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从医学生到医生,路有多长?(聚焦·住院医师成长追踪(上))

2017-08-04 04:31:46   中国青年网

“要把规培生当学员,不是免费劳动力!” 中日医院副院长姚树坤说,实施同等条件同等待遇,奖金基本工资严格实行同工同酬。本院住院医师的待遇由医院承担。社会招收培训对象和单位委派培训对象的绩效工资,均按照本院住院医师的标准统一发放。

中日医院教育处副处长王君告诉记者,住院医师每月的绩效奖金,由其轮转的科室,依据月考核量化评分进行二次分配。中日医院住培年平均绩效奖金为6.48万元,医院每年为每名住院医师平均自筹绩效工资3.27万元,基本实现同工同酬。

学员待遇是住培制度最受争议之处。对于住培人员在住培期间的待遇,国家有明确规定,由中央财政、地方财政、培训基地、派出基地共同出资解决。中国医师协会今年年初对全国559家住培基地的专项监测显示,有部分培训基地对住培人员的补助仍然偏低,部分培训基地没有实现同工同酬,部分基地对社会学员补助仍然较低。

近年来,中央、地方多途径增加对医学教育投入,累计投入136亿元支持住院医师规范化培训制度建设。30个省份对住院医师规范化培训给予财政投入,10多个省份提高了本省医学类专业生均拨款标准,医学教育投入不足的问题正在逐步缓解。

带教老师愿意教吗?

学生主动学,老师就会更用心教。尽管教学费比较低,但带教老师出于责任心,还是肯付出心血

从去年起,北大医学部8年制学生张琪在北大人民医院妇产科参加住培。第一次夜班,她就遇到一例子宫内翻的病例,这是一种分娩期少见而严重的并发症,如果不及时处理,往往会因休克、出血导致产妇死亡。让张琪感到幸运的是,这是全院历史上的第二例,产妇最终抢救成功。

北京大学人民医院妇产科主任医师赵彦告诉张琪,这是一例罕见病例,要注意留下影像,写成个案。赵彦说,不少住培学员连手术刀都不会拿,必须从零开始。要让老师愿意教,必须自己主动学;只要学生主动学,老师就会更用心教。

“部分学生基础较差,临床操作动手机会少。”北大人民医院外科住培基地主任医师朱凤雪感到无奈,只能从最基本的操作教起,为本科教育临床实习补课。

北大人民医院急诊科医生迟骋忙得连见家人的机会都没有,父亲还专门挂了他的号,目的是让他休息一会儿。作为住培带教老师,他总想为学员开小灶,但急诊抢救的信息量大,像脑梗救治的7条信息,很多学员一次记不住。每次抢救结束后,他就会反复提醒学员,在急救中学习急救,在临床实践中提升能力。

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