When I took my child to see a doctor, I couldn't hang up the number of several hospitals, and I finally grabbed the number of the pediatric department of a traditional Chinese medicine hospital, and I queued up for a long time, but I couldn't live in the hospital, and there was no ...... bedRecently, Ms. Li, Bao's mother in Changchun, Jilin Province, took her baby for treatment, and she really experienced the "Spring Festival" medical treatment in pediatrics.
Recently, the incidence of various respiratory diseases such as influenza and Mycoplasma pneumoniae has continued to be high, and the number of pediatric visits has surged, making the lack of pediatric diagnosis and treatment resources, especially the shortage of doctors, once again become a hot spot of social concern.
Why is there a long-term shortage of pediatricians, and how can this problem be solved?The reporter interviewed about this.
The number of sick children has proliferated, and medical staff are working at full capacity.
* Like the Spring Festival, seeing a doctor is like fighting a war......At present, pediatric outpatient clinics in many places are overcrowded, and some hospitals receive thousands of children every day, and the waiting time is calculated in "days", and medical staff are working at full capacity.
The child was diagnosed with pneumonia and tracheitis, and the doctor said that he had to be infused for at least 7 days. The child was very uncomfortable and the queue was anxious. A parent who took his child to see a doctor in a hospital in Changchun said with emotion.
The pediatric clinic of this hospital is crowded with children on intravenous drips and parents who are busy before and after, coughing and crying one after another. The clinic was packed, with some parents pushing camper vans in the hallways as "mobile beds" and others simply sitting on the ground with their children in their arms.
I took my child to the pediatric emergency department at 12 o'clock in the middle of the night, but I didn't expect that there were more than 60 people in front of me. A father of a sick child told reporters.
According to the monitoring data of the National Health Commission, recently, respiratory infectious diseases are mainly influenza, in addition to rhinovirus, Mycoplasma pneumoniae, respiratory syncytial virus, adenovirus, etc. In order to cope with the peak of pediatric medical treatment, hospitals around the country have tried every means to actively respond, some have increased the number of pediatrician visits, some have extended emergency hours, and some have urgently recruited pediatricians.
In Jilin, in order to actively cope with the difficulty of seeking medical treatment and hospitalization for seriously ill children, the First Hospital of Jilin University (hereinafter referred to as the First Hospital of Jilin University) specially expanded and built the "Three Therapeutic Areas of Pediatric Respiratory Medicine", and completed the planning, site selection, and medical material guarantee within 24 hours. At the same time, the "evening outpatient clinic" of pediatrics has been opened to alleviate the pressure of emergency treatment during off-duty hours, and the green channel for the referral of severe cases has been broadened to ensure the timely treatment of critically ill children in lower-level hospitals.
Mi Feng, spokesman of the National Health Commission, said that large hospitals are densely populated, have long waiting times, and have a high risk of cross-infection, so it is recommended that children with mild symptoms should first go to primary medical and health institutions or general hospitals for pediatrics.
High difficulty and intensity.
Many students are reluctant to choose pediatrics.
The root cause of the difficulty in seeing a doctor for children is that there are too few pediatricians. In 2017, in an interview with **, Yang Jian, then vice president of the Pediatrician Branch of the Chinese Medical Doctor Association and deputy secretary of the Party Committee of the Capital Institute of Pediatrics, said.
According to the statistics of the National Health Commission, the number of pediatricians in China in 2021 is 2060,000, accounting for about 5% of the country's more than 4.2 million doctors. The number of children aged 0 17 in China accounts for 21%. In recent years, China has made efforts to accelerate the construction of children's health talent team by guiding colleges and universities to add new pediatric majors and promoting the salary policy to favor pediatric medical personnel, but it still faces the practical problem of a large talent gap.
The reporter learned from the interview that at present, pediatrics is generally facing problems such as difficulty in doctor training, difficulty in recruitment, and high turnover rate. According to some data, the average number of outpatient visits undertaken by pediatricians per day is 2 of the workload of other physicians4 times. Different from ** patients, it is difficult for children to communicate with patients, consult with each other, take medicine, diagnose and treat, and have a high incidence of doctor-patient disputes, which is the main reason why many medical students are reluctant to choose pediatrics.
Fu Xin, a neonatologist at the First Hospital of Jilin University, is a 2018 master's student in pediatrics at Jilin University. She told reporters that of the nearly 200 students in the whole grade that year, only a dozen chose the direction of pediatrics at the graduate level.
In addition to the higher difficulty and intensity of work, the remuneration package of pediatricians is lower than that of other departments. According to the 2020 China Hospital Salary Survey Report, pediatric salaries rank low.
According to other information, in 1999, the pediatric departments of most medical schools stopped admitting undergraduates and replaced them with clinical medicine, and pediatrics became one of the courses, which is also considered to be one of the main reasons for the lack of pediatricians.
Cultivating talents and enhancing the sense of acquisition is the key.
If you want to cultivate and retain talents, enhancing the sense of acquisition is the key. Wu Hui, director of the pediatric teaching and research department of the First Hospital of Jilin University, told reporters that in terms of treatment, the basic salary of pediatricians in the First Hospital of Jilin University is 2,000 yuan and 3,000 yuan higher than that of other departments. In addition, whether it is teaching at the postgraduate level or personal development after employment, the hospital has a perfect training mechanism.
Wu Hui introduced that the teaching and research department undertakes the teaching tasks of undergraduates, graduate students, international students and residential training bases. In 2018, Jilin University resumed the enrollment and teaching of undergraduate students majoring in pediatrics, and specially set up a "5+3" integrated pediatric class for bachelor's and master's degrees, enrolling 30 students every year.
At the postgraduate level, the department adopts the graduation certificate, degree certificate, medical practitioner certificate and residence training certificate to train students, and the standardized training of residents is carried out simultaneously, taking the neonatology department as an example, it is necessary to first Xi in their own science for a period of time, and then go to the other 14 subspecialties of pediatrics to rotate and learn the diagnosis and treatment methods of different diseases Xi. In Fuxin's view, this can quickly improve students' comprehensive skills in pediatric diagnosis and treatment, and lay a solid clinical foundation for future development.
On November 29, after finishing the outpatient work of more than 80 children, Gao Man, chief physician of the Department of Pediatric Respiratory Medicine of the First Hospital of Jilin University, rushed to Beijing by train. In the next three months, she will go to Beijing Children's Hospital affiliated to Capital Medical University for further study to prepare for the upcoming opening of the pediatric respiratory intensive care department in the First Hospital of Jilin University.
The 42-year-old has been working in pediatrics for 17 years. She revealed that for so many years, the hospital has been supporting and encouraging young doctors to further study and Xi, "We implement the ** doctor responsibility system, after young doctors join, there will be senior doctors to teach and help them grow rapidly."
In the past five years, the First Hospital of Jilin University has trained a total of 104 pediatric master's students, 17 doctoral students, 69 resident doctors, and 107 advanced doctors. Wu Hui told reporters that in the 31 years she has worked, there has been basically no loss of pediatricians in the First Hospital of Jida University, which is extremely rare.
To solve the problem of shortage of pediatricians, Wu Hui suggested that the construction of pediatric specialties should be strengthened from the source, further guide and encourage medical colleges to expand the enrollment of pediatric specialties, strengthen the standardization of specialist training, reasonably improve the treatment of pediatricians, and further refine the pediatric hierarchical diagnosis and treatment system and strengthen the construction of pediatrics in community hospitals.
In addition, in recent years, hospitals like ours have been strengthening guidance and assistance to primary medical institutions, with the aim of helping to train more pediatric talents. Wu Hui said.
Gongdao 512th push.