On August 25, the whole nation is unified hold exam of qualification of doctor of course of study is formal start shooting. Pass the medic that takes an exam this only, after this just has practise medicine qualification, also ability is qualified go taking " doctor hold industry letter " . A lot of people are easy " hold certificate of qualification of doctor of course of study " and " doctor hold industry letter " confuse, both have why to distinguish?
Doctor of VS of doctor qualification certificate hold industry letter
Unite through the whole nation hold qualification of doctor of course of study takes an exam or hold the letter that exam of qualification of trade assistant doctor obtains cries " hold certificate of qualification of doctor of course of study " , also cry " doctor qualification card " , what lay a plan namely is red this. This certificate is united by the whole nation extend, the whole nation is effective, belong to respect of medical treatment technology approbate, certifiable the qualification that holds a witness to have independence to undertake medical treatment activity and medical ability, and if did not violate problem of compasses practise medicine, certificate is permanent and effective.
That " doctor hold industry letter " what be? It belongs to the certificate of practise medicine qualification that pledges locally, extend by local health bureau, what lay a plan namely is green this. This certificate allows to hold a witness to be in designation hospital practise medicine, set practise medicine range, once hold a witness to appear in practise medicine process,violate compasses problem, namely by revoke hold industry letter. If hold working unit of the witness to produce change, also want to get this letter afresh.
Former Ministry of Public Health and bureau of medicine of doctor of traditional Chinese medicine allotted 2001 " about the doctor hold course of study registers in hold the provisional regulation of limits of course of study " in have specific provision: The doctor undertakes hold the category that course of study registers must be a basis with obtaining the category of doctor qualification. The doctor obtains two lawfully or of qualification of doctor of two categories above, except individual situation, can choose a category to reach only among them a corresponding major serves as hold limits of course of study undertakes registered, be engaged in hold industry activity. The doctor must not be engaged in hold course of study registers limits beyond of other major hold industry activity.
Since the country has specific provision, so if an internist does appendix,excise an operation, dentistry doctor undertakes diagnostic waiting to belong to illegal practise medicine to disease of department of gynaecology. Strictly speaking, the doctor that obtains paediatrics aptitude only just has authority make a diagnosis and give treatment paediatrics patient. But actually, many adults wait in surgery of a lot of hospitals, endocrine division there also is a lot of and paediatrics patient in section office. Are these doctor make a diagnosis and give treatment then paediatrics patient cross the border? How should the doctor hold practise medicine border? How should be the hospital done again? 2018 society of the 3rd China does cure and forum of hospital management height " circle night word " -- medical affairs grows special performance everywhere: New meritorious service of medical treatment quality and security slightly in, the following experts expressed his view:
Particular case is particular analysis
Yang Xuesong of assistant dean of medical treatment of hospital of Beijing University international says, qualificatory card and hold industry card is two card, from hold tell on limits of course of study, the children patient that does not belong to undergraduate course room is belonged to by make a diagnosis and give treatment of doctor of undergraduate course room " illegal hold course of study " . Listed and should specific what circumstance, for example emergency call, no matter hold what is limits of course of study, it is OK to want a course to groom only. Additional, a lot of specialized subjects need to consider professional characteristic and ability, for instance transmissibility disease, have as a child, and have adult show to adult hind. If rigid provides 16 years old of the following patients,must look paediatrics, patient family member also can be complained, and not all hospital has paediatrics corresponding perhaps specialized subject. Must list a particular case so, doctor of family of the adult below what circumstance can treat paediatrics patient, and can not look below what circumstance.
Yang Xuesong of assistant dean of medical treatment of hospital of Beijing University international
Be in charge of an orgnaization again, provide a person gently
National Wei Jian appoint medical treatment of bureau of canal of cure politics cure and nurse Zhang Wenbao of department section chief thinks, the country should be in charge of an orgnaization again, provide a person gently. He thinks, whole medicine education is a Yo of science and education, doctor later period hold again the redivide after course of study, thorough groom. If the doctor trades an unit, change a field, the course grooms certainly and medical education foundation is possible. But doctor after all able what, should decide by him hospital, produce the initiative of the hospital adequately, let a hospital carry duty, liberate the doctor, is not to pass law, administration to wait for those who restrict a doctor hold limits of course of study.
National Wei Jian appoint medical treatment of bureau of canal of cure politics cure and nurse Zhang Wenbao of department section chief
Cannot do one knife to cut, successive, develop slowly
Beijing assist with the hospital education is in section chief, endocrine science and education to award Pan Hui to think, cannot do one knife to cut, for example oneself do endocrine, encounter transmissibility metabolization ill patient constantly, need lifelong treatment. If one knife is cut, 16 years old of above put in an adult 's charge endocrine division is treated, 16 years old return below paediatrics treat, that goes against the patient's cure, also go against the doctor understanding to patient patient's condition. It is with endocrine division exemple, endocrine patient can get endocrine family, can mix paediatrics condominium. Because paediatrics capacity is insufficient, secrete a disease internally diagnose have defective. If be nephrosis, can cooperate with kidney internal medicine. Just the hospital wants those who strengthen admittance follow-up to groom, management, avoid random elephant. If,show level strict lay off a bounds, must carry out strictly below what circumstance, so a lot of medical establishment must close. So standardization needs successive, need time.
Beijing assist with the hospital education is in section chief, endocrine science and education to award Pan Hui
The spot still has a medical worker to think, present doctor hold course of study is fore-and-aft differentiate according to major, such differentiating unscientific, should transverse differentiate according to layer class. For example, take " hold card of qualification of doctor of course of study " hind, can be engaged in internal medicine, paediatrics wait for a variety of foundation section office, but after taking operation aptitude, can be engaged in surgery, so transverse one goes taking testimony the likelihood is a few more scientific.
On April 18, 2018, national Wei Jian appoint come on stage " point of system of core of safety of medical treatment quality " , emergency treatment of specific already provision, emergency call does not suffer hold estate category, hold the limitation of limits of course of study. Vice secretary of hospital of Beijing University tumour holds Xue Dong of medical affairs section chief concurrently to sum up, doctor qualification proof must want to take, this is lawfully hold the red line of course of study. "The doctor that lets rely on chart does the thing that relies on chart " , no matter what do, want to accord with the connotation that medical treatment quality manages.
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