What is the scope of practice of general practitioners? What is the employment situation of general practitioners?

Introduction Many people only have a general understanding of general practitioners. They think that general practitioners know everything, are good at everything, and can provide any service. In fact, this is a general overview. In the medical industry, all Physicians define it this way: general medicine is a special medical specialty that integrates biomedicine, behavioral sciences and social sciences. It is an individual-centered, family-based, and community-based health care service. It is the first line of medical care and full-process medical services. Has the responsibility for coordinating medical services and introducing patients or their families into a convenient and effective medical system. So what is the scope of practice of general practitioners? What is the employment situation of general practitioners? Below we will give you a detailed analysis from the perspective of salary, work intensity, employment analysis and professional development prospects.

1. Salary and Work Intensity

A large part of the reason why our country trains general practitioners is related to alleviating the shortage of primary medical personnel. Because treating minor illnesses such as colds and fevers in specialized hospitals, where research is supposed to be done, is actually a huge waste of medical resources. In order to establish a referral system, efforts to train general practitioners began. Not only the policies in recent years, but also the policies after that, general practitioners serve the grassroots. In order to solve the problem of serious loss of general practitioners every year, the country is also looking for ways to improve various benefits and benefits. As a general practitioner in the previous batches, the experience accumulated now is unmatched by those in the future. It is a rising industry. Then the salary level is indeed closely related to the region and hospital level, and the stratification gap is large. The following will start with the city level and hospital level.

1. General practitioners in first- and second-tier cities from second-level community hospitals to third-level hospitals or social health centers have moderate work intensity and focus on outpatient services. There is no night shift, and the latest shift is between 9 and 10 pm. This is relatively suitable for girls.

2. Working in community health service stations below first-tier cities, the work is relatively easy, and the salary is certainly not very high, but it is proportional to the workload, and does not include five insurances and one housing fund. , the monthly salary is about 2,000 to 5,000 yuan/month. For example, at a general community health service station in Shanghai, the starting salary is about 4,000 yuan/month, excluding five insurances and one housing fund, and at a community health service center in Hangzhou, it is about 2,500 yuan/month. The work intensity of the community health center mainly includes the following aspects: grasping the detailed health status of the residents in the jurisdiction, guiding patients with chronic diseases such as diabetes and hypertension on the correct diet and exercise methods; being responsible for diagnosing and treating common and frequently-occurring diseases of the residents in the jurisdiction; monitoring the residents' health status in a timely manner Signs of serious illness allow residents to receive early treatment at the onset of serious illness. In addition, post-illness rehabilitation and health care will also be transferred to community hospitals. The work includes questionnaire surveys, health record management, chronic disease management, etc. The work is slightly more trivial than that of social welfare centers and hospitals, but the work intensity is lighter.

3. State-supported policy special posts: With strong support from the state, a special post subsidy plan for general practitioners has been launched, which means that the government has set up special posts for general practitioners in township health centers in certain areas. , open recruitment is adopted, and in addition to the normal salary, there are additional special post subsidies every year. The current subsidy standard for special posts is an additional annual subsidy from the central government and the provincial government. For example, a health center in Henan Province has an annual subsidy of 40,000 yuan (excluding salary). The subsidy in poor areas will be higher than this, and the work content is not much different from the above. Moderate intensity.

2. Employment analysis and professional development prospects

1. Training system

The training program for postgraduate students in general medicine has been integrated with the training of general resident doctors. The popular understanding is that postgraduate students in general medicine have already had 5 years of undergraduate study experience. The training plan for the 3-year postgraduate study stage is mainly to rotate in large hospitals. Before graduation, they must pass different assessments to obtain a postgraduate degree certificate and a standardized training certificate. The latter is the same as the three-year standardized training certificate after undergraduate graduation. General medicine, like internal medicine, surgery, gynecology, and pediatrics, is a secondary discipline. For example, Peking University Hospital, Peking University People's Hospital, and Peking University Third Hospital are all national-level clinical training bases for general practice residents, and those who are rotating in these units There are more than 50 graduate students and residents in general practice.

During the above three years of training, postgraduate general practitioners spent 27 months rotating in tertiary hospitals. The rotation departments include internal medicine, surgery, gynecology, pediatrics, ophthalmology, otolaryngology, dermatology, rehabilitation, and traditional Chinese medicine. Department of Medicine, Psychiatry, Emergency Department. After the rotation, medical students have half a year to rotate at a community health center.

Therefore, both undergraduates who have undergone 3 years of standardized training and postgraduates who have completed a master's degree in general practice can obtain a general practitioner standardized training certificate to practice. However, township health centers and other places are still accepting a large number of medical undergraduate students.

2. Policy analysis:

Recently, the National Health and Family Planning Commission prepared and issued the "13th Five-Year Plan for National Health and Family Planning Talent Development". In accordance with the overall deployment of building a healthy China, Based on the principles of service demand, innovative mechanism, optimized structure, and improved quality, the “13th Five-Year Plan” talent plan proposes five main indicators, seven main tasks, and four aspects of institutional and mechanism innovation. Strengthening the construction of grassroots health and family planning talent teams has become a top priority, and measures such as increasing the income level of grassroots doctors and adjusting the professional title evaluation system of grassroots doctors have been proposed. At the same time, the subsequently released "Opinions on Deepening the Reform of the Professional Title System" once again put forward reform opinions on the career development of medical and health talents, and directly implemented specific methods to adjust the professional title evaluation system for grassroots doctors.

The above is the relevant content compiled and released by the editor today about "What is the scope of practice of general practitioners? What is the employment situation of general practitioners?" I hope it will be helpful to everyone. The career development prospects of general practitioners in the future are very huge. Friends can sign up to study. Not only can they help their families, but they can also engage in related professions, killing two birds with one stone.