The system of promotion of doctors needs to be reformed urgently! 4 suggestions made by CPPCC members

The tendency of promotion of title to "only the sistos" has been widely criticized by the industryAt this year's two national meetings, the National Committee of the Chinese People's Political Consultative Conference (CPPCC), the Chairman of the Zhejiang Provincial Committee of Agriculture and Industry, and the former Vice-Chancellor of Zhejiang University, Luo Jianhong, brought "proposals on improving the evaluation system of professional and technical titles of clinicians", suggesting that the medical system should break the trend of "only thesis, only scientific research"busy at work to see a doctor, busy after work paperIn recent years, the community's call to break the title evaluation "only the paper" status quo has been constantlyThere have been doctors complaining: "As a surgeon, the standard of evaluation should be how well the operation is done, how many critically ill patients have been saved, but the actual criteria is how many papers are sent, how many factors affect." "Doing a thousand operations is better than publishing a paper, and this "weird phenomenon" confuses many doctorsMay 21, Luo Jianhong in an interview with the "Yu News" said that at present, China's senior doctors of the evaluation criteria of scientific research projects and papers (even SCI papers) as a necessary condition, while relatively ignoring the doctor's clinical diagnosis and treatment level, ability and so onThe tendency of promoting "only scientific research" leads to doctors pursuing scientific research indicators one-sidedly, while ignoring the professional nature of "cure and save people"Luo Jianhong believes that competing for projects, doing projects and sending papers has sacrificed a lot of medical services and the time to train young doctorsInevitably, the proliferation of low-quality scientific research output, more serious will lead to academic misconduct, the sale of papers and other circumstances, he said, in recent years, several international journals concentrated withdrawal of manuscript cases, domestic institutions, hospitals are the hardest hitLuo Jianhong believes that not all doctors are suitable for scientific research, most doctors should spend time and energy on the treatment and rescue of people, some of the doctors interested in scientific research, can be combined with clinical research, but scientific research can not be tasked with stuffing to doctorsLuo Jianhong pointed out that scientific research, especially experimental research, requires well-equipped laboratories, adequate time, funding and team members, most doctors do not have such conditions, so they should be encouraged to focus on continuous research and high level of service to patientsfor this reason, Luo Jianhong put forward the following four suggestions:first, the medical system to break the "only thesis, only scientific research" tendencyThe relevant system should clearly stipulate that scientific research projects and papers should not be regarded as a necessary condition for clinicians to be promoted, but should focus on the comprehensive assessment of the doctor's clinical service capacity, level and contributionthe second, university or medical colleges to affiliated (teaching) hospital situated research development and personnel classification management to do a good job of top-level designOn the basis of ensuring the orderly operation of the basic system of doctor's profession, the system structures the clinical scientific research system, including encouraging some doctors to develop clinical and research dual-track into doctors and scientists, and promotes the high-quality scientific research innovation of clinical medicinethird, suggested that the Ministry of Human and Social Affairs reform professional and technical job system, do not engage in a "one-size-fits-all" four-level system, the establishment of more in line with the characteristics of the medical industry technical post hierarchy For example, reference can be made to the international practice, the doctor's technical post categories and grades and vocational training, clinical work qualifications and assessment directly linked, such as residents, attending physicians and specialists, the simultaneous establishment of a more reasonable system of doctor severity, discarding the disadvantages of additional assessment fourth, this work into the Ministry of Education and the National Health and Health Commission of the important work of the coordination of medical education content Improve and improve the evaluation of universities and hospitals, establish a more reasonable index system, and effectively reflect respect for the professional characteristics and basic rights and interests of doctors, and create a better external environment for hospital reform and development in fact, the optimization of the title evaluation system is almost every year the two sessions will mention the old-fashioned problem, even in peacetime, the community to break the paper "SCI first" the call is very strong In February this year, the Ministry of Education and the Ministry of Science and Technology issued "Several Opinions on Standardizing the Use of Relevant Indicators of SCI Papers in Higher Education to Establish a Correct Evaluation Orientation", which made clear demands for breaking the "SCI First" of the paper Opinions point out that there are one-sided, excessive and distorted use of SCI papers in the current scientific research evaluation, which requires standardizing the relevant indicators of SCI papers in various evaluation work, encouraging comprehensive evaluation methods combining qualitative and quantitative, and exploring the establishment of a scientific evaluation system opinion clearly requires the optimization of the job title (job) evaluation method "In the job title (job) evaluation, to establish a classification of the evaluation index system, the focus of the investigation is the appropriate, not the SCI paper related indicators as the direct basis for job title (job) evaluation, as well as as as the pre-conditions for the recruitment of personnel." 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in the specific implementation, the document also requires the implementation of the supervision and inspection: the implementation of weak, there is a serious "only the paper" problem of the relevant universities, research institutes, etc., to take interviews, notification of criticism and other ways to deal with and order rectification, during the rectification period suspended the national science and technology project special funds for the unit's publication of the support Strengthen the training and guidance of consulting and evaluation experts, and correct the phenomenon of "only the papers" in the project evaluation "All of this reflects the country's determination to improve the status quo of job title reviews (Edited from "News", Ministry of Education official website, etc.)