After 3 years of regulatory training, the general doctor returns to the grassroots: someone is the secretary, and some people become the director of the science

After the rules, how about them?

After the rules, they went to the township. Four years later, some of them became the secretary of the party branch of the township health centers, some became the director (person in charge), and some became famous doctors.

Recently, a number of major professional residential and training bases in many three hospitals across the country held a standardized training ceremony for the standardized training of hospitals. After three years of training, what impact will these new forces bring medical skills and ideas back to the grassroots level?

"Grassroots Medical Voice of the Medical Circle" connected several first -time national rural orders for free medical students. In 2018, they ended 5 years of medical undergraduate studies and standardized training for residents in residents. Based on the signing agreement, they became a service What are the changes in the healthy grassroots doctors in rural people?

Bring a more standardized operation

What changes have been experienced in actual work after asking for regulatory training?

Mr. Cui is one of the above -mentioned students. After graduating in 2018, he went to work in a township health center in Gongyi City, Henan Province. Based on his own experience and the experience with his classmates, he summarized the four major changes to the township diagnosis and medical treatment:

Consultation. In the past, when some doctors in the township and township hospital were visited, they had headache and foot pain, and only one disease. For example, someone took the antihypertensive medicine, and the patient may leave the patient. Will try to find the cause of these people, see if there are complications, observe the effect of the medication, and notify the clear review time.

Ward management. First of all, a strict housing system has been established. Even if some township hospitals do not have senior titles, they must establish a attending physician to take the inpatient and other systems. In the past, a small number of people's medical records were not habitual (avoiding some medical safety incidents); grasping the inpatient indicators more strictly, so that medical resources were used more efficiently.

Health management. The healthy mission is heavier, and the habit of letting the people understand common diseases and prevent common diseases; actively cooperate with family doctors (first -level village doctors) to visit home, check the lives of patients, and find the cause of the disease from life.

Hospital development. When I came back from the Three Hospital, I saw the wide range of sick sources and a wide range of crowds. It played a guidance or think tank role in participating in the construction of the characteristic departments.

Skills and thinking have been widely used

In Du Siyuan's view, the benefits of re -training are more in terms of confidence and thinking.

After graduating from undergraduate, Du Siyuan had worked in the township and sanitary home for a short time (internship) for a while, and then he continued to participate in the three -year regulation. Compared with the changes in the two stages before and after, he said, "After the end of the rules, as a attending physician or a high -age resident, he is more attentive. The medicine is all about it. "

What affects him the most is the establishment of all -scientific thinking. For example, the symptoms are mainly complained. If the patient says dizziness, the common treatment (diagnosis) at the grassroots level is a disease caused by cerebrovascular disease or cervical spine problems. However, after experiencing regular training, after the establishment of all -scientific thinking, it will be considered from various perspectives such as blood vessels, vestibular nerves, endocrine, and psychology. During the actual diagnosis and treatment, Du Siyuan had admitted several dizzy patients. After he was diagnosed with otolith, he was properly handled by reset.

In the opinion of Mr. Cui, after the training, more learning methods are brought to the grassroots.

"Especially with the guidance of evidence -based medicine, I learned to guide the clinic with the content of guidelines and literature." Cui Gao gave an example. This story is also listened to the classmates. When the debridement is sutured, many people in the township hospitals I am used to "take a iodine, pick it up, and get over again", and the correct practice should be "cleaning the skin with sterile gauze to fill and cover the wound ...", which has a strict process.

"Undergraduate graduates are like a piece of white paper. After experiencing standardized training, the road to medicine is much better; if you go to grass -roots hospitals first, learn some irregular operations, and then correct them. The loss is also irreplaceable. "President Cui said.

Correct negative thinking

The above -mentioned students were trained at the First Affiliated Hospital of Xinxiang Medical College. This is also the only provincial -level three -level university affiliated hospital in the country in the country.

In 2018, the former Henan Provincial Health and Family Planning Commission settled the Henan Provincial Institute of Medicine and Henan Provincial Medical Humanities Education Research Center.

"The first hospital of the new doctor has a generous cultural heritage, and its" Yaibai Spirit "moves us." Du Siyuan said that seeing so many well -known experts rooted in the county, but he was unwilling to leave. Choose rooting grassroots, instead of thinking that "big hospitals and good hospitals are the right choices."

Many medical students always reflect poor treatment and mixed work. President Cui said, "Miscellaneous work, these two words are not accurate. The director cannot let you take your courier every day, right? If you think of the pattern and write medical records as a miscellaneous work, it is the attitude of learning."

"I think the opportunity is to show it first and then fight, and the practice in the process of training is also. Only when you show the sterile operation, process, and precautions to the teachers with teachings. Fuck, otherwise who dares to take this responsibility? "

After taking root in the grassroots level for several years, the first batch of medical orientation represented by Du Siyuan and others had a broad space. Taking him as an example, after he was at the grassroots level, he was hired as the assistant to the dean, and later served as the vice president. Now he is the party branch secretary of the Hanku Township Health Center of Wancheng District, Nanyang. "Especially thanks for the good policy today, from the institutional, staying to others to feelings." A group of medical students are now glowing and fever in various important positions at the grassroots level.

Source: Primary Medicine of the Medical Community

School pair: Zang Hengjia

Responsible editor: Song Kunlun

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