Some village doctors painstakingly pursue the establishment and cannot get it, and some village doctors give up after being admitted to the compilation, why is this?
In the eyes of many rural doctors, it is still good to be able to become a real staff in the township health center, with income from drought and flood protection, five insurances and one gold, low work risk, and channels for promotion.
Based on this, many rural doctors have called for the same treatment as the staff of the township health center, if there is really a chance to go to the health center to work, are you willing?
A village doctor was admitted to the health center and gave up
Recently, a township health center in a certain place has recruited medical personnel with staffing, and in order to recruit talents, the age has also been relaxed, that is, the age of practicing physician qualifications can be up to 40 years old, and the age with intermediate titles can be relaxed to 45 years old.
It can be said that once you are admitted, you are a person in the system, which is very tempting.
Dr. Zhang is a rural doctor who has been an individual for more than 20 years, and has also obtained the qualification of attending physician, becoming one of the few individual doctors with intermediate qualifications at the grassroots level.
Dr. Zhang saw this recruitment news and thought that the township health center had stable treatment, fixed working hours, no need to have no rest days like opening individuals, and every day was so hard from morning to night, and his heart also made waves.
Therefore, Dr. Zhang signed up for the exam, and with a solid foundation, he wrote a written test, interview, and physical examination all the way unimpeded, and finally entered the admission list, waiting for the notice to go to the health center to work.
After learning of being admitted, Dr. Zhang, who should have been surprised, hesitated, and after some consideration, Dr. Zhang, who had been in office for two days, gave up the "iron rice bowl" that had arrived and continued his career as an individual doctor.
Dr. Zhang gives up the "iron rice bowl"
Some of the dilemmas of the health center have been exposed
Dr. Zhang's examination and abandonment, it seems that the "unusual way" approach actually exposes some of the difficulties of grass-roots health institutions.
Individual clinics can truly achieve more work and more gains, and health centers are relatively stable
When the author asked why Dr. Zhang gave up going to work in the health center, Dr. Zhang said that although the health center is stable, the income is lower than his own, the income of the health center is simply not enough, and seeing the daily work of the staff of the health center, I feel that there is not much superiority.
It can be seen that although the staff of the township health center have a staffing, drought and flood protection, five insurances and one gold, the overall income is not high, and it lacks the flexibility of individual clinics and even village clinic doctors.
Note: In fact, in terms of real income, the income of most township health center employees is not necessarily lower than that of individual clinic doctors and village clinic doctors. It's just that individual clinic doctors eat on their own strength, who has high technology and good service, who has more patients, whose income is high.
Individual clinics can really achieve more work and more gains, which is not the same as most health center staff who do more and less, so if you consider the economic income, I think some township health center staff should envy individual clinic doctors with strong ability.
In particular, the national policy encourages the development of individual clinics, in recent years, individual clinics have mushroomed, of course, the ultimate benefit is still the people, can alleviate the pressure of difficult to see a doctor, expensive to see a doctor.
Rural public health work is more than diagnosis and treatment
At present, some township health centers are hygienic, and the professional honor of doctors is not strong, and public health work accounts for the majority. Some township health centers lack incentive mechanisms for medical operations, resulting in more clinicians engaged in public health work.
So many doctors in township health centers say that they are "not like doctors", and the sense of honor of medical personnel who treat diseases and save people is getting less and less.
In such a working environment, on the one hand, doctors who are interested in clinical work will jump jobs or be admitted to higher-level hospitals; on the other hand, the enthusiasm of employees is not high, the clinical business of health centers shrinks, and there are fewer and fewer patients. Health center positions are unattractive, and it is naturally difficult to recruit talents.
Having a staffing is not necessarily the best option
With the advent of the era of great health, in addition to the advantages of the establishment of township health centers, their operation methods and incentive mechanisms may not be as flexible as those of social medical institutions.
In particular, pension insurance can be flexibly paid, so that more medical staff pay more attention to economic income, if you feel that there is a huge difference between pay and income, it is likely to turn to the side of high economic income, which is why Dr. Zhang weighed it again and again or gave up the "iron rice bowl" in hand.
Dr. Zhang's choice also gives a wake-up call to the current rural doctors, the preparation is not an untouchable dream, you have the ability and qualifications are very likely to obtain, but the preparation is not necessarily the best choice. The same is to serve the health of the people, where can reflect your talent, then do it.
With the development of society, the influence of staffing and identity on medical personnel will only become more and more blurred, and ability is the most important.
Source: Cyberblue - Grassroots Physicians Commune Spring Breeze