School pair: Zang Hengjia

August 13, 2022

The 3rd "Taishan Award" awards event

Will be held in Shanghai

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