It's more controversial! If the medical ethics assessment is less than 80 points, you are not allowed to apply for senior professional titles and are not allowed to be promoted!
Yiweida
Too heavy! The New Deal is out!
If the score is less than 80, it is not allowed to declare a senior title,
Recently, the Chongqing Municipal Health Commission issued the "Measures for the Evaluation of Medical Ethics and Medical Style of Medical Personnel in the Chongqing Health System (Trial)" (hereinafter referred to as the "Measures"), which requires strict regulation of the behavior of medical personnel and strengthening the construction of medical ethics and medical style.
For a long time, it has been difficult to quantify the assessment of medical ethics and medical style, and the evaluation boundaries are relatively blurred, which makes this work without standards and difficult to be taken seriously in implementation.
This time, Chongqing Municipality gave the quantification and set the score, which made people feel particularly fresh and curious.
First of all, it should be noted that the "Measures" specify the scope of evaluation for practicing physicians, practicing assistant physicians, nurses, pharmaceutical technicians, medical technicians and other health professionals in all types of medical institutions at all levels directly under the Central Government.
In other words, as long as you work in a medical institution, then you need to be evaluated for medical ethics and medical style.
The Measures set a basic standard score for each medical staff, starting at 80 points, which can be summarized as:
(1) Save lives and help the wounded, and serve the people's health wholeheartedly (10 points);
(2) Respect patients' rights and keep medical secrets and privacy for patients (10 points);
(3) Civilized and polite, high-quality service, and building a harmonious doctor-patient relationship (10 points);
(4) Abide by the law and practice medicine honestly (20 points);
(5) Treat illness and standardize medical service behavior (10 points);
(6) Take into account the overall situation, unite and cooperate, and work together in harmony (10 points);
(7) Rigorous and realistic, and strive to improve the professional and technical level (10 points).
In order to get this basic 80 points, medical staff must first do the above seven basic behaviors.
On the basis of 80 points, the "Measures" also stipulate the additional and deductible points for the evaluation of medical ethics and medical style.
So, how can you add points?
For example, if a department or individual has made significant work innovations or outstanding contributions, and has been recognized as a commendation by the relevant organ (department), 3 points will be added to the directly related personnel; Where the relevant organs (departments) have been recognized as having meritorious service, 5 points are to be added to the directly related personnel; Where the relevant organs (departments) have been recognized as having a major meritorious service, 10 points are added to the directly related personnel; 1 point will be added for each time an individual receives a letter of commendation or pennant from a patient, his or her family or unit; Where a group receives a letter of commendation or pennant from a patient, their family or unit, 0.5 points will be added to the directly related personnel. A maximum of 5 points will be added per person.
1 point is added for each case where personal advanced deeds or typical positive deeds are publicized and reported by mainstream media at the district and county level (or praised by name); 3 points will be added for each case that is publicized and reported by the municipal mainstream media (or praised by name); 5 points will be added for each case that is publicized and reported by the national mainstream media (or praised by name). Where the same deeds are reported repeatedly, the higher bonus points are to be calculated, and the accumulation is not repeated.
It doesn't matter if you add points or not, the key is how to deduct points? Alas, there are really too many deductions, such as:
1. If the patient or family member complains to the relevant department of the unit due to problems such as inadequate doctor-patient communication, poor service attitude, and failure to implement the first consultation, first question or first complaint responsibility system, 2 points will be deducted each time it is verified to be true; Where a complaint is made to a district-level administrative organ or news media, 3 points will be deducted each time it is verified to be true; Where a complaint is made to a municipal-level administrative organ or news media, 5 points will be deducted each time it is verified to be true; Where a complaint is made to a state-level administrative organ or news media, 10 points will be deducted each time it is verified to be true.
2. 2 points will be deducted each time if you do not comply with labor discipline, be late for no reason, leave early, be absent from work, leave your post, or work in tandem, and engage in activities unrelated to your own work when you go to work.
3. If the dress code is not standardized or the language is uncivilized at work, 2 points will be deducted each time; Those who do not wear their badges to work in accordance with the regulations will be deducted 1 point each time.
4. 3 points will be deducted for each time you procrastinate and lazy at work, do not obey the daily work schedule or do not complete the task on time.
5. Without approval, if you do not participate in various learning, education and training activities organized by your unit or superior department without reason, 2 points will be deducted each time.
6. Unreasonable use of drugs in violation of prescription management measures, guidelines for clinical application of drugs, clinical diagnosis and treatment guidelines, etc., 5 points will be deducted for each case that is verified to be true.
All in all, there are 16 entries for the deduction points, which can be tingling at first glance.
According to the individual evaluation scores, the results of the medical ethics evaluation are divided into four grades: excellent, good, average, and poor. Those rated as "excellent" must have a quantitative score of 95 or above, those rated as "good" must have a quantitative score of 80 or more, those rated as "fair" must have a quantitative score of 60 or more, and those with a quantitative score of 60 or less must be rated as "poor".
After the evaluation results came out, the National Health Commission emphasized and reminded all medical personnel that medical institutions should publicize the results of the evaluation of medical ethics and medical style in their own units, and link them with the promotion of medical personnel, job hiring, evaluation, performance salary, regular assessment, professional title evaluation, and teaching. Those who score less than 80 points in the medical ethics and medical style examination in that year shall not be recommended to apply for senior professional title evaluation, and shall not be promoted to the next level of professional and technical level.
The evaluation of professional ethics in the regular evaluation of medical personnel is based on the results of the evaluation of medical ethics and medical style. During the assessment cycle, if the results of the medical ethics and medical style evaluation are poor for more than one time, it will be deemed to be unqualified and handled in accordance with the provisions of relevant laws, regulations and rules.
Two highlights have caused controversy
Receiving a letter of commendation and reporting colleagues can be rewarded
Doctors are concerned that their co-worker relationships will deteriorate as a result
In the evaluation measures for medical ethics and medical style released by Chongqing, there are two points that cannot be ignored and are extremely eye-catching:
1. 1 point will be added for each time an individual receives a letter of commendation or pennant from a patient or his or her family. Where a group receives a letter of commendation or pennant from a patient, their family or unit, 0.5 points will be added to the directly related personnel. A maximum of 5 points will be added per person;
2. Where others are reported to have corrupt behaviors or unhealthy practices such as accepting kickbacks, billing commissions, or accepting patients' property and not handing it over, and the report is verified to be true, 2 points will be added each time.
There has been a great deal of controversy about these two points.
A doctor at a tertiary hospital in Fengjie County, Chongqing, could not sleep well after seeing this document, and he could not understand why there were these two bonus points.
He said: "Family praise letters and pennants are too easy to fake, and this can actually add points?" Some colleagues have a lot of ideas, I met a nurse when I was studying in Shijiazhuang before, and spent money on salted fish to find someone to write a thank you letter and mail it to the department, and the letters were all kinds of praise for her, saying how she was so good, how to treat patients like relatives, in fact, there was no such thing at all. Fortunately, at that time, this kind of praise letter had no substantive effect, so she went. But now that it is clearly stipulated that praise letters can be used as extra points, I am very worried that some medical staff will do whatever it takes to write unrealistic praise letters for the sake of their professional titles, or pay people to make pennants for their family members. ”
"In addition, 2 points are added for reporting colleagues, is this to encourage mutual reporting? Aren't you afraid of intrigue in the workplace? For example, if the two directors are to be promoted to deputy high school, in order to occupy the quota, will there be a situation of slandering each other? Even if it is not true after finding out, it will also cause harm to the doctor, because as long as the reputation is splashed with dirty water, there will be traces of it, and I am worried that this will happen, and I don't want to get involved in the workplace struggle. ”
Despite the controversy, many medical staff have welcomed the new policy.
A general practitioner from a grassroots community hospital in Jiangbei District, Chongqing, said in an interview with the People's Daily health client: "The starting point of this policy is definitely good. But we need to know what criteria are used to evaluate medical ethics? Is the judge a patient, a colleague, or a leader? Is it fair and equitable? ”
The deputy director of the neurology department of a tertiary hospital in Yubei District, Chongqing believes that medical ethics and medical style are actually a problem that every doctor should pay attention to and respond to. As front-line clinicians, especially medical staff in grassroots hospitals, not everyone is good at scientific research and writing papers, and the job of medical staff is to return to the essence of medical treatment and satisfy patients.
According to the above documents, the evaluation of medical ethics and medical style is divided into three steps, namely self-evaluation, department evaluation and unit evaluation, which involve multiple dimensions.
In this regard, Yao Jun, an associate professor at Fudan University Law School who has been engaged in health law research for a long time, said in an interview with a reporter from the People's Daily health client: "We should pay long-term attention to the issue of medical ethics and medical style, not a gust of wind, and doctors should be patient-oriented, not profit-oriented, and need to focus on altruism rather than self-interest." ”
Netizens had a heated discussion
Is this a technical title or a moral model?
Medical ethics is the first to evaluate professional titles, with a "one-vote veto" nature
Since the release of this new policy, it has received great discussion among medical personnel, and the most controversial point is: linking technical titles with medical ethics and medical style, is this an evaluation of technical titles or moral models?
An orthopedic surgeon in Sichuan said: "If the medical ethics and medical style are less than 80 points, you are not allowed to apply for senior professional titles and are not allowed to be promoted to the next professional and technical level. Medical ethics is medical ethics, technology is technology, and the two must be bound together. ”
There is a heated debate among people with different views on this issue.
The opposing side believes: "It cannot be forcibly bound, and those who make outstanding contributions to society are often talented and skilled people, and the so-called medical ethics and medical style are also felt." In fact, people who have received higher education, except for people with extreme personalities, everyone's moral character is on the same level, there is no so-called who is better than whom, who is worse than whom, and everyone has the least compassion and shame. As a doctor, it is enough to have superb skills, not to do bad things, and to be worthy of conscience, and there is no need to aspire to be a noble saint. ”
The one who agrees with it believes: "Medical ethics are a necessity for doctors, and this has been the case for thousands of years, and all good doctors have medical ethics for thousands of years, and doctors without medical ethics will not be respected by others if they have no skills." Strengthening the evaluation of medical ethics and medical style, linked to professional titles, is to remind doctors not to forget their original intentions. ”
In fact, in recent years, medical ethics and medical style have been gradually promoted to a primary position, and even played the role of "one vote veto", and a very large number of medical personnel could not pass the title review because of unqualified medical ethics evaluation.
Previously, Jiangsu Province issued a document stating that our province has revised the qualifications for the evaluation of senior professional titles in the health series, highlighting medical ethics first, highlighting ability and performance, not only qualifications, not only academic qualifications, not only papers, but also practical ability.
After the revision of the qualification for professional title evaluation, the biggest change is the "one-vote veto system" of medical ethics. The document clearly requires that the personnel who apply for senior professional and technical qualifications for health should have good professional ethics and professionalism, strictly abide by the medical ethics norms, and require the medical ethics evaluation form when declaring, and the "one-vote veto" will be implemented if the medical ethics evaluation is unqualified.
Li Gang, then director of the Taixing People's Hospital's Conduct Office, once said: "Highlighting medical ethics is the first to evaluate professional titles, so that the gold content of professional titles is greatly improved." Bad medical ethics can be vetoed as a professional title. The standard of medical ethics evaluation refers to the measure and basis of the good and evil medical behavior of medical personnel and the advantages and disadvantages of their effects on society, and is the concretization of the moral standard of good and evil in medical and health care practice activities, which includes: advantage, self-help, justice, mutual assistance, etc.
At present, a small number of doctors lack professional ethics, and do not hesitate to treat minor illnesses for the sake of profit, prescribe large prescriptions, accept red envelopes, and even 'create patients', etc., resulting in tension in the doctor-patient relationship, and it is necessary to put medical ethics first. ”
In short, Chongqing has already taken the first step, and it remains to be seen whether other provinces and cities will follow suit.
Source: Metz Medicine
Written by: Alaska Treasure