After eight years of hard work in medicine, why did he get his Ph.D. and give up medicine?

Text . . . The fate of Wu Wei a person ah, of course, to rely on self-struggle, but also to take into account the process of history.
he finally graduated in 2020, and although he studied medicine for eight years, he did not choose to go to medicine, but to enter a foreign medical imaging company.
just joined the job a week, talking about the company life of Xinqi, his tone is cheerful, "very happy, can leave work on time every day, the treatment is very good!" "If he follows the path of medical treatment, after graduation he should receive regular training in the hospital (resident training for 2-3 years) and earn less than half of his monthly income.
8 years ago, Luo He with a high college entrance examination score, reported to the Shanghai University School of Medicine eight-year system, not only their school, when the eight-year medical students admission score, in various medical colleges are ranked in the forefront of various majors, enrolled the best batch of high school students.
-year system conforms to the general trend of upgrading the level of medical personnel in China, and has indeed participated in the historical process and made great contributions.
2002, more than 60% of China's more than 1.46 million practicing physicians had college, secondary and below degrees, and 0.6% had doctoral degrees, not more than 9,000.
14 colleges and universities with eight-year medical majors since 2001, there are now more than 10,000 graduates in 12 years, more than the number of PhDs before 2002.
Rohe enrolled in the school, or eight-year glory moment, the first two or three graduates have just started work, "the department to come to an eight-year system, the director's eyes are light," a doctor described the situation.
luohe and his classmates, most of them can get a doctorate three years in advance.
understand the future, think that studying medicine is in the clinical treatment of people, high-score eight-year graduates in the future in the big city of Sanjia hospital to find a position is certainly not a problem.
, however, the situation became very fast.
scientific research ability in the evaluation system of doctors accounted for more and more weight.
's once advantage - three years in advance to get a Ph.D. - turned into a disadvantage, less than three years of scientific research training, "eight-year Ph.D. is really not as good as the 5-3-3 scientific research-type Ph.D. to be seen", Luo He lamented, which is also an important reason why he gave up medical treatment.
has let the director "two eyes light" of the school leaders, school sisters, because of the lack of scientific research results, promotion is limited, and some may even become "the rule of the million years."
this year, graduates who didn't flee like Luo He were looking for work, and didn't even get a chance to be "lighted up."
the time of admission: the year 2012 was the 12th year that the eight-year system was rolled out across the country.
internationally, as the most developed country in medicine, the United States has medical education only at the graduate level, and students need to complete four years of undergraduate studies in any major in order to continue their studies.
doctor needs to study for four years to get a doctor's degree.
academic doctors need to read PhD for 4-5 years on top of MD.
, they all need to go through a certain number of years of standardized training for residents.
first to practice the eight-year system in China was the Beijing Concord Medical College.
In 1917, with funding from the Rockefeller Foundation of the United States, the Beijing Concord School of Medicine was founded with reference to the Johns Hopkins University School of Medicine in the United States, and since its infestion, its clinical medicine major has been only eight years old. in the early years of
, Concord Medical College produced a group of medical Thai-level figures, including Zhang Xiaoxuan, Huang Jiaxuan, Lin Qiao-zhi and Zhu Fuxuan, known as the "Four Kings" of Concord, Foreign, Women and Paediatrics.
medical students who graduated from the Chinese Association of Medical Associations account for almost half of China's modern medical history.
2001, the former Ministry of Health and the Ministry of Education jointly issued the Outline for the Reform and Development of Medical Education in China, which clearly proposed the gradual development of the long-term school system.
same year, Peking University Medical Department opened an eight-year major, which has since expanded to 14 universities.
this time, the number of doctors in China has been quite a lot, but among medical practitioners, college education and below accounted for the majority, the quality of medical services still need to be greatly improved.
There was a detail in the media at the time, and several doctors who took the clinical practice test for physician qualification wore surgical clothing that wore the tether in front, not behind the back like regular surgeons.
the proctor asked why? A: That's always been the way it is.
to meet the need for higher levels of talent, coupled with those years, just when China's public hospitals began to expand, eight-year medical students become "scented".
Lynch, who also enrolled in 2012, can feel the school's tilt toward eight-year resources from a fresh start, such as the fact that eight-year medical students enjoy more mentor resources and do not take up their mentorships when they choose mentors.
doctorates in just eight years, which is the envy of other medical students around them.
The next eight years were spent like this: the first four years were like a continuation of high school, with classes with classmates every day, the fifth was a clinical internship, the next two years were clinical rotations between different departments of medical school-affiliated hospitals, and the last year was spent doing research and writing graduation papers.
Luo He's first four years is the same, general education and basic medical education for him to lay a clinical knowledge base, he likes to listen to the teacher in the classroom to explain how to solve difficult cases, cure a patient let him feel a sense of accomplishment and value, he will also become a good doctor as a guigui.
didn't realize that the outside world was already changing before they started school, and that change would determine their future.
last three years: only to discover that the world has changed since around 2010, scientific research results in the hospital evaluation system is becoming more and more important. The logic behind
is that it is difficult to evaluate the clinical level of clinicians, and the scientific research level, including the number of articles published, cumulative influence factors, number of citations, fund levels and quotas obtained, is relatively easy to quantify the evaluation.
with a variety of hospital rankings, quantifiable scientific research results have become a baton.
entered the hospital after that, the threshold of education rose, some big cities, almost all of the hospitals in Sanjia as a hard standard.
This is also related to the improvement of the level of talent, M.D. is no longer scarce, so the recognition of eight-year students decreased year by year, "I am located in a hospital in Fudan ace department due to the poor performance of the past eight-year students, has no longer enrolled eight-year graduate students," a doctor in WeChat public number "Little Zhang Chat Research" such a record.
until his sixth year of college, Lynch finally recognized the reality and published a paper that met the graduation requirements, "only graduate, not employment."
he began to feel anxious, which continued for the rest of the three years.
that year he chose a mentor and began a two-year clinical rotation, a professional field of Dana, but also a triple-A hospital department director.
in addition to eight-year students like him, there are also five-year undergraduate, three-year master's degree, three-year doctor all the way up to the students.
the students were three years older than him and had more clinical and scientific experience.
graduation, Lynch needs to compete with them for the chance to stay in the department and stay in the hospital.
is also a PhD, and no one cares if you're a Clinical PhD or a PhD, they're going to ask you for the same set of criteria, that is, published articles.
" in the process of rotation of various departments, Lynch encountered a very strong clinical ability but because there is no scientific research results can not be promoted to the title of "long-term old doctor" (the attending physician), but also encountered the early clinical ability of general, focused on scientific research, and then Ping step Qingyun deputy director, chief physician.
the experience of his predecessors has awakened him - clinical ability can be improved by experience, and scientific research must be achieved at a young age, and basic medical trials may only be conducted at a more focused and continuous time before formal work is done.
Lynch began to be able to objectively recognize his own school system: the only advantage of the eight-year system is short years, and the other side of this advantage is also a disadvantage, in the existing evaluation system for hospitals and doctors heavy research and even SCI theory, compared with other ph.D.s, because the time of scientific research is compressed, eight-year medical students have no competitive number and quality of articles at hand.
enter the hospital, doctors with high score (influence factor) articles are more likely to apply for natural subjects in China, thus giving them the advantage of promotion.
An eight-year employment status and job satisfaction survey of eight-year students in clinical medicine published in January 2020 shows that the employment satisfaction of eight-year graduates is low, except for job stability and the way colleagues get along, the satisfaction of other indicators does not exceed the middle (3 points), and shows a trend of higher seniority, lower satisfaction, of which the working environment and work income are the least satisfactory.
from the paper "Survey on the Employment Status and Job Satisfaction of Eight-Year Students in Clinical Medicine".
is also the sixth year, Luo He selected a section director as a mentor, really began to do scientific research projects, but found himself unable to start.
like most new scientific researchers, Luo He has not yet independently proposed a subject, the research topic is given by the tutor.
teacher assigned the subject to Luo He and explained it roughly, the follow-up design experiments and practical work need to be done by himself.
not only the tutor has no time to guide, Luo He also did not have the same door brother and sister can consult, scientific research rookies have to play alone strange upgrade.
first "monster" is how to design experiments, Luo He studied a Chinese and Western medicine combined direction of the subject, there is no English literature for reference, and because the angle of the subject is very novel, the relevant Chinese literature is also very few.
the time to actually experiment, a second "monster" appears, and higher levels of neurological knowledge, statistical knowledge, and experimental techniques need to be learned from the beginning.
that time, no help, self-study slow progress, so that Luo He "self-confidence has been hit."
Luo He lamented that scientific research training is a step-by-step process, the goal of the master's stage is to be able to complete a given project and the implementation of the test plan, the doctoral stage should have the ability to design the subject independently, design experiments.
" eight-year system of the first five years and other undergraduates in the curriculum is almost no difference, but in the next three years, directly into the requirements of the Doctor, without pre-training, students' scientific research ability must not be enough.
: How hard is it to find a job without an article on hand? Looking back now, it was almost during that dark time of scientific research that Luo He decided on the wrong doctor.
, who still has a doctor's dream, has a more intuitive understanding of how hard it is not to have an article on hand when looking for a job.
Interview, the candidate sat down to chat, the first topic is, you sent a few articles, a few (refers to the journal's influence factor, generally divided into several grades, 0-3 points; 3-5 points; 5-10 points; 10 points or more, the higher the impact factor, the better the paper).
", people read out the scientific research-oriented doctor on hand has seven or eight points of the article.
" Lynch explained that to find a more desirable job, you need to hold at least one article around 5 points, at a time when Lynch, who has switched directions, lacks relevant articles.
interview professor for Lynch in all aspects of performance is quite satisfied, academic background is good, interview performance is also very good, the previous mentor or industry leader, but "there is no article", the professor said very directly.
he thought the hospital was hopeless, but fortunately the results were good.
began to reflect on his past eight years, "should have been in contact with scientific research from a young age", which he summed up the lesson.
he also believes that this is what schools should do, "if the reality requires such a value to scientific research and articles, then the school should let students have the awareness to do scientific research as soon as possible."
"" depends on what you test and what you need in your job.
" a graduate of concord eight-year doctor told eight o'clock health, according to Concorde's school system, the last eight months are for scientific research time, but then began to put into scientific research is certainly too late.
Most students have advanced the time to find a tutor to start scientific research, and most of the students in school today are enrolled in two and a half to three years, that is, just completed the general education of medical pre-medical science, they have begun to find tutor guidance to do the topic of writing.
at least half of all eight-year graduates have published SCI papers this year, according to a teacher at concord medical school's faculty.
medical schools are aware of this, and many medical schools have begun to adjust their eight-year training programs and the requirements for scientific research results upon graduation.
The year Lynch graduated, Lynch's medical school adjusted its eight-year training program, reducing the length of clinical rotation, expanding the time spent on research, and strengthening the level of research requirements for graduates.
, Shanghai has also introduced a clear policy of standardized training years after graduation.
for eight-year students, the two policies complement each other, and the core is to give them more time for scientific research, while moving clinical practice to standardized training after graduation.
But for Lynch, as a transition generation of policy change, it seems to have become the "worst one", with extended benefits for scientific research not being enjoyed, then the time for clinical training being stretched, and the age advantage reflected in the eight-year system being weakened by the short age.
The Ministry of Education is strengthening coordination with the National Health And Wellness Commission and the Chinese Academy of Engineering, and has set up a special project to systematically study the requirements for the training of eight-year medical education to provide a basis for the reform of the eight-year education training model in schools, said Lin Yuqing, chairman of the committee of medical education experts of the Ministry of Education and a former vice-minister of the Ministry of Education.
" medical student training can not engage in semi-sectional engineering, to design eight-year education and post-graduation resident training matching and convergence.
", the eight-year system has affected the fate of tens of thousands of medical students for nearly two decades, before the new reforms were launched.
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