In 2018, I worked in the ICU of a tertiary hospital, supernumerary, contract worker. At that time, 1-2w was received every month, which fluctuated greatly, the salary was linked to the workload, and the year-end bonus was 5kHowever, at that time, the in-staff income was similar to that of the supernumerary。At that time, the housing price in Kunming was 14,000-20,000 square meters.
The 24 beds in the general department are basically often full, all of which are critical and critical, and ventilators and CRRT are often on several at the same time, and the course of the disease is recorded at any time. One 24-hour duty for three days, unable to leave work normallyBasically, 24 hours or even 48 hours
Last year, I moved to the outpatient clinic of a first-level community health centerIn-service and on-the-job。The daily outpatient volume of individuals is 20-30 people-day, and most of them are common diseases, frequent diseases, chronic diseases, day outpatient clinics, and on-site work.
The salary has become 5k months, but it is very stable, and the year-end bonus can be paid 5k-1w;However, the community's supernumerary income is only half。At present, the housing price in Kunming is 11,000-16,000 square meters.
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I've been leading the grassroots clinic for more than a year, so I'll share my current situation, and you may understand after reading itWhy do I say that the lower the hospital, the more important the staffing
Disclaimer in advance that although they are all primary outpatient clinics, primary outpatient clinics may vary greatly from region to region. What is said here is mainly the grassroots situation in the urban area of Kunming, which is within the preparation.
Income is hard hurt though,
But be able to commute to and from work on time
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At the grassroots level, income is a hard injury, only financial wages, and the local financial situation, there is no performance and other income.
3k-7k per month, most of the time less than 5,000；The year-end bonus 1w-5w is deducted from the usual basic salary to act as a part, usually deducted more on the more, less deducted on the less, and will be fine-tuned in the unit according to the assessment results, in fact, it is still a financial salary. Sometimes there are holiday cards, sometimes they don't, the most is 1500 years, and nothing else.
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Primary General Practice Clinic,and moreThere are no night shifts for several unitsMost of the patients have mild symptoms and need to do some public health work at the same time.
The monthly outpatient volume of an outpatient clinic is between 1000 and 2000 visitsDuring the influenza outbreak season in winter and spring, the number of outpatient visits will increase. The overall work is the diagnosis and treatment of common diseases and frequent diseases, and the prescription of drugs for chronic diseases will also involve foreign women and children, and the overall treatment is mainly mildOccasionally, if you encounter critical and severe patients such as myocardial infarction and cerebral infarction, it is good to identify them as soon as possible and refer them.
Public health work includes high blood sugar physical examinations for the elderly, physical examinations for students, and family physicians. Each unit is assigned differently.
The work intensity of the community is far less than that of the tertiary ICU, which is basically 40 hours per week, and the extra is counted as overtime. I go to work from 8 to 9 in the morning, from 18 to 20 p.m.
In community hospitals,
It's important to set up your own signboard
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The social status of grassroots doctors is definitely lower than that of large hospitals, and even in the eyes of people who don't know how to do it, you may just be a prescriber.
Prescribe drugs, you don't prescribe drugs that violate the prescription regulations, and quarrel with you, saying that you are the ** fee of 3 yuan for him;If you can't settle the reimbursement of medical insurance or the reimbursement ratio is low, you will quarrel with you, saying that you have no medical ethics;When you see a doctor, you find out that he has a serious emergency department and needs to be transferred, saying that you are not trustworthy.
But there are also many sensible patientsIn the daily consultation, you will become a personal or your outpatient fanAfter all, the grassroots are closer to the general public.
For clinicians,
It's not easy to go up
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The career prospects of the grassroots may improve after the National Health Commission issues a document to support the development of grassroots hospitals, but at present,At the grassroots level, public health is the mainstay, supplemented by clinical practiceFor clinicians, it cannot be said that there is no prospect, but not much.
There are not many diseases you see in ordinary times, and there are not many senior physicians who are able to give you guidance, so the improvement of clinical ability may be slow and limited.
For example, one day you don't want to work at the grassroots level and want to go to a higher-level hospital, if you have a good opportunity, then you can go. But when you get to a higher-level hospital, you may have to learn everything from scratch.
I talked to several old employees, they had the opportunity to go to a big hospital when they graduated, but they chose the grassroots for comfort and close to home, and they had no motivation to struggle for a long timeNow that I'm about to retire, it's still a junior title.
Those students who choose to work in big hospitals after graduation are now associate high school and above, some are master's tutors, some are vice deans, some are directors of the nursing department, some are big names in the industry, and the most unfortunate ones are also department directors and ** directors.
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To sum up, if you don't have high requirements for salary and professional titles, and you want to spend this life plainly and don't want to struggle, then it's right to choose a grassroots hospitalIf not, then the primary hospital may let you down.
For medical freshmen who have just graduated, it is not recommended to choose a primary hospital, and if possible, try to go to a big hospital first, so that you can accumulate a lot of clinical experienceAs it stands,The more you go to the lower level, the more important the establishment is, and the greater the difference in salary, so it is not recommended to go to the grassroots level to be supernumerary.
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