Second, even if you are employed, your satisfaction with your current job is not satisfactory. Among the graduates of a university in 2006, 52.9 are satisfied with their jobs and 465,438+0.2 are dissatisfied, that is, 5.9 are dissatisfied, but there is no such reality that we have to ponder over.
"The employment rate of Chinese medicine is basically in the countdown position." Liao Jing, director of the Student Affairs Office of Hunan University of Traditional Chinese Medicine, who is in charge of enrollment and employment, said frankly when asked by reporters whether the medical insurance fever will promote the employment fever.
Liao Jing analyzed in detail the reasons why graduates majoring in traditional Chinese medicine and integrated traditional Chinese and western medicine are difficult to find jobs. First of all, patients think it is inconvenient. Traditional Chinese medicine is not as convenient as western medicine, and it is not as fast as western medicine in paying attention to recuperation. Secondly, it is due to the social interest mechanism. On the one hand, the law does not recognize Chinese medicine, and there are no relevant legal provisions to regulate the treatment process of Chinese medicine. Doctors should bear legal responsibility for accidents, but it is a normal medical accident in the eyes of western medicine. On the other hand, graduates majoring in traditional Chinese medicine and integrated traditional Chinese and western medicine have studied all the courses of western medicine, but they can only take the doctor qualification certificate of traditional Chinese medicine, which greatly limits their employment scope. Third, for hospitals, western medicine is highly valued because of its nature of seeking advantages and avoiding disadvantages. Liao Jing said, a pair of Chinese medicine to patients with 30 yuan, western medicine to patients at a time of 3000 yuan, patients will feel that western medicine is much cheaper than Chinese medicine.
But I think there are many problems in the education mode of Chinese medicine specialty itself:
First of all, the three-stage teaching mode of "basic education, professional education and clinical practice" in higher Chinese medicine education mode restricts the cultivation of students' interest in professional learning and brings obstacles to the shaping of innovative ability. According to the clear division of the early and late stages, students must study basic theory and professional theory courses in school before they can enter the systematic clinical practice theory teaching and practice teaching. These two stages are divided into two independent stages, which greatly reduces the effect of clinical teaching.
Secondly, influenced by the pure biomedical model, university education often only pays attention to the teaching of professional knowledge in a single subject, but ignores the understanding of the external factors of China traditional culture and other TCM theories, and the phenomenon that students who like to learn "know it but don't know why".
In addition, it is also very important that the study of medical classics is not enough, as if the basic knowledge of Chinese medicine is not solid enough, and students feel hard when studying advanced clinical courses.
However, students who were originally majoring in traditional Chinese medicine will explain another problem when facing the reality of today's hospitals, that is, the conflict between the class arrangement of traditional Chinese medicine courses and western medicine courses. Many students report that the proportion of classic medical books and related courses in the current curriculum is too large, and many contents overlap with internal medicine and prescription science, while western medicine courses have too few hours. The graduates of Chinese medicine colleges have a low level of basic theory of western medicine, which makes it difficult for them to adapt to the clinic after graduation. Whether we admit it or not, under the current reality, most graduates from Chinese medicine colleges have to undergo basic training in western medicine after entering the hospital, and basically they have to go to western medicine hospitals for more than one year to improve the clinical diagnosis and treatment level of western medicine. In fact, from the perspective of a Chinese medicine college student, I think this is the "sadness" of Chinese medicine college students caused by the current situation that cannot be changed.
Finally, there is one point that cannot be ignored, that is, the current teaching of traditional Chinese medicine ignores the teacher's inheritance model. For thousands of years, the mentoring model has been dominant in the history of Chinese medicine education, and now it has been replaced by the specialist education model. However, it is indisputable that most doctors in history began to accumulate medical experience from the time of the aristocratic family of traditional Chinese medicine, and medical books were often regarded as precious and confidential by doctors, thus forming various factions from generation to generation. Apprenticeship education has made great contributions to the cultivation of talents and the preservation and development of traditional Chinese medicine.
Although there are all kinds of problems and disadvantages, and the reality is so harsh for graduates of Chinese medicine, as current students and future graduates of Chinese medicine colleges, we still have to explore a feasible and suitable employment path step by step.
As students themselves, the most important thing is to establish a correct concept of career choice. Starting from the national conditions, starting from reality, going to some grass-roots departments and regions that need themselves most to find their own useful places is not only conducive to their own development, but also conducive to the realization of their own values and social values.
In the social aspect, we should vigorously create an all-round public opinion atmosphere and establish entrepreneurial values recognized by the whole society. The establishment of the concept of graduates needs not only school education, but also social influence, especially family factors. Parents and society's views and opinions on employment and entrepreneurship often change students' values and career choices, or change their behavior at critical moments. Therefore, it is very important to create a public opinion orientation conducive to grassroots construction and western construction, and to establish entrepreneurial values recognized by the whole society. We should make full use of all kinds of media, including television, newspapers, radio, internet and even street billboards, and strengthen the publicity of the national grass-roots policies, the development potential of the grass-roots and the western region, and the advanced figures emerging at the grass-roots level, so that people can establish a correct outlook on life, values, honor and disgrace and job choice.
In terms of relevant national departments and policies, governments and departments at all levels should first clarify their responsibilities, strengthen mutual cooperation and coordination, and ensure the implementation of various policies. Governments at all levels have different responsibilities in implementing various policies. Grass-roots governments have the responsibility of direct construction, which is not only responsible for truthfully reflecting the local economic level and medical and health conditions, but also making construction plans and detailed rules. The higher level government has the responsibility to guide, support and supervise the construction of the lower level government, and do a good job in the allocation of human and material resources at the grassroots level, especially the capital investment. Government departments at or above the provincial level are mainly responsible for formulating policies and regulations and allocating funds. Governments and departments at all levels should strengthen cooperation and coordination to ensure the effective implementation of various policies. For example, for graduates who volunteer to work or start businesses in the grassroots and western regions, apart from the health department, the education department can reduce tuition fees and subsidize students' living expenses during their school days, while the personnel department provides convenience in personnel transfer, job title evaluation, wages and other aspects. Secondly, effectively change the backward medical and health conditions at the grassroots level and create a working environment that can attract talents. The government has an important responsibility to guide graduates to find jobs at the grassroots level, and should actively create conditions and broaden channels. However, the infrastructure of rural health service institutions is backward at present. One is the outdated business premises, and the other is the lack of common equipment, which constitutes the objective factor that graduates are unwilling to serve the grassroots. Governments at all levels should increase investment in rural medical and health services, set up special funds, improve the material conditions of rural health institutions, and provide attractive working environment for graduates. Because the uneven economic development in different regions directly affects the local investment in primary health care conditions, it is necessary to formulate unified conditions and levels for the construction of medical and health institutions at all levels under the overall planning of relevant state departments, and the investment funds will be shared by governments at all levels. The level of economic development can only be reflected in infrastructure and comfort, not medical conditions and levels. Third, establish a long-term mechanism, improve treatment and welfare, and provide material and spiritual protection for graduates. Although the state has formulated corresponding policies to encourage graduates to serve in rural areas, remote areas and poverty-stricken areas, the specific measures are not perfect and the intensity is not enough. For example, it is stipulated that "the grading salary standard of graduates from various universities and technical secondary schools who volunteer to work in hard and remote areas and health institutions below township level can be higher than that of similar personnel 1-2". Because the original base is not high, in fact, it is tens of dollars more, so it is difficult to attract talents. According to related reports, the monthly salary of college students "village officials" in Beijing is 2000-2500 yuan, which is 500- 1000 yuan higher than that of ordinary village officials, which is quite attractive. In addition, other more attractive aspects are not involved in the regulations. In order to retain talents, we must strengthen the improvement of welfare benefits, meet the needs of talents from both material and spiritual aspects, raise wages, provide a good working and living environment and residence, and the minimum living guarantee line must reach the middle level of the provinces and cities where it is located. In addition, since personal development is also a matter of great concern to graduates, we can also take corresponding measures, such as encouraging the development of rural clinical medicine and scientific research, developing rural health services from both practice and theory, and strengthening the exchange of talents and technology between grassroots units and provincial and municipal hospitals and medical colleges.
Finally, in the final analysis, medicine is a technology, which is more specific and appropriate in the specialty of traditional Chinese medicine. That requires Chinese medicine to have solid basic knowledge and excellent clinical skills. Therefore, fundamentally speaking, the improvement of the diagnosis and treatment level of TCM graduates is the fundamental solution to the employment problem. This requires colleges and universities to combine the profound accumulation of theoretical knowledge of traditional Chinese medicine with the flexible application of clinical experience to cultivate excellent clinical talents of traditional Chinese medicine. Therefore, we should focus on reforming inheritance and education methods. First of all, on the basis of popularizing higher education of Chinese medicine, we should continue to deepen the development of the inheritance model of teacher inheritance, so that the unique inheritance model of Chinese medicine can be preserved, and pray to play a greater role in the inheritance and development of Chinese medicine in the new era. Secondly, while studying modern medical knowledge in an all-round way, we should further strengthen the study and understanding of classic Chinese medical literature and China traditional culture, so as to truly "enrich the origin of Chinese medicine" and "connect China and the West" and make Chinese medicine develop and progress in inheritance. Thirdly, we can refer to the foreign medical teaching curriculum model, combine the national conditions of our country, appropriately extend the curriculum, and increase the years of learning theoretical knowledge and clinical practice, so as to consolidate and strengthen the basic level of Chinese medicine students' clothing, just like "treating diseases for the sake of the foundation", thus answering the questions of improving enrollment, employment, clinic and so on. Here, it is not difficult to see that only by truly attaching importance to and respecting the development law of Chinese medicine can we inherit and carry forward Chinese medicine and make the foundation of Chinese medicine last forever.
Finally, I return to the question I raised at the beginning of the article. At the bottom of this question, I saw such an answer-
It's really hard to find a job in Chinese medicine courses. But this reason is because Dr. China, who studied medicine in the early days, has no experience. Another reason is that people want to see old doctors, whether they are Chinese medicine or western medicine. Because they have experience. Traditional Chinese medicine needs experience, not just theory. The experience of traditional Chinese medicine is not so easy to learn quickly, but the benefits are not obvious after a long time. The key is that there are too few opportunities to practice in hospitals or individuals, and the experience is even harder to find, which is very unfavorable for growth. Unlike western medicine, the cost of rapid formation and training is low. Because the current society pays attention to the economy and wants to invest at a low level, the time is short and the results are quick. Therefore, it is naturally difficult to find a newly graduated job like Chinese medicine. I think the study of Chinese medicine must be carried out in general practice, so that it can be better applied to clinic. As long as you learn it well and can use it flexibly in clinic, it is still very prestigious. Although you are a graduate student, your application ability may not keep up with that of a barefoot old Chinese medicine practitioner. When we study Chinese medicine, we know that the overall unity of Chinese medicine is inseparable. Acupuncture also needs to use the basic principles and prescriptions of Chinese medicine. It's not that I only know meridians That's not practical. In that case, we can only do research. Just as research should have a clinical basis. To learn Chinese medicine, you must learn it persistently and be close to the masses, so that you can have a deeper understanding and experience. But it all starts from the plain. We study medicine to treat patients well, so rigid Chinese medicine is not established to relieve patients' pain. What Chinese medicine can treat is treated, and what Chinese medicine cannot treat is combined with the needs of western medicine. Of course, try to use Chinese medicine as much as possible, with little side effects and economic benefits. We have too many problems to face in the future. If you want to take this road, you must be psychologically prepared, do everything well now and pave the way for the future. As long as you learn to use two stitches well, a patient with acute lumbar sprain can feel better or better in 30 minutes. This is your most basic skill. Looking for a job is to show your talents, not to make money. Keep this in mind and you won't be in trouble. Think about the time when your talent appears, and then it's time for you to make money. Pay first and you'll come back.
This answer may be a bit tedious and unclear in conditioning. But what I care about is not its theoretical significance. I just admire the respondents' optimistic and rational attitude and cognitive outlook. Maybe we are faced with many problems, maybe these problems can't be solved for a while, even a few years or even longer, but as long as we have confidence, perseverance and perseverance, we will always find our place in this field.