ABSTRACT
Objective In order to understand the identity of medical students for the standardized training for specialists,and provide theoretical support and policy reference for it.Methods Using the method of stratified sampling and quota sampling,2 367 medical students were selected from 17 universities in 7 administrative regions of the country to carry out anonymous electronic questionnaire survey.The results were analyzed by SPSS 19.0,with methods of mean comparison,ratio constituent and Chi-square test.Results In the survey,only 231 samples had a good understanding of specialist training for specialists,which accounted for 9.8％.And there were statistical differences between different types of medical students (x2=40.5,P＜0.05) and different administrative areas (x2=33.7,P＜0.05).17.0％ of the samples have shown that they would take participate in the special training system initiatively;641 samples (22.9％) had a positive attitude towards the system,and 782 samples (33％) did not.The main reasons for non-support included low treatment (71.8％),long training time for becoming a doctor (87.7％) and the difficulty of ensuring the training quality (59.1％).Conclusion The research can shed some lights on standardized training for specialists including establishing a network communication platform to improve the efficiency,increasing financial investment,setting up a mechanism to link the capital input to training quality to ensure the treatment of trainees,exploring the training mode of combining standardization training and doctorate training to shorten the training period,reforming the personnel system and incorporating specialists training system into the promotion conditions of professional titles.
ABSTRACT
Rational distribution of health human resources that can keep,use and manage is the key process to strengthen the rural three-level health service network,and to be sure,the sense of identity plays a pivotal role in it.This study,with qualitative research of sociology and research in historic culture,analyzed the influence of the status quo of social,cultural and historical background on rural doctors as health human resource.Through the field observation and individual in-depth interview,it explored the current condition of relationship mode and interaction way behind village life,analyzed the influences of them upon health human resource,and put forward some suggestions to adapt rural culture environment,following the view of existence determines consciousness of historical materialism.
ABSTRACT
The role of general practitioners in the UK was analyzed and we found that in the UK, there was normalized general medical education system, perfect general practitioner training sys-tem, specific responsibilities and assessment index, close liaison group between primary and secondary care, strong economic supporting measures and high degree of recognition. Therefore, to deepen med-ical reform and improve basic medical service, we must accelerate general practitioners training, im-prove practice ability of general practitioners, establish the first-treatment system in community, reit-erate role of gatekeeper, enhance the payment of general practitioner and increase their sense of iden-tity. At the same time, we must strengthen the informatization construction, set up the first-treatment in the community and the patency of two-way referral system.