Train in medicine of township: Look for the outlet in the predicament

Train in medicine of township: Look for the outlet in the predicament
Should really produce the rural doctor and safeguard peasant's healthy function, the education, training of the rural doctor's vocational skills becomes around the topic that is not made. Our publication sends out" the rural doctor, are you satisfied with the training accepting " After the advance notice of the topic, the rural doctors of all parts have discussed them to feeling and experience in the rural doctor is trained at present one after another, the relevant person has participated in discussing, giving an idea too. --The talents exchange service center of Ministry of Public Health of the editor of our publication motor a mere roc flies Question page The not proper result of the training method is not good enough in recent years, the rural doctor's training time when educates and number of times on the job obviously increase. Talents exchange service center of Ministry of Public Health, Chinese rural hygiene association and Dalian medical university has carried on on-the-spot study on training current situation of the rural doctor in long male genital and Pudong, Shanghai of Fuling of Chongqing, Hubei. According to the typical investigation to 172 rural doctors, 75.58% of the rural doctors accept the time for training for over two years totally, only 5.81% of the rural doctors accept totally training time is fewer than one year. But in the investigation, we find the training method to the rural doctor is owed the norm, most training that direct against the rural doctor is in the health clinics in towns and townships " By taking the place of and training" Or is defending the school to train for the main fact, often the shortcoming not systematic, unstandard exists in this kind of training, it is examined that the result of training is scarce too. Without 172 rural doctors whose condition participated in off-the-job training and is investigated, mean age is 43.3 years old, among them account for over 35 to exceed 1/3 over 74.4%, 50 person. According to rural actual conditions, it is very small that the rural doctor over 35 is temporarily released from one's regular work while enteringed, majors in the possibility of the education in the institution of higher learning. To most rural doctors, are released from regular work for study not having feasibility. Because the rural doctor's serving amount is great, the task is heavy, add the economic reason, make them unable to participate in and are released from regular work for study. It is difficult for training scheme not to unify generally, rural the intersection of doctor and team have the intersection of age and wear out, the intersection of education and low, the intersection of knowledge structure and the intersection of person who wear out and problem. In addition is influenced by factors such as economy, the society,etc., knowledge background and engineering level of the rural doctor are different. So, it is difficult to make the unified rural doctor's educational training scheme, can only combine the actual conditions of all parts and suit measures to local conditions, teach students in accordance with their aptitude, make education training scheme and measure which accord with the rural doctor's actual demand according to the actual conditions of the rural doctor. Demand page Want to improve the education and obtain qualification <> propose by 2015 rural area is rural reach doctor by levels with above special secondary academic credentials all wanting, among them, 85% of the rural doctors finish the transformation to the assistant doctor of the operation. But reality leaves the goal have disparity greatly. At the end of 2007, in 880,000 rural doctors in the whole country, junior college and the above education person only account for 4.08%, have education or quite horizontal accounting for 68.02% of special secondary school, still have medical specialized education that nearly 1/3 of the rural doctors have not passed the system. Therefore, continuing education and training of the rural doctor still need to further strengthen. On the other hand, in the personnel in the clinic of the village, operation (assistant) The doctor only accounts for 12.47% of the rural doctor. So, the rural doctor is to the operation (assistant) The doctor's transformation needs realizing by continuing educating and training too. Hope to improve the medical skill to find in the research of the job ability to the rural doctor urgently, the overall qualities of the rural doctor of overwhelming majority are on the low side. For example make a diagnosis and give treatment, plan immunity, infectious disease preventing and cotrolling, basic drug use in frequently-occurring disease of common disease, relevant the intersection of hygiene and understanding, emergency deal with, check and rate, mother and child care, health education, slow the intersection of disease and the intersection of person who manage and respect of regulation, the average of 172 rural doctors polled is for 56.46 points (divide into 100 points fully) ,Explain the rural doctor's professional knowledge skill and employ ability to be deficient, need further strengthening training. The rural doctor's job ability is closely related to education. The investigation finds, the rural doctor's ability with the professional education is higher than not having the rural doctors of the professional education notably, have operation ' Assistant) Rural doctor of doctor's qualification, ability is higher than the person who holds rural doctor's credentials notably too. " the engineering level needs improving " Become the rural doctor's urgent hope, " professional training " It is they that settle down the second condition of the post work. These show, the rural doctor has realized the shortage of one's own knowledge ability, there are strong demands on education and training. Propose it is the education of the rural doctor of the task of top priority that one expands the channels that educational, training should proceed from reality of current situation, characteristic and rural socio-economic development of the rural doctor's team, outstanding suitable foring, practicability, and break through to some extent, innovate to some extent. Want many departments to cooperate - -Rural medical education and training are a system engineering, need many departments such as education, hygiene, finance, personnel to cooperate. Among them, the responsibility that health authorities should bear more rural hygiene manpower and train, make the corresponding support policy in training of the rural doctor. To the knowledge skills training of the rural doctor, can rely on and cure to learn to go on in the universities and colleges. The form should be flexible - -The cultivation of the rural doctor, can adopt " the village come to the village to go " Or " the township comes to the township to go " , specially train qualified talents for the village clinic. The school had better run in the locality, the local work that not only can save resources help students go back after graduating but also. To the training of medicine of township on duty, can take ways such as the teleeducation, teaching by correspondence, personallies instruct, is released from regular work for study, to the organization of higher level to receive a training,etc. respectively. To the young rural doctor, can hold and is temporarily released from one's regular work the study class; To the rural doctor not leaving the post or older for the moment, can try to run training methods such as educational class and elastic length of schooling, the credit system class on duty,etc.. Develop teachers resources and the suitable teaching material - -Link from head to foot, set up in a wide range of teachers resources, build a suitable teachers' team. In being all right and the intersection of institution of higher learning and Mr. subject, arrange specially certain amounts of teachers bear to train strip to teach the task, the special messenger trains the rural doctor specially. And fully utilize " Three goes to the countryside " , " ten thousand doctors support the rural hygiene project " Doctor, going to the countryside before be promoted doctor,it is and local and medical resources such as doctor Weies clinical common of health organ,etc., help and educate the rural doctor. In addition, should also proceed from the hygiene service demands and rural doctor's current situations of rural different areas in our country, make education and training to plan, develop the suitable teaching material. Pay attention to the knowledge in respects such as using medicine and villager's health control,etc., skills training rationally. Arrange Write the analysis of cases of a common disease, frequently-occurring disease and case teaching material of the public health, also very necessary.

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