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What do you think about this?
Recently, a doctor posted a complaint about the hospital's performance allocation, which caused a small sensation.
Some colleagues bluntly said: I admire the courage of this doctor, at least he dares to say his inner thoughts and grievances.
Dazhang read the doctor's post and summarized the general content, as follows:
1. Uneven distribution between clinical and administrative.
The hospital has to take 90% of the department's earnings, leaving only 10% for the department to distribute by itself, which means that the distribution of the performance income cake, the proportion of administrative and clinical is 9:1.
In recent years, clinicians have worked tirelessly on the front line, and the administration has to get a piece of the pie when sharing performance, resulting in the disproportion between the contribution and income of clinicians, and they have been criticized. Although everyone will complain to each other, and countless times on major platforms on the Internet to call on all walks of life to see the current status of the doctor's existence, there are few people who are so rigid as hospital leaders, which is also the most fundamental reason why this doctor's complaint will attract attention.
2. Uneven distribution between health care and care
The hospital takes 90% of the performance income, and only 10% goes to the department, and the 10% has to be given to the nurses, and only 30% is left to the doctors. One can imagine how low the doctor's performance is.
Third, the distribution among the doctors in the department is also unfair
With only 10% of the performance remaining, nurses take 70%, and doctors earn less, and in this less distribution, there is also a large gap between doctors and doctors.
It stands to reason that the rest of the money should be divided equally among the 3 doctors, but according to the department's regulations, 10% of the 30% must be taken out, and each doctor must get 30% of it, and the remaining performance, whoever receives more patients from the 3 doctors will share it with whomever it wants.
This means that there are doctors who can get very low performance, even worse than interns.
The doctor said that a person who does not have a doctor's qualification certificate gets twice as much as himself, so he might as well not participate in anything and just become an intern.
He even bluntly said that he only wants a basic performance, and if he can't even meet this minimum requirement, then apply for a transfer to another department.
The doctor's complaint stung the eyes of many of his peers.
I believe that everyone has a deep experience, in their daily work, the doctors around them have morality and medical ethics, and they are wholeheartedly for the sake of patients, but when they encounter unfairness, they always retreat step by step, hoping that their concessions can bring some stability to themselves, and for this stability, even if they lose the most precious things they once had, they will not hesitate.
After a long time, everyone is numb, as long as the knife is not on their neck, they can act as if nothing has happened, such a situation makes people helpless.
Along with the doctor's complaints, there is also the frequent resignation of another "post-00" doctor.
It is understood that the young doctor has resigned from the hospital for the third time since graduation and left. Her resignation and departure brought a great shock to many peers and surprised everyone.
From the doctor's post, I learned that she had only been in this hospital for a week, and she liked the atmosphere of the department very much, and the seniors in the department took turns to keep her after knowing that she was leaving, but she also decided to leave because she couldn't stand the high-intensity working hours of the hospital.
In the post, the doctor explained why he quit three times.
The first resignation was in the respiratory medicine department of a tertiary hospital, which had no vacation for 365 days, had to go to the hospital every day without special circumstances, had a study seminar every week, and the meeting ended at one o'clock in the morning. After that, the department also has academic meetings twice a week, and there are other large and small meetings in the hospital from time to time.
Although I know that the hospital and departments hold frequent meetings to allow everyone to communicate and learn, this kind of meeting obviously takes up a lot of everyone's rest time. The doctor bluntly said that this working state made her very uncomfortable.
The second resignation was from a private hospital, and when she arrived at the hospital, the leaders of the backyard attached great importance to her, and sent her out to study, with one day of rest a week, and the time was relatively free, but the only bad thing was that the hospital was in arrears of wages, until the hospital owed her salary of 79,000, she resigned decisively.
The third is the hospital that is currently resigning. The reason why she chose this second-class hospital was because her friend told her that the second-class hospital was not on duty on Saturdays and Sundays, so she didn't need to go to the hospital.
But later I learned that the hospital had a new director, and it was stipulated that the shift should be at 8 o'clock on Saturdays and Sundays, and all medical staff must be present. The department where he is located is a 4-shift system, and the doctors on duty 24 hours need to accept new patients and consult. Line 1, leave work at 12 noon, and generally finish handling your own patients at about 14 o'clock;
This way of working was also unacceptable to the young doctor, so she chose to resign and leave again after seven days of employment.
Some colleagues said that they could not understand the frequent resignation of young doctors, and that if they did not want to work 365 days a year, why did they apply for medical school in the first place? If they did not have a mine at home, they should still be persuaded to settle down.
However, some colleagues expressed their support for the young doctor's approach, bluntly saying that she did what she did not dare to do, and the working hours of the hospital were unreasonable. As a doctor, it is my job to treat diseases and save people, but everyone is also flesh and blood, with seven emotions and six desires, you need to rest when you are tired, you need to replenish energy when you are hungry, you need comfort when you are sad, and you need to vent when you are irritable.
In fact, whether it is the doctor who complained about the unfair distribution of performance at the beginning of the article, or the young doctor who frequently leaves his job, they all represent the cowardly us.
To tell the truth, it is nothing new for young doctors to dare to speak out and leave decisively when they encounter injustice, so they will not consider whether it is an iron job bowl in the system, a job they don't want, or whether it is something that others can't ask for. In response to this phenomenon, some people jokingly called it "the post-00s rectification of the hospital workplace".
Some people say that they can't understand the "post-00s rectification of the hospital workplace", because in everyone's stereotype, people in the medical system should be obedient and conservative, which is different from those who dare to speak and do in society.
But no one ignores that whether it is in the medical system or other types of work, everyone has a temper.
Imagine a young doctor, who was originally harder than other majors when he was an undergraduate, and was often overwhelmed by heavy academics, and had to face an oversized employment environment after graduation, or chose to take the postgraduate entrance examination, trying to make himself easier, but found that he still had to be trained after graduation, and the income from regular training was not satisfactory. This is a very cruel trial from body to mind for most medical students.
Finally, I finally got through to the main treatment, and I had to carefully deal with all kinds of complex relationships in the industry, and I had to adapt to the general environment and keep my head down.
It is precisely because people who have been tempered since they went to school and who have entered the system as soon as they graduate dare to "scare people," "complain," and "put things on the table"? This is something that many senior doctors cannot understand, and people who were supposed to be a group of little sheep have turned into wolves that can bite people, and this makes many people incomprehensible.
I remember a medical graduate student once said such a sentence, which impressed me very deeply: "Work is to support yourself, if you are happy, you will stay, if you are not happy, you will leave, everyone is a working child, whether it is a doctor or a nurse, whether it is a senior or a junior, who is more noble than whom?"
Source | Love and love medicine