What requirements are mentioned in the "Opinions on Reforming and Improving the Incentive Mechanism for the Training and Use of General Practitioners"?

A few days ago, the General Office of the State Council issued the "Opinions on Reforming and Improving the Incentive Mechanism for the Training and Use of General Practitioners" (hereinafter referred to as the "Opinions"). The "Opinions" pointed out that accelerating the training of a large number of qualified general practitioners is of great significance for strengthening the construction of primary medical and health service systems, promoting family doctor contract services, establishing a hierarchical diagnosis and treatment system, and maintaining and improving people's health.

The "Opinions" put forward the work goals for general practitioner training. By 2020, a general practitioner training system that adapts to the characteristics of the industry will be basically established, and the incentive mechanism that adapts to the development of general medical talents will be basically sound. The attractiveness of the profession has increased significantly, and there are 2-3 qualified general practitioners for every 10,000 residents in urban and rural areas. By 2030, there will be 5 qualified general practitioners for every 10,000 residents in urban and rural areas, and the team of general practitioners will basically meet the needs of building a healthy China.

The "Opinions" require that the incentive mechanism for the training and use of general practitioners should be reformed and improved from three aspects. The first is to establish and improve a training system for general practitioners that adapts to the characteristics of the industry. Colleges and universities carry out general medical education for all medical majors and strengthen general clinical internships. General practitioners who have teaching potential and meet the requirements can be appointed to corresponding professional and technical positions as teachers. Expand the recruitment scale of standardized training for general professional residents (hereinafter referred to as residential training). Support general hospitals designated as residential training bases to independently set up general medicine departments and jointly train general practitioners with grassroots practice bases. The second is to comprehensively improve the professional attractiveness of general practitioners. Promote the performance-based salary reform in primary medical and health institutions so that the salary level of primary-level general practitioners is consistent with the salary level of clinicians with equivalent conditions in local county-level general hospitals. General practitioners with a bachelor's degree or above or qualified residents who work at the grassroots level can be openly recruited through interviews, organized inspections, etc. For general practitioners who have been trained and qualified to practice at the grassroots level in rural areas, "county management for rural use" and "township management for village use" can be implemented. General practitioners with a bachelor's degree who are qualified in residential training and work at the grassroots level will be treated the same as clinical master's students in terms of personnel recruitment, professional title promotion, job appointment, etc. Encourage social forces to organize general clinics. Non-profit general practice clinics enjoy the same treatment as government-run primary medical and health institutions. The third is to strengthen the team building of general practitioners in poverty-stricken areas. Increase targeted free training and continuing education and training for on-the-job personnel. Expand the implementation scope of the general practitioner special post plan and appropriately increase the financial subsidy standards. After passing the residential training and obtaining the intermediate professional title, those who have worked continuously at the grassroots level in rural areas in poverty-stricken counties for 10 years can directly obtain the deputy senior professional title after being assessed.