In the mood for love, it wilts in an instant. On February 24, the Lantern Festival, in the early morning, in Hunan People's Hospital, Cao Liping, a 25-year-old student of Hunan Normal University, wiped her neck with a scalpel in the bathroom of the doctor's duty room.
I really can't help but speak out about this.
The girl's family member posted a complaint to my former employer, the brand column "People's Voice", which won the first prize of the China News Award on the Hunan Party Internet Celebrity Network.
Girl Miao nationality, home in Xiangxi Prefecture. This is where I have been for three years. The mountains and rivers are beautiful, and the folk customs are simple. It is not easy for the Miao people in the mountains to train a medical graduate student.
According to the feedback from the family, ** preliminarily ruled out homicide" - the hospital doctor's duty room, "the bathroom door is locked", "the person is lying in the ......."...... insideThere is an incision in the left neck and a scalpel next to it
The girl's suicide note was also announced. The key points that can be extracted from it are: ".Overtime on holidaysSick work is not allowed offHelping patients transfer to another department is counted as an absenteeism lessonI was so busy with work that I couldn't eat, but I was complained about not doing hygieneAnd so on.
There is no fairness in the world, blame me for being an unqualified cow and horse, and I can't survive it. Cao Liping used such a sentence to determine her life in advance. How desperate it is.
II. II. II
In recent years, there have been many cases of unnatural deaths of medical trainees.
I did a cursory search:
In September 2017, in Qilu Hospital of Shandong University, a young doctor committed suicide by injecting drugs;
In March 2018, the First People's Hospital of Zhenjiang City, Jiangsu Province, Xiao Gu, a second-level trainee, died suddenly;
In April 2022, in the First Affiliated Hospital of Xi'an Jiaotong University, a 24-year-old female student committed suicide by cutting her neck in the dormitory
In September 2022, in the Second Affiliated Hospital of Guangzhou Medical University, Deng Qi, a 24-year-old graduate student of regular training, fell from the 15th floor;
In December 2022, West China Hospital, Sichuan University, Xiao Chen, a research and development pearson, died suddenly;
In January 2023, at the Affiliated Hospital of Qingdao Binhai University in Shandong, 26-year-old graduate student Yang Weiyan jumped off a building and fell to his death;
In August 2023, at the Affiliated Hospital of Zunyi Medical University in Guizhou, a 25-year-old trainee flew down from the 11th floor;
Now, Cao Liping, a 25-year-old graduate girl, was overwhelmed by the training in Hunan People's Hospital and cut her neck with a scalpel.
How did these tertiary hospitals become Foxconn?
What's going on?
Three. The so-called regular training, as the name suggests, means that all clinicians with a bachelor's degree or above who are new to medical positions must receive standardized training as a resident - receive systematic clinical training in the training hospital as a resident, usually for three years.
Yes, it is the West China Hospital of Sichuan University, where the sudden death of the trainee occurred, which is the source of the domestic training system. Liu Jin, director of the anesthesiology department of the hospital, transplanted this system from the United States, and since 2003, it has been piloted for many years; In his capacity as a deputy to the National People's Congress, he advocated for many years; Eventually,In 2013, the system was escalated from the pilot to the national level。That year,Seven departments, including the former National Health and Family Planning Commission, issued the "Guiding Opinions on the Establishment of a Standardized Training System for Resident Doctors", and the training system was rolled out nationwide.
According to Liu Jin's original intention, he once mentioned in the motion: I hope that the state can provide 100,000 yuan for each resident doctor for an annual fee,—— which is still an old thing at the beginning of this century; But,The ideal is very plump, and the reality is very skinny。In 2013, the former National Health and Family Planning Commission issued an announcement that since 2014, the first financial department has provided special financial support for the standardized training of resident doctors, with a capital subsidy standard of 30,000 yuan per person-year, 2 3 for subsidizing resident doctors, and 1 3 for subsidizing bases and teachers. That is to say, even if it is implemented to the letter, it will only be 20,000 yuan a year for each trainee. And what if there is no out-and-out execution?
In the process of implementing the training system, the most criticized thing is that Gong Xiaoming, the former deputy chief physician of the Department of Obstetrics and Gynecology in Beijing, said,".There is no training for me。This was also confirmed in Cao Liping's suicide note. She saidI thought that the main purpose of regular training was to learn, to combine knowledge and clinical practice, and it turned out that the department was a free cow and horse. Gui Peisheng writes medical records every day, does endless chores, and is reduced to cheap or even free labor; Moreover, it is necessary to serve for three years. When you want to work, think you are a doctor; When you want to divide the money, consider you a student.
In 2020, Ding Xiangyuan conducted a survey of 3,020 regular trainees, and nearly one-third of the regular trainees (275%) said that the monthly income was less than 1,000 yuan, and 8% said that there was no income during the training period; There are 32 with a monthly income of more than 3,000 yuan3%, but 50 of them6% are social training, 449% are unit personnel training, that is, the vast majority are not students.
Do Yang Bailao for three years; Which medical trainee can feel fairness and justice?
The medical major is different from other majors, and the undergraduate degree requires an extra year or two, that is, 5 or 6 years; Graduate students are also generally 1 year longer, which is 3 years. After graduating from the bachelor's degree, you have to postpone it for three years to have an income; Graduate school can be trained at the same time, but every day is also a busy chore, not training. While tired and tired, they also have to continue to provide for their families, and the medical trainees are facing the pressure of physical and mental exhaustion, and the pressure from society, family and other aspects.
What's more, at the age of twenty-five or sixteen, there are still life events such as marriage and love, starting a family, etc., and there are many places to use money; When their peers entered the society to make money a few years earlier, they have not yet started, but they are still novice in assets, how can people not be anxious and even cold?
In the process of implementation, it has been distorted and deformed, and it is absurd.
Fortunately, in 2022, Peking University People's Hospital announced that from August 2022, it will fully implement the system of equal pay for the same post with basic awards and performance awards for clinical students, making it the first tertiary hospital to eat crabs.
And the hospital stands out from the crowd, doesn't it reflect the unbearable reality that the vast majority of tertiary hospitals generally exploit and squeeze medical trainees?
Four
If medical trainees are used as doctors and workers, they should sign labor contracts with them and pay salaries. Shouldn't this be taken for granted and justified?
As early as 2010, in the 6th issue of the Gazette of the Supreme People's Court, there was a case of a communiqué - college student Guo Yi v. Jiangsu Yifeng Pharmacy Chain *** labor dispute, and the gist of the adjudication was "both parties ......An agreement was reached on the application and hiring, a labor contract was signed, and the position and salary were clarified. This should not be considered an internship. ”—Being a student is not an obstacle to establishing an employment relationship.
Article 4 of the Opinions on Several Issues Concerning the Implementation of the Labor Law of the People's Republic of China issued by the former Ministry of Labor stipulates that the labor law is not applicable, such as civil servants; However, college students are not included. If a college student has independent capacity for civil conduct, and the employer signs a labor contract with him or her and pays him remuneration knowing that he or she is a college student, the labor contract is legal and valid, and the labor contract relationship is established. There is no legal doubt about this.
Take a step back, even ifIf medical trainees are regarded as students participating in training and do not sign labor contracts with them, it is also necessary to protect them in terms of the right to remuneration and the right to rest with reference to labor laws and regulations.
Let's make a quick comparison. The Regulations on the Administration of Internships for Vocational School Students, issued by eight institutions including the Ministry of Education in 2016 and revised in 2021, have made detailed provisions on the remuneration and rest of vocational school students' internships, and their rights are protected. For example, salary: "In principle, it should not be less than 80% of the salary standard of the same position in the unit or the lowest wage standard"; For example, rest: students shall not be allowed to "arrange internships on rest days and statutory holidays"; Students must not be "arranged to work overtime and work night shifts"; Wait a minute.
WhileIn terms of the treatment of medical undergraduates and postgraduates, they can't compare with the top post internship of vocational school students, right?
If we look back at the history of the implementation of the training system in our country, we can find that at the beginning, it was: sick.
Guo Xiaoning, a distinguished expert from the Hospital Management Institute of West China Hospital of Sichuan University, who was the head of the Human Resources Department of West China at that time, recalled the old events in 2003 and said: At that time, she defined the identity of resident doctors as "students in a broad sense", because they could not register in the student registration system, they could not pay five social insurances and one housing fund, so they had to buy commercial insurance. However, if you sign a labor contract with these trainees at that time, pay salaries, and pay social security, is there a legal obstacle? As mentioned earlier, not at all. To put it bluntly, the hospital has to pay for it, so there is no such motivation.
At the time of the pilot of the medical student training system, some people questioned that the hospital was a supernumerary doctor; On the other hand, the Sichuan Department of Human Resources and Social Security also questioned, saying that it was an employer and did not pay social security ......
WhileIn the end, the medical student training system was comprehensively promoted from point to point, just like running naked; Let the rights of the majority of trainees to receive remuneration and rest be separated from the protection ...... laws and regulations
It can really be said that you want the horses to run fast and not give the horses grazing! Maximana can't stand it either!
Five
I specifically searched for the "Guiding Opinions on the Establishment of a Standardized Training System for Resident Doctors" jointly issued by the former National Health and Family Planning Commission and other 7 departments in 2013, and read through it.
In a word,It focuses on attaching obligations to trainees, but lacks the protection of the rights of trainees.
And especially important,After the implementation of this system, participating in the three-year regular training has become the only way for a medical graduate student to become a licensed physician. "Licensed Physician Qualification Certificate", "Resident Standardized Training Certificate", "Master's Graduation Certificate" and "Master's Degree Certificate" are complete to achieve positive results.
If you don't pass the regular training, you can't be a doctor, and once you "withdraw from training", you have to apply again after five years; In other words,The future and fate of medical trainees are pinched in the hands of the teaching physicians. Teaching physicians is the one who has the power to "kill and take away" to the trainees, and it is the dominant power. And power corrupts those who hold it. With a lot of power in place and a lack of effective checks and balances or oversight, it is inevitable that power bullying will occur.
After Cao Liping's neck cut public opinion fermented, a junior sister who knew her Sha Sha released a post "When the Cultivator Sheds His Tears", saying: "I have also taken a class like her before, and I have been studying for a ...... in 22 yearsDuring the epidemic, the work intensity was extremely high + I was extremely unwell + I couldn't sleep with a cough but I still had to go to work with illness during the day + under the personal attack of my superiors, I was almost depressed in those two months, and I cried every night. "Mention of personal attacks by the teaching physician.
In April 2022, after the suicide of a 24-year-old female student in the First Affiliated Hospital of Xi'an Jiaotong University, who cut her neck, some students also reported that the teaching physician Wu "is not worthy of being called a teacher, his behavior is not worthy of being a qualified teacher at all, and the students who have been to his group know about him, including even a male teacher in his 30s who can be scolded and ......cry by him."”
In September of the same year, after Deng Qi, a 24-year-old trainee from the Second Affiliated Hospital of Guangzhou Medical University, fell to his death from the 15th floor, the reason was also pointed out by other students as the department was "bullied by the tutor and bullied by the department" ......
How to check and balance the power of teaching physicians, and how to unblock the channels for redress of rights after being oppressed and bullied by trainees, is obviously also an important proposition.
Six. The dead are gone. Cao Liping was pregnant with "There is no fairness in the world, blame me for being an unqualified cow and horse......Full of indignation, he resolutely left.
It is not easy for a Miao family in the mountains to train a medical graduate student. As Lu Xun said:The so-called tragedy is the destruction of valuable things for others to see. She withered in the best of years. And relatives or remnants of sorrow, others have also sang.
Because she is a student or a laborer - her identity is ambiguous, and her neck is cut, her close relatives have no recourse to even the treatment of work-related deaths.
Of course, if a lawsuit for personal injury tort is filed and it is proved that Hunan People's Hospital has serious faults in the management of regulation and training, then the hospital will inevitably have to pay compensation. Of course, compensation, for such a large tertiary hospital, I believe it is not a lot of effort. It can be inferred that in recent years, most of the hospitals involved in a series of unnatural deaths of trainees have also been compensated.
But what about after the loss? Could it be as Lu Xun said in "In Memory of Liu He Zhenjun": "Time always flows, the market is still peaceful, and a limited number of lives are nothing in China, at most, but for innocent idlers to talk about after dinner ......."”
Can't let the tertiary hospital of the training base be alienated into Foxconn!
You can't let medical trainees be worse than medical migrant workers!
** once said: respect for knowledge, respect for talents. It is always necessary to give medical trainees one, which is no less than the treatment and rights protection of vocational school students' top post internships!
Serial tragedy, it's time to end!
The death of Cao Liping, a 25-year-old student of the third regulation, called:Equal pay and equal rights for the same job