Rep. Ron Paul meets a medical marijuana patient--Nov. 9 2007
In recent years, recruit students of undergraduate course of school of college of medical all the time " high temperature is not retreated " , clinical medicine major is more hot. However obtain employment market appeared to change however, medical major graduate encountered awkwardness of huge obtain employment, endured the obtain employment pressure with other and professional prep above even. So, the obtain employment current situation of medical graduate how? Adopt why to plant should make medical graduate reasonable, seasonable and sufficient to measure and policy obtain employment?
1, graduate increases
Obtain employment difficulty is increased
Enlarge of college of in successive years is enrolled, number year after year increases college graduate, obtain employment situation compares a year one year austere, the balance between talent supply and demand also more and more unbalance, medical graduate is not exceptional also.
Xiaozhang is Shaanxi some college is clinical medical major is big the student of 5, like be the same as other graduate, of all kinds invite applications for a job met him attend not to issue ten, resume deliver many 60. Arrive however now is disappear forever, still arrange his interview without a hospital. He feels the graduate future compared with other major is more uncertain. Small Zhang Xiang stays in Xi‘an to work, leave home some closer, also do not eliminate provincial job, as long as the condition is pretty good. Xiaozhang‘s resume is made not luxurious, but every resume also wants 56 yuan of money. There is letter of his resume, bear the palm inside, the English that still has the be admitted to school or college between old session card of 6 class card, computer order and degree, driver‘s license. "Close paragraph of time expenses is particularly large, cong Xianyang hurries to Xi‘an every weekend, cost 30 yuan at least back and forth, some classmate expenses are larger. Obtain employment pressure plus economic pressure, this year‘s graduates exhaustion of each body and mind. " Xiaozhang says very helplessly.
Chen Jun height is not tall, but appear very astute, he is this year‘s graduates that sanitation of Anhui medical university manages major. From last year the end of the year begins, he already without a stop entered market of several graduate obtain employment, had not fulfilled working station up to now, the boy begins anxious: "Is 2005 management year? The hospital that how still has so much does not want to manage professional graduate? The hospital that how still has so much does not want to manage professional graduate??
Two people feel more than Xiaozhang and Chen Jun the future is uncertain. Count an analysis from person of recruit students of average 2005 college, countrywide graduate gross will be achieved this year 4 million, only Shaanxi saves graduate of average this year college to predict many to have 180 thousand, increased many 34 thousand than 2005, amplitude amounts to 22.99 ％ . University of the Xi‘an traffic university of Shaanxi, institute of Shaanxi traditional Chinese medical science, Yan‘an 3 schools the medicine this year kind undergraduate course is graduate 1709, add of all kinds the graduate of high post and school of technical secondary school, the personage inside course of study is forecasted, this year the medicine of Shaanxi kind graduate will be close to 20 thousand, obtain employment situation is compared before any a year austere, and difficulty of a few years of obtain employment will be greater and greater henceforth.
2, auxiliary and professional demand is big
Common post doorsill rises
In interview, no matter be 3 armour hospital, still be hospital of hospital of city county banner, villages and towns, global demand medicine assists professional graduate.
Because assist professional to foster inadequacy to medicine before, at present the medicine of administrative levels of each record of formal schooling assists professional is empty shelves. In Inner Mongolia black hospital of the banner after city of orchid examine cloth is mixed Henan battalion child countryside hospital reporter understands, be engaged in the personnel neither one such as video anaesthesia undertaking study technically, change his profession through grooming from other administrative or technical offices and come. As the development of the hospital, they hope to get is engaged in this professional staff technically as soon as possible. Student of Inner Mongolia college of medicine grows Zhang Lidong to say everywhere, successive a few years, the student of the subsidiary administrative or technical offices such as anaesthesia of Inner Mongolia college of medicine, video, assay, besides one‘s deceased father grind beyond the student, basic before graduation a can find relative satisfaction job that does not fall. Nonlocal hospital comes when invite applications for a job, these professional demand are very big also, so obtain employment space is the clinical medical science that have completely relative to the person for broad many.
Save in the Liaoning end 2005 successive a few large-scale invite applications for a job is met on, the reporter saw the figure of a few large hospitals, there is no lack of among them class of ministry class hospital and province, city 3 armour hospital. It is these hospitals tightened up cut to the undergraduate students only, raised the threshold, common post demand also is Master and doctoral student. Reporter from " this year‘s graduates of each accessary hospital invite applications for a job planned Chinese medical university 2006 " be pleasant to the eye, in many 200 graduate that drafts invite applications for a job, almost green uniform requirement is graduate student or record of formal schooling of graduate student above. Connect invite applications for a job of hospital of class of a few city also very " slashing " , flat and clear put forward to recruit Master, doctor only.
According to class of a city the controller of 3 armour hospital introduces, such, because,be at present the undergraduate students in the hospital " the caboodle that make lot " , most the talent that those who be short of is tall record of formal schooling. For absorbing ability, the hospital still leaves piece offer housing, scientific research to start the favourable condition such as gold.
Chinese medical university is accessary Li Jiren of assistant dean of the first hospital introduces, large hospital wants Master, doctor, whole nation of orientaton of this kind of choose and employ persons is at present such, the undergraduate students is more anaesthetic, video, examine wait for professional branch to receive. Of other record of formal schooling unless be particularly outstanding, do not grant to consider otherwise. Because amount of personnel of existing medical treatment is already saturated, action person, want to improve quality namely.
The chief of human affairs division of a hospital tells a reporter, in this courtyard the doctor will enjoy a talent to introduce wage, what Master graduate student enjoys is " the index inside the plan " , and what the undergraduate students executes is " recruit make " .
Reporter from market of Shenyang city qualified personnel senior talented person judges Jian ministry to understand, can go up in a few when this city holds large-scale invite applications for a job, have 559 east this year‘s graduates of school of 3 provinces medicine comes round to apply for, undergraduate course record of formal schooling is occupied 6 into above. But Shenyang area large hospital and place of scientific research courtyard are numerous, value record of formal schooling, foreign language and scientific research ability very much, the Master already made obtain employment starting point, undergraduate course talent is very difficult base oneself upon. Although the doorsill of large hospital rose, but major undergraduate students is not willing to go to basic level hospital.
Hospital of class of town of Zhejiang Hangzhou city asks to medic record of formal schooling basic fixed position is in two this years Master one class, and hospital of class of town of lake state city is more further upward than provincial capital Hangzhou, hospital of lake city center divided major of computer of hospital news division to need Master record of formal schooling 2005 outside, what the internal medicine of breadth of mind in clinical medicine and surgical, pathology division, supersonic division, radiative division want is a doctoral student.
From 2005 condition of Zhejiang medicine graduate looks, structural sex contradiction is apparently outstanding. Main show is: (1) medicine each major supply and demand is lopsided: Be like video learn, anesthesiology, medicine examines etc professional demand is exuberant but graduate is little, the professional graduate such as precautionary medicine, clinical medicine is much, but in recent years however demand not flourishing. (2) on record of formal schooling lopsided: Defend those who give birth to structural reorganization to undertake as medical treatment, various medical establishment stems from the need of simplify the administrative structure and billabong personnel, make traditional medicine professional advocate channel inducts ability to drop, absorb an undergraduate students to have certain difficulty in great quantities, add socially of talent of high administrative levels in short supply the need that stems from competition with unit of medical treatment sanitation, the demand of talent of high to medicine administrative levels is increasingly pressing, appear to rise to the demand administrative levels of talent structure. (3) supply and demand is lopsided between the area: Economy developeds demand of medical establishment of area center city is not much but the demand is high, those who think the graduate that go accords with their condition is little; Economy is owed develop area and demand of orgnaization of sanitation of rural villages and towns are much, but the graduate that is willing to go is little.
Last year, anhui cure ever had done psychology of student obtain employment to investigate greatly, the result is willing to go under county and county the graduate of the unit is not worth 2 ％ , but the student that there are 12 ％ however finally walked into basic level, than going up year had increase apparently, this shows graduate walks into basic level or hasten of general trends place. Graduate thinks the mood into big city, large hospital is understandable, but science weighs in the hand him, place appropriately it is more important to adjusting a target the position, in time.
3, obtain employment " difficult " one‘s deceased father grind, go abroad " hot "
Face so grim obtain employment situation, a few graduate also had made two tactics preparation, apply for a job at the same time, for reference definitely at the same time grind.
The reporter understands, current, one‘s deceased father grind to had made student of clinical medicine major‘s most choice, one‘s deceased father grind the person is much, the nature that lose an election is much also, because this is successive,take an examination of a few years also there are plenty of such people. Small elegant be about to graduate from the college of medicine this year, she has contacted a lot of units hopeless, abandoned obtain employment finally, main preparation is taken an examination of grind. Small elegant say, domestic economy condition is pretty good, she need not be eager to the job earning money. Small elegant father says: "With present domestic condition, the child not obtain employment also can make offerings to case, parents always hopes the child can have a stability and the job with better income. Nowadays, competition of undergraduate students obtain employment is too intense, want to find a proper job, enter a stable industry, very difficult really, graduate student obtain employment may better. " nowadays, graduate of this year‘s undergraduate course is very much in school of medical courses in general the hope like holding He Xiaoya.
The reporter still understands, appeared in a lot of medicine schools a new name -- " not obtain employment a group of things with common features " . "Not obtain employment a group of things with common features " in major person wants to take an examination of grind, fraction is to want to apply for to go abroad to study abroad or do poineering work independently. In Shenyang college of medicine, have a classes or grades in school the student of 90 ％ chose to take an examination of grind, especially the schoolgirl of medical treatment major. They say, the undergraduate course graduate of medical treatment major stays very hard in large hospital now, they should grind through taking an examination of cast off predicament of existing obtain employment. A lot of classmates express, graduate student dispute is taken an examination of on cannot, do not take an examination of this year on, continue to take an examination of next year. One‘s deceased father grind, go abroad the optimal way that studies abroad to had been considered as to change a destiny by school of college of medicine is old students.
Besides " one‘s deceased father grind a group of things with common features " , there still are a few students to want to develop in big city seek only in campus, take an examination of the undergraduate that come from country or county especially, they put census register, record in the school, reason is very specific also: Do not want to return home town.
4, service territory extends medic to have new arena
Develop as the development of socialist market economy, a lot of lives with the person, bear, the precaution that rehabilitation concerns, health care, seek advice, manage, promote, the talent demand of the respect such as examine and verify can increase.
Fact of these a few years proves, promote in medicines and chemical reagents, the successful personage of the respect such as promotion of achievement of science and technology of medical treatment insurance, medicine and promotion of medical apparatus and instruments, there is no lack of much medical science is graduate. Additional, doctor of community service, whole family, family nurses, the contemporary and wholesome service such as family planning and mortal consideration appears subsequently, provided capacious stage for medical graduate.
From unit of sanitation of medical treatment of area of circumjacent county of Zhejiang Hangzhou city demand of wholesome 2005 talent looks, medical treatment unit is right clinical, nurse, precautionary medicine, video learn, medicine of Chinese and Western learns, anesthesiology, examine learn to all have demand. With compare before, wholesome to medicine major had new requirement in prefectural class hospital, like acupuncture, rehabilitation, measure accuse maintenance of technology and instrument, medical apparatus and instruments, sanitation project of medicine of career management, biology. Orgnaization of sanitation of villages and towns, community is right the demand of major of whole family medicine, community medicine begins to grow.
In the process that medical mode transforms, make medicine and other subject produced across and confluence. Hairdressing of economics of law of sociological to medicine, medicine, medicine, medicine learns whole society and the talent demand of the course such as medical ethnics will increase greatly. The construction of these course and development need graduate of much medical science.
5, do according to one‘s abilities finds appropriate post
"Want to be able to leave a town only, large hospital is no good small hospital, small hospital is no good change his profession. " this is the obtain employment state of mind with many Inner Mongolia graduate medical courses in general.
It is in the graduate of the college of medicine of Inner Mongolia of school of college of medicine with Inner Mongolia the largest area, the student that has above of half the number every year is used defer obtain employment or change his profession will realize oneself urban dream, still do not include 20 ％ to take an examination of among them on the graduate student continues that part of attend school. Student of Inner Mongolia college of medicine grows Zhang Lidong to say everywhere, apply for a job outside the area besides the part, major student puts the view on the various hospital of Huhhot city and Baotou city above all, the out-of-the-way alliance city such as Guo Le of better like economic atmosphere A Lashan, stannum forest, not be normally in the limits of first selection. Banner county class and the following basic level hospital are not normally inside consideration limits. Although have some of pathogeny,the banner county hospital with enough, good economic atmosphere leaves gave pretty good condition, but compare difference as a result of the condition of hospital of whole area grass-roots unit, salary of a running fire of a lot of hospitals became an issue, graduate lost faith to basic level hospital, individual the impression that a few basic level hospitals that had run can not turn round these to be formed for a long time.
Investigation of circumstance of medic obtain employment showed 2005: The student incline to of 82.5 ％ at be in big city obtain employment. However big city and develop the staff of personnel of orgnaization of medical treatment sanitation of the area is saturated with each passing day, induct graduate to already was transformed to quality by the amount. Big in omnibus medical establishment of the city, economy developeds the prefectural class of the area medical establishment, in principle needs the medic of graduate student record of formal schooling.
Student of Anhui medical university grows Zhang Rui to say everywhere, at present graduate obtain employment " post " still be some, but the student‘s psychology " fixed position " very narrow however. Everybody is going straight towards 3 armour hospital, obtain employment affirmation is not easy. The requirement of student and unit of choose and employ persons is separate like two nowadays up linear, unit of choose and employ persons is that to want student of the best of its kind, english 2 class became 6 class, computer essential condition; The student is that to think superior unit takes high pay fulfil. Two lines are handed in hard collect, make the obtain employment of partial student difficult.
See from inside national statistic data, city of number of doctor of every 1000 population is 2.31, the country is 1.17. Additional, in team of rural wholesome technology, at present still a certain quantity of low record of formal schooling does not have personnel of record of formal schooling even. Accordingly, no matter the country is to defend the amount of unripe personnel or administrative levels of record of formal schooling to must rise, need many medical graduate.
6, rural basic level sees undergraduate students figure hard
"Although rarely college graduate comes now here, but I believe this one day very won‘t long. " those who say this word is Xu Xi of dean of hospital of division of the division after examine of city of cloth of Inner Mongolia Wu Lan examine is right.
Have 100 pieces of bed, year income hospital of division of the division after 3.6 million yuan examine is right, it is the banner county hospital that area of cloth of black orchid examine runs the advanced position in be in. As the development of the hospital, from 2004 up to now already graduate of medicine of 5 undergraduate course is here settle. Henan battalion child countryside hospital is year of income 3.2 million yuan model hospital, but from achieve a courtyard up to now, the doctor here is basic it is through be being taken an examination of oneself, into take an examination of the irregular troops that receives record of formal schooling, the graduate of medical undergraduate course with serious neither one comes here. Although every months of 1000 multivariate income want compared with urban doctor a lot of more inferior, but look from the management state of the hospital and development, be in place also is rare.
Shaanxi is saved statistical data showed 2004, personnel of technology of sanitation of record of formal schooling of above of specialized subject of hospital of complete province villages and towns is 16.1 ％ , among them undergraduate course record of formal schooling occupies 0.9 ％ only. Precaution of complete province disease controls personnel of record of formal schooling of above of orgnaization specialized subject to occupy 23.45 ％ , undergraduate course is 4.5 ％ with what go up. According to the Luo Chuan county to be located in North Shaanxi hospital of 6 villages and towns is investigated, in 76 medical personnel, only an university undergraduate course is graduate. Director Wang Hongtao tells the office of health bureau of in good health city that is located in Shan Nashan area the reporter, he ever was met to Xi‘an talent invite applications for a job with dean of partial county hospital on undergraduate of invite applications for a job, before stage of invite applications for a job do not see medical science basically kind the form of undergraduate course graduate, this city has two counties already did not allocate 8 years continuously or invite applications for a job arrives a Western medicine kind undergraduate course is graduate. Health bureau of an a mountainous area county grows the introduction, now is market configuration resource, a mountainous area environment is difficult, working condition is poor, life pay is low, some colleges graduate auxes would rather to the city individual clinic works, also do not wish to work to a mountainous area county, defend deficient of strange talented person, fault, already became a when restrict progress of wholesome enterprise of a mountainous area country main factor.
7, should guide energetically to government of basic level obtain employment
Xie Li of section chief of department of science and education of hall of sanitation of the Anhui province says with all sorts of feelings: "In guide graduate to arrive on basic level job, ‘ governmental hand ‘ still can produce very big effect. ‘ governmental hand ‘ still can produce very big effect..
Introduce according to her, the Anhui province begins to make public recruit medicine sanitation from 2004 kind college graduate works to hospital of villages and towns. To the graduate of go to the countryside, provincial finance gives an undergraduate students each 20 thousand yuan, the specialized subject gives birth to everybody 10 thousand yuan allowance, finance of each city county also arranges certain funds to give form a complete set; Work to hospital of villages and towns to recruit this, the specialized subject is graduate, its salary furnishs by prefectural finance, also can solve by unit of choose and employ persons, carry out directly rate salary, its rate salary prep above is congener personnel first gear, enjoy float post allowance by the regulation. Graduate must sign an agreement with local health bureau, term serves in the hospital not under 5 years.
Jiangxi province begins from 2004, choose college of medicine is outstanding graduate works to hospital of villages and towns, choose gives birth to education to exercise cycle to be 3 years, in sanitation of prefectural class medical treatment the first year the institution works, the 2nd, send hospital of villages and towns the 3rd year, give priority to with central hospital. After choose gives birth to the job to expire, according to individual apiration and working need, according to " assessment of two-way choice, exam, competition is preferred " principle, outstanding to expression, successful choose is unripe, press the scale of 30 ％ , 30 ％ , 40 ％ , recommend province, city, county institution of sanitation of 3 class medical treatment works. After choose gives birth to the job to expire, continue to stay in hospital of villages and towns to work, arrange half an year of attend in a advanced studies of unit of sanitation of medical treatment of class of province, city to come one year, avoid collect fee of attend in a advanced studies. To be in what hospital of villages and towns works for a long time, when technical position of qualification of evaluation major technology and major of appoint to a position, give preferential take care of and tilt appropriately. Encourage choose to give birth to take root country, stay in job of hospital of villages and towns, give proper extra allowance for living expanses, what need funds by prefectural finance burden.
Shaanxi province arrives to urge graduate basic level obtain employment, already enacted 6 favourable measure, cancel novitiate from taught college graduate from cure to arriving under villages and towns among them, become a full member ahead of schedule rate, implement float pay system. Graduate of undergraduate course above moves pay of two archives job to rise, specialized subject graduate moves pay of first gear job to rise. Float salary turns after 8 years completely to secure salary, continue to move pay of first gear job to rise. Transfers to enjoying float salary personnel, not full float salary of 8 years gives cancel, accord with float two archives salary turns for what secure, withhold first gear only. Began 2006, this province is annual select 2000 colleges graduate helps deficient up to develop 27 key county, provinces to help deficient up to develop key county and Campagna county to 50 countries middle and primary school of a mountainous area country and medical treatment unit from cure from religion (education, wholesome system is 1000 each) . Every works to unit of medical treatment of rural villages and towns of one‘s own accord, and sign the job with local thing, wholesome service serve fixed number of year 6 years the medical major undergraduate students of above, by the county (city, area) the government is one-time give settle down expend 30 thousand yuan, capital pays capital to solve by province finance move. The graduate of seat of the census register before enter a school is preferential, taste the impoverished family graduate that learns to hold actor concurrently and the graduate that come from home village or town of impoverished county, a mountainous area county preferential, normal school, medicine kind professional graduate is preferential.
Sound
Student of Anhui medical university grows Zhang Rui everywhere: 23 professional graduate that the school rolls out have demand tendency, on the whole clinical kind of major is good at preventing kind of major, prevent kind of major good at managing kind of major, small major is good at course of study of three-year institution of higher learning. Major of insurance of afraid before medical treatment becomes the school " bareheaded " , an insurance company of Shanghai comes later VIP is engaged in a nucleus protecting manage compensate. Major of medical treatment IT has 60 graduate this year, hangzhou poineering software one want 10 people, they already carried hillock exercitation on the head over nowadays. Video, anaesthetic, rehabilitation, nurse etc prospect of small professional graduate obtain employment is good, demand is more exuberant, henan a hospital is signed on the spot on obtain employment market wanted graduate of 3 rehabilitation major about.
Sichuan saves Huang Zhifu of director of health bureau of autonomous prefecture of cool hill the Yi nationality: At present unit of sanitation of state level medical treatment needs to examine, radiative, medicine learns, Fu is produced, the undergraduate course with clinical and professional part is graduate, the unit of sanitation of prefectural class medical treatment of deficient county is short of the country undergraduate course is graduate, wholesome unit does not solve the medical treatment of Honshu of graduate of big, technical secondary school that the city defends school education.
Sichuan saves from tribute city Yang Kun of assistant dean of hospital of the 4th people: City class hospital is paid attention to more practical model, skill graduate. The student is the most serious is to should notice to develop clinical thinking ability, fixed position wants to allow.
Dean of total hospital of company of Sichuan kapok iron and steel is successful: At present this academy needs division of surgery of neurosurgery, breadth of mind, burn, digestive internal medicine, infect the division applicable model graduate student. Choose medical treatment unit to want to choose easily the place of the grow into useful timber, choose the place that respects intellectual and person with ability, choose the place that has academic atmosphere.
Minister of ministry of human affairs of the first accessary hospital jumps Inner Mongolia college of medicine together civil: Plan near future adds rehabilitation of sports medicine, nutrition to learn to wait for popular major. Hospital hope admits the graduate of school of the medicine outside many bits of area.
Anhui Anqing city establishs Jiang Qinglong of section chief of division of hospital human affairs: The hospital prepares to enter 20 ～ this year 30 people, basically be clinical, nurse, examine, video wait for major. Student achievement is close friends, have good communication even, communicate, expressive ability.
Sichuan continous in relief medical courses in general learns school vice-president Tu Dezhao: The school is gone to a Western medicine nurse 98 ％ can find professional graduate obtain employment unit. Combine traditional Chinese and Western medicine professional obtain employment is more difficult, majority markets drug to medical enterprise, or when pharmacy worker, or work to drugstore. Major of drug, traditional Chinese medical science is to admonish commonly in the student looks for unit reread book first, obtain employment unit cannot be found to spend money in vain after preventing finish school. Other major reachs the station that unit of medical treatment sanitation can find him under the county to the county.
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