Release date: 2014-11-26
If there is no post-employment experience, university teacher Jiang Chengpeng may not know the rural people's desire for rural doctors.
In 2010, Jiang Chengpeng, a young teacher in the Department of Medicine of Ya'an Vocational and Technical College, was sent to the Health Bureau of Baoxing County, Ya'an City, Sichuan Province to serve as the deputy director, in charge of medical administration. When he went to the village for research, he found that many villages did not even have a village doctor, let alone the village clinic. The highest degree of education in the village doctors he knows is secondary school, and the age is generally too large.
The Ya'an Vocational and Technical College, which is based on Ya'an, radiating the surrounding, facing the grassroots and serving the people's livelihood, has made several discussions with the local government and decided to launch an exploration in the field of rural medical reform.
Who will be a village doctor in the future?
A certificate issued in 1976 was quietly hung in a simple village clinic in Baoxing County. The certificate marks the identity of the old man, which reads: "The award to the barefoot doctor, advanced individual Zhang Guangjie: You are barefoot."
Today, the rural doctors group faces difficulties such as backward knowledge structure and older age. Due to the poor conditions of the village clinics and the general lack of village doctors, this group faces an embarrassing situation.
According to the 2012 data survey, the township health centers in Ya'an have a total of 1,621 staff members. The total number of township hospitals in the city is 2,076 and 455 are empty. The city should have 871 village clinics, 503 village doctors, and 368 village doctors. After deducting 300 people during the three-year period of natural attrition (retirement, resignation, etc.), the gap in rural integrated health technicians totaled 1,123.
However, the existing personnel are far from meeting the needs of the rural people's medical and health services. The shortage of health talents has become a major factor restricting the development of rural health in Ya'an.
Who will be a village doctor in the future? During his time in Baoxing County, this issue has been hovering in Jiang Chengpeng’s mind for a long time. He once tried to send doctors from the township hospitals to the village, but the township hospitals also lacked doctors, and their own operations were difficult to guarantee.
Jiang Chengpeng reported this situation to the leaders of the college. The college immediately decided to select graduates from the 2010 Department of Medicine to go to the areas where the village doctors were the most lacking.
The college and Baoxing County started the school-site cooperation as early as 2009, and the two sides discussed the pilot of promoting village doctors. After receiving the support of the local leaders, the County Health Bureau has set up a very attractive condition: graduates who are willing to go to the village to serve the village, after the initial assessment of the township hospitals, can be compiled into the township health center, enjoy and Township hospitals are equally rations for doctors, and they can get more than 100 yuan per month. After two years, they can return to work in townships. In the same year, after the assessment, Baoxing County tentatively selected five graduates from Ya'an Vocational and Technical College.
More than four years have passed, and five graduates have left two. One of the graduates named Dai Ning said: "In the local area, Medical Equipment and conditions are worse than expected. People are very inconvenient to see a doctor, but they are very enthusiastic and respectful to the doctor. They have a feeling for this and want to continue. Stay here."
Jiang Chengpeng is satisfied with this result. After all, it is difficult today for regular medical graduates to go to the countryside as doctors. Whoever came to be a village doctor, at least the college did an attempt that had not been done before.
In 2011, a leader of the Ministry of Health went to Baoxing County to investigate and heard about the introduction of the above-mentioned experiments. He was very interested and hoped to promote it nationwide. That attempt also became the "Baoxing model" of Ya'an Vocational and Technical College to solve the problem of village doctors.
From case trials to institutionalized exploration
As a local higher vocational college with advantages in medicine and health, Ya'an Vocational and Technical College pays close attention to the needs of people's livelihood, strives to exert its professional advantages, actively integrates into the reform of the regional medical and health system, and further promotes the deepening of the “Baoxing modelâ€.
The college gives full play to the main role of the five-party linkage school system in the "political schools outside the enterprise", and through the in-depth investigation, actively contributes to the Ya'an Municipal Party Committee and the municipal medical reform leading group. After deliberation by the relevant departments, in 2012, Ya'an City issued the “Implementation Plan for the Directional Recruitment and Training of Rural Medical Students in Ya'an Cityâ€, in accordance with “Oriented Enrollment, Oriented Training, Targeted Employment, Government Subsidy, Tuition Reimbursement, Entry into Compilation (Village Village) ), the implementation of the training program. In this regard, the government, employers, and schools jointly cultivate rural medical students' models at Ya'an City level to explore and practice.
According to the "Implementation Plan", rural oriented medical students are divided into two categories: rural medical village doctors classes, clinical medical village doctor classes.
The starting point of the former is junior high school, and the household registration must be a local household registration in Ya'an City. The latter's academic starting point is high school. Candidates are required to enter the College of Clinical Medicine through the National Unified College Entrance Examination. The College then selects some of the admitted students as rural orientation students.
This kind of system design is to hope to recruit talents from the local and to retain talents in the countryside as much as possible. This is consistent with the orientation of the school of Ya'an Vocational and Technical College, which is based on Ya'an, radiating the surrounding, facing the grassroots and serving the people's livelihood.
According to the regulations, after graduating from rural medical students, the working life in the village is 6 years. As a preferential policy, they can enjoy a living allowance of 5,000 yuan/person during their study period. The basic tuition fee during the study period is compensated in three times within 6 years after the assignment according to the standard of no more than 6,000 yuan/person/year.
Graduates first go to county hospitals to study and work for one year. After being assessed by county-level hospitals, they return to the targeted township health centers and village clinics to obtain the preparation of township hospitals.
"Our plan is to recruit 200 people from rural areas every year." Xue Zhengyi, director of the Department of Medicine of Ya'an Vocational and Technical College and vice president of the affiliated hospital, introduced. In fact, in the first year (2012), the clinical medical village doctor class eventually enrolled 100 people, and the rural medical village doctor class recruited 98 people.
In the enrollment of the second year (2013), the number of clinical medical village doctors was 132, and the rural medical village doctors were 52. Fortunately, the number of applicants for rural medical and rural doctors increased from 300 in the first year to 3,000 in the second year, indicating that this work has received great attention.
Talking about the reasons, Xue Zhengyi said that the policy came out late in 2012. At that time, the results of the senior high school entrance examination had already come out, and some students already had other choices. In 2013, with the increase in publicity, students who are willing to apply for rural medical classes can make early plans. Coupled with the favorable conditions, it has aroused the concern of many students and parents.
This is an effective way to solve the shortage of grassroots health talents.
Huang Junbo’s father was impressed by this policy. The village doctor from Datianba Township, Yingjing County, hopes that his son will rely on the policy of the east wind, "subsidiary father", so it is recommended that Huang Junbo apply for the "village medical class" of Ya'an Vocational and Technical College.
Now, Huang Junbo is the squad leader of the 2013 rural medical village doctor class. His recent goal is to apply for a national statutory assistant physician qualification certificate and continue his studies. His contract was in Tianquan County, Ya'an City. Although he yearned to work in a larger place, he first had to perform the contract – a village doctor in the village clinic for 6 years.
This is the mission of a higher vocational college located in Ya'an: since June 2012, it was identified by the Sichuan Provincial Department of Education and the Provincial Department of Finance as the 2012 “Provincial Demonstrative Higher Vocational College Construction Planâ€. Since then, Ya'an Vocational and Technical College has adhered to the principle of service, employment-oriented, relying on industry and society, and actively adapting to local economic and social development.
Ya'an Vocational and Technical College has specially designed training programs and training targets for rural medical students: the “six-in-one†general practitioners of “health, prevention, medical treatment, rehabilitation, health education and family planning technical guidanceâ€. Zhang Yiqi, a class of 2012 clinical medicine village doctors, said frankly: "What aspects of medical knowledge should be accepted, and the pressure to learn is slightly greater."
Zhang Yiqi said that the school also invited city, county (district) hospitals, maternal and child health centers, disease prevention and control centers and other medical personnel to give lectures, and students may come up with the situation that may be encountered in practice.
Now, Zhang Yiqi is intern at the Second People's Hospital of Ya'an City. "The doctors of the Ya'an Maternal and Child Health Hospital have told us about the process of filing files for pregnant women, which was used in my current internship."
Zhang Hongqi's classmate Yang Hongtan said that when he was a child, his grandfather was ill and he could do nothing. When he grew up, he wanted to help more people through his own strength. "As long as the grassroots have a need, they are willing to stay."
"The government, employers, and schools together to train students' models are more targeted and practical for higher vocational colleges. This is an effective way to solve the shortage of grassroots health workers at present." Xue Zhengyi said. At present, rural directional medical students are required to return to the township hospitals where the contract is located during the cold and summer vacations.
The person in charge of the local health department said that the gap in the medical facilities of Yasushi City is more than 300. The two rural medical students who have already accepted will meet the needs of the employers. If there are new needs, the local government will then negotiate with the school to enroll.
At the same time, Ya'an Vocational and Technical College timely followed the requirements of national health reform for the training of grassroots health personnel, reformed the traditional medical personnel training model, and built and improved the "3+2" combining three-year academic education with two-year standardized training. The assistant general practitioner talent training program and curriculum system became the first batch of higher vocational colleges piloted by the Ministry of Education's Ministry of Health's excellent doctor education training program. The college will select 20 students in the 2012 rural orientation students for two years of standardization. Training. The rural assistant general practitioner training model formed by the “three-way linkage, medical education coordination, school-related correspondence, and five-year integration†was summed up and evaluated by the expert panel of the Sichuan Provincial Health Department as a model of medical reform, a model of education reform, and a collaboration between medical education and education. Model.
The needs of the government, the needs of the people's livelihood, and the thinking of running a school, the combination of the three makes the higher vocational colleges have more room for development and stamina. This practice proves that the “Government School†has cooperated with the three parties to form a good operation mechanism for talent training professionalization, professional teaching post, comprehensive process monitoring, diversified quality evaluation, and student employment orientation. The policy advantages of the administrative department, the educational resources of the school and the market advantage of the rural health service demand have been fully exerted, and the interactive mode of cooperation between the local higher vocational colleges and the local government for win-win and sustainable development has been innovated.
(Original title: Pathfinder for rural medical reforms - seeing the way of running schools in Ya'an Vocational and Technical College from the rural medical students training program)
Source: China Youth Daily
Anesthesia Medical Co., Ltd. , https://www.jssinoanesthesia.com