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Employment Orientation of Clinical Practitioners: Is it worthwhile to switch from clinical to ultrasound?
operating duty
The main work of ultrasound department is not only inspection, but also inspection.
Ultrasonic examination items commonly used in clinic are divided into four categories: 1. Heart 2. Blood vessels (cervical blood vessels, arteriovenous blood vessels of lower limbs, abdominal blood vessels) 3. Abdomen (liver, gallbladder, spleen, pancreas, kidney, uterine appendix, bladder) 4. Small organs (breast, thyroid) 5. Gynecology 6. Obstetrics 7.
Routine examination includes outpatient service, ward and daily physical examination.
Special examination item: 1. Neonatal head examination, anorectal examination, contrast-enhanced ultrasound examination, fetal heart examination.
In recent years, ultrasonic intervention has developed rapidly, and new projects have been carried out continuously. Hospitals in various regions pay close attention to the time layout. Ultrasound-guided puncture biopsy, fluid aspiration, catheter drainage and mass ablation are routinely performed for diagnosis and treatment. Through suction, intubation, drug injection, microwave laser radio frequency therapy and other operations, some surgical operations can be avoided, and the effect equivalent to that of surgery can be achieved, with accurate guidance, no X-ray damage, simple operation and low cost.
Wages and remuneration/benefits
Compared with the imaging diagnosis doctor, the ultrasound doctor's work is much harder and his salary is relatively high. In the top three hospitals in a first-tier city like Guangzhou, the salary of ultrasound attending doctors can reach about 20,000, and other cities will fluctuate here.
With the cancellation of a series of medical reforms such as drug addition in July 20 17, all kinds of examination expenses, including ultrasound examination expenses, have dropped a lot, so the income of ultrasound department has also dropped a lot, which will naturally affect the salary and welfare of ultrasound doctors. However, in order not to let the salary drop, the ultrasound department will always think of various ways, and the final result is that the salary will rise instead of falling, so as to be worthy of the hard work of the ultrasound doctor. Among them, the big killer of ultrasound department is to increase the proportion of ultrasound intervention.
Ultrasound intervention in minimally invasive surgery is a surgical project, and the cost of surgical projects is rising in the new medical reform, so is ultrasound intervention. At the same time, this is also very reasonable. Because a surgical ultrasound intervention is only a few hours at a time, more patients have to stand all day, just like surgery. Now, all hospitals emphasize performance. The most basic performance of ultrasound department is the quantity and quality of examination. Ultrasonic inspection depends on the level of the operator. Skilled doctors have done several cases, but you, a young doctor who just entered the department, haven't finished any. At first glance, the salary level is definitely different. Young doctors should not rush to become more patients and greatly speed up the examination. In case of misdiagnosis, it is a matter of life and death. If you don't write the report carefully, the quality controller in the department will find out and deduct your salary. In addition, there are various ways to improve department performance. There are many ways to increase your income, such as giving lectures, winning prizes in competitions, publishing papers and so on. Among them, the most cost-effective is to publish a paper. According to incomplete estimates, the reward for publishing Chinese core journals is about 10,000 yuan, and the bonus for publishing SCI is higher. If the impact factor is above 10, I'm sorry, you are a big ultrasound, and you can't run away from the future department director.
The above is the employment direction of clinical practitioners: is it worthwhile to turn from clinical to ultrasound? I hope it helps you. Small partners who pass the 2020 clinical practitioner examination can register with reference to the 2020 management measures for the registration of clinical practitioners and become real clinical practitioners. Finally, I wish you all a smooth pass in the exam. Come on!
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