Free training program for rural order medical students

All provinces, autonomous regions and municipalities directly under the Central Government, Education Department (Education Committee), Development and Reform Commission, Health and Family Planning Commission, Finance Department (Bureau), Human Resources and Social Security Department (Bureau), Administration of Traditional Chinese Medicine, Education Bureau of Xinjiang Production and Construction Corps, Development and Reform Commission, Health Bureau, Finance Bureau, Human Resources and Social Security Bureau, Lanzhou University:

20 10 the national development and reform commission and other departments started the free training of rural order-oriented medical students. In order to implement the Guiding Opinions of the State Council on Establishing the General Practitioner System (Guo Fa [2011] No.23), the Guiding Opinions of the National Health and Family Planning Commission and other seven departments on Establishing the Standardized Training System for Residents (National Health Science and Education Development [2013] No.56) and the deepening of medical cooperation by the Ministry of Education and other six departments,

First, continue to implement the free training of rural order-oriented medical students.

Focus on training health personnel engaged in general practice for township hospitals and medical and health institutions below. Free medical students are divided into 5-year undergraduate and 3-year junior college, with 5-year undergraduate as the major and clinical medicine and traditional Chinese medicine (including ethnic medicine, the same below) as the major. The training work is mainly undertaken by local colleges and universities that hold medical education. The 3-year program is mainly aimed at medical and health institutions below township hospitals and medical and health posts in township hospitals in underdeveloped areas. Its training, use and support policies are implemented with reference to the relevant provisions of undergraduate free medical students. The training work is inclined to concentrated contiguous destitute areas and key counties of national poverty alleviation and development. Provincial health and family planning, traditional Chinese medicine, human resources and social security, and financial departments shall determine the number of targeted units and posts in the next year before June of last year 1 1 according to the local rural health team construction and development planning and demand, and jointly with the provincial education administrative department, put forward the demand quantity plan for all kinds of free medical students; Provincial health and family planning, Chinese medicine, development and reform and other education administrative departments determine the schools to carry out free medical student training, and the provincial health and family planning, Chinese medicine administrative departments and education administrative departments jointly sign free medical student training agreements with the schools.

Second, do a good job in enrolling free medical students.

As a targeted employment enrollment plan, the order-oriented training plan is included in the annual enrollment scale of ordinary colleges and universities. Candidates who apply for the free medical targeted employment enrollment plan must participate in the national unified college entrance examination that year, and implement single-row volunteering, single batch setting and single marking. Undergraduate programs are enrolled in batches in advance, and higher vocational programs are enrolled in batches in advance. Free medical students enroll students in the whole province (autonomous regions and municipalities) where colleges and universities are located. In principle, only rural students are enrolled. Within the scope of candidates who meet the filing conditions, students in the county where the post setting unit is located will be given priority. When the number of students is insufficient, the unfinished plan can be re-announced when the colleges and universities collect volunteers in the same batch, and candidates will be admitted in the order from high score to low score according to the collection requirements until the plan is completed. Free medical students at the undergraduate level supported by the central government are compiled separately in the enrollment source plan. The nature of the plan is "free medical orientation". Free medical students must sign an employment agreement with the training school and the county-level health and family planning, human resources and social security administrative department where the targeted employment is located, and promise to serve in the targeted rural primary medical and health institutions for 6 years after graduation. Free medical students' household registration remains in the original household registration place during their school days, and they can move into the targeted employment place according to relevant regulations after graduation.

Three, the implementation of free medical students training funds

Free medical students are exempt from tuition and accommodation fees and subsidize living expenses during their studies at school. Tuition and accommodation fees shall be in accordance with the charging standards set by the local price department. The standard of living allowance is determined by the provinces (autonomous regions and municipalities) according to the actual situation, and the required funds are implemented by the provincial finance in the medical and health expenditure. The state enrolls about 5,000 free undergraduate medical students majoring in clinical medicine and traditional Chinese medicine for township hospitals in the central and western regions every year, and the central government subsidizes them, and will adjust the subsidy standard for each student in a timely manner. The per capita funds of free medical students are allocated normally.

Fourthly, reform the talent training mode of free undergraduate medical students.

According to the characteristics of rural medical and health services, we should deepen the reform of the training mode of rural free medical undergraduates and strengthen the education of honor and responsibility for students to serve the grassroots.

(A) to improve the free medical education personnel training objectives. Cultivate the needs of the development of rural medical and health undertakings in China, have good professional ethics and strong health awareness of serving the grassroots, master solid basic medical theories, basic knowledge and basic skills, and initially have the basic diagnosis and treatment ability to solve common diseases, frequently-occurring diseases, infectious diseases and endemic diseases in rural areas, as well as the relevant public health service ability. After graduation, through the standardized training of general practitioners, we can obtain, use and retain high-quality general practitioners in rural primary medical and health institutions.

(2) Optimize and adjust the teaching content and curriculum system. According to the requirements of rural medical and health services, we should optimize the curriculum, make overall arrangements for basic medical courses and clinical medical courses, promote the organic combination of basic medicine, public health and clinical medicine, strengthen practical teaching, incorporate practical teaching into the curriculum system, increase the teaching contents of diagnosis and treatment of common diseases, frequently-occurring diseases, infectious diseases and endemic diseases, common diagnosis and treatment techniques of traditional Chinese medicine (ethnic medicine) and family planning techniques, and strengthen the cultivation and construction of general medical concepts and professional quality.

(3) Strengthen the cultivation of clinical ability of free medical students. Reform the clinical practice teaching system, implement the early clinical, multi-clinical and repetitive clinical teaching plan, strengthen the capacity building of grassroots practice teaching bases, and give priority to the construction of general practitioner clinical training bases in university affiliated hospitals that undertake the task of training free medical students. Increase the internship and probation time of free medical students in county-level hospitals, community health service centers, township hospitals and county-level public health institutions.

Five, do a good job in the employment arrangement of free medical graduates.

After graduation, free medical students shall report to the corresponding county-level health administrative department according to the directional employment agreement signed before enrollment, and the primary medical and health institutions shall sign employment contracts with them in accordance with relevant regulations, handle relevant procedures and implement contract management. Free medical graduates can flow between rural primary medical and health institutions within the county administrative scope with the approval of the county-level health and family planning administrative department within the service period stipulated in the agreement.

Six, actively carry out free medical students after graduation education and training.

Free undergraduate medical graduates are required to participate in 3-year standardized general practitioner training and 2-year assistant general practitioner training after reporting for employment. During the training period, personnel management, treatment, funds and other policies shall be implemented in accordance with relevant regulations. Those who sign up for standardized training of residents or assistant general practitioners and obtain the certificate of standardized training of residents or assistant general practitioners will participate in standardized training of residents for 3 years or assistant general practitioners for 2 years, which will be counted as 6 years' service. Clinicians who have obtained the certificate of standardized training for residents and reached the standard of degree awarding may apply for postgraduate education with the same academic qualifications and be awarded a master's degree in clinical medicine or traditional Chinese medicine. Free medical graduates are required to take the doctor qualification examination, and those who pass the examination are registered as general practitioners or assistant general practitioners according to relevant regulations. During the service period of free medical graduates, the doctor's practice certificate indicates that the practice place is limited to township hospitals and village clinics. Those who participate in the standardized training of residents or assistant general practitioners during the service period shall be registered in accordance with the relevant provisions of registration management.

Seven, strengthen the employment performance management of free medical graduates.

Free medical students who can't graduate should be refunded the education fee reduction and living allowance they have enjoyed according to the regulations; If graduation is postponed, the relevant training expenses for continuing the school year shall be borne by the students themselves. Free medical students who fail to work in rural primary medical and health institutions as agreed after graduation and participate in standardized training of residents or assistant general practitioners should return the education and training fees and living allowances they have enjoyed, and pay liquidated damages according to regulations. The specific measures shall be formulated by the provincial health and family planning, Chinese medicine, education, finance, human resources and social security departments. The provincial health and family planning administrative department of traditional Chinese medicine is responsible for the performance management of free medical graduates in this administrative area, and the performance is included in the doctor's integrity management, and the record of breach of contract is published and recorded in the personnel file.

Eight, improve the free medical graduates career development policies and measures.

Free medical graduates working in rural primary medical and health institutions can be promoted to intermediate titles one year in advance after registering as general practitioners. Professional title promotion can relax foreign language requirements in accordance with relevant state regulations, and there is no hard and fast rule in the paper. The number of patients, the quality of service and the satisfaction of the masses are important factors for the promotion of the professional titles of free medical graduates. For free medical graduates who work in rural grassroots medical and health institutions according to the agreement, the competent department and the local grassroots medical and health institutions should implement the relevant wages in accordance with national policies and provide necessary working and living conditions and revolving housing. Free medical graduates who have obtained the certificate of standardized training for residents are given priority in the special post plan for general practitioners. When carrying out or participating in all kinds of business training, priority should be given to free medical graduates and they should be encouraged to continuously improve their business ability. For free medical graduates who have served for 6 years and are willing to continue to work in primary medical and health institutions, their units should be appropriately inclined in the distribution of performance pay. Free medical graduates who have served for 6 years are given priority in open recruitment in urban public hospitals and community health service centers under the same conditions.

Nine, strengthen the organization and leadership of free medical students.

All relevant regions, departments and institutions of higher learning should further fully understand the important role of free medical education in the construction of primary medical and health service system, regard this work as an important part of deepening the reform of medical and health system and the reform and development of schools, formulate specific implementation measures in light of local conditions, increase investment, strengthen management, train and transport high-quality medical and health personnel for primary medical and health institutions, and effectively improve the service capacity and level of primary medical and health institutions. Provincial health and family planning, Chinese medicine administrative departments are responsible for coordinating the implementation of free medical graduates; The provincial human resources and social security department is responsible for the personnel transfer of free medical graduates; The provincial finance department is responsible for the implementation of relevant funds. For the free undergraduate medical students trained in the central and western regions with the support of the central government, the relevant provincial development and reform, human resources and social security, health and family planning, traditional Chinese medicine and education departments shall report the implementation of free medical students' employment to the higher authorities before June 10 of the graduation year.