解惑:专科转岗全科及职称晋升需的那些事

2018-01-27 羽兮 基层医师公社

下面就全科医生有代表性的三个问题进行回复。

最近全科医生将火爆这个消息,像暖风一般驱走了冬日的严寒,给大伙儿带来了些许暖意。下面就一些有代表性的三个问题做统一回复!

问题

01完成全科规培能不能考全科主治?

符合要求,当然可以。

早在2010年,国家发展改革委、原卫生部、中编办、教育部、财政部、人力资源社会保障部联合下发《关于印发以全科医生为重点的基层医疗卫生队伍建设规划的通知》(发改社会〔2010〕561号)文件,明确规定完成全科医师规范化培训并在基层工作的人员,可以申请全科主治医师资格。

简单来说,您得满足三个条件:一、在基层工作;二、必须是一名执业医师;三、拿到全科医师规范化培训合格证。这样就能申请晋升全科主治。

那么,升级过程到底难不难呢?

据小编了解,拿到转岗培训合格证或本身就注册为全科医师的,可以比其他专业提前一年晋升职称。常规来说,晋升主治需要从业5年才能考,您4年就能申请晋升,足足节省1年的时间。

同时按照2010年的政策,晋升主治就已经放宽外语要求,论文不做硬性规定,难度比起其他专业晋升要小很多。

2011年,国务院《关于建立全科医生制度的指导意见》(国发〔2011〕23号)进一步“开绿灯”,规定可在同等条件下优先聘用到全科主治医师岗位。

2015年,人力资源社会保障部会同卫生计生委联合出台了《关于进一步改革完善基层卫生专业技术人员职称评审工作的指导意见》,对基层卫生人才评价机制做了进一步调整,建立了以医疗服务水平、质量和业绩为导向,以社会和业内认可为核心的评价机制,充分调动了基层全科医生的积极性。?

纵观这几年的政策调整,咱们不难发现,全科主治医师资格的申请难度是在逐渐松绑。全科医生的巨大缺口及基层诊疗的迫切需要,给全科医生打开了一扇便利之门,所以有想法进一步晋升的朋友,一定要密切关注当地卫计委的最新动态,有问题也可以直接向科教科寻求帮助。

问题

02非全科专业如何进行转岗培训?

解说之前先看这组数据变化:

2010年,通过转岗培训成为全科医生的数据是1.7万人。

前不久,国家卫计委公布的数据是已经转岗培训全科医生11万人。

七年时间增长近10万,而目前全科医生总数是20.9万,光转岗医生就占了总数的一半多,这几个数据其实已经很好地体现了这么一个趋势:

在基层,某些边缘化的专科似乎已经没有全科吃香了,有部分医生已经纷纷开始转岗全科。随着政策的不断倾斜和待遇的提高,全科这块的发展一定是朝向所在。那咱们怎么抓住这个转岗的机会呢?

小编就这个问题咨询了某地级市卫计委科员,对于已经在基层工作数年的人员来说,转岗培训是最好的途径。

这里先拿河南省2017年全科医生转岗培训工作实施方案为例,解答大家重点关心的内容。

培训内容:全科医学及社区卫生服务相关理论、全科医疗及服务模式、国家相关法律法规等知识。

培训时间:12个月,其中理论培训2个月,临床培训9个月,社区实践培训1个月。

资金安排:省卫生计生委按每人4500元拨付培训经费,其中:理论培训经费2500元/人,临床实践培训经费1500元/人,社区实践基地培训经费500元/人,主要用于临床教学、社区实践、理论和技能考核等费用,不足部分由各地财政配套解决。

发证过程:要求各省辖市及省直管县(市)卫生计生委对顺利完成培训、理论和技能考核全部合格者,经省卫生计生委审核后,颁发全科医生转岗培训合格证书,及时加注全科医生。

当然,各地肯定有细微差别,同样可以向相关部门咨询。毕竟是未来的职业规划,多问一个为什么一定会对自己有帮助。

问题

03村医能不能参加转岗培训?

以前没有明确,但现在“有证可循”,可以参加。

2011年,原卫生部办公厅就发布了一个文件,《关于开展基层医疗卫生机构全科医生转岗培训工作的指导意见(试行)》对培训对象有这样的要求:

1.选择范围在基层医疗卫生机构(社区卫生服务中心(站)、乡镇卫生院)内;

2.由省级卫生行政部门制定选拔标准并组织遴选,两类人员优先安排:一是基层医疗卫生机构全科医疗骨干人员,二是前期参加过基层卫生人员培训项目的人员。

单从文件上来说,似乎的确没有明确提到“村医”的字眼。基层医疗卫生机构全科医生转岗培训大纲(试行)》上要求培训对象应该是基层医疗卫生机构中正在从事医疗工作、尚未达到全科医生转岗培训合格要求的临床执业(助理)医师。

而村医大部分不能满足临床执业(助理)医师的条件,所以很多人受困于这些硬性规定的条件。
而近日,国务院发布的《国务院办公厅关于改革完善全科医生培养与使用激励机制的意见》给村医朋友释放了一个重要信号!

《意见》明确提出:实行乡村医生全员全科基本知识技能培训,并有计划地安排乡村医生到乡镇卫生院、县医院等上级医疗卫生机构进修学习,鼓励具有执业(助理)医师资格的乡村医生参加全科医生转岗培训。

也就是说,咱们村医同样可以像其他基层医生一样参加转岗培训,同时也是全科医生队伍中不可或缺的重要来源。目前针对村医开展的乡村全科执业助理医师资格考试就是一个铺垫,也是为了大家以后能尽早实现华丽转身。

通过上面的解读,希望能帮助大家解决全科医生的困惑。

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createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Wed Feb 07 23:57:48 CST 2018, time=2018-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283343, encodeId=351128334318, content=非常好的文章.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Mon Jan 29 23:57:13 CST 2018, time=2018-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283342, encodeId=c0b2283342b9, content=非常好的文章.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Mon Jan 29 23:56:06 CST 2018, time=2018-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1518302, encodeId=13e6151830252, content=<a href='/topic/show?id=74f180652b9' target=_blank style='color:#2F92EE;'>#职称#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80652, encryptionId=74f180652b9, topicName=职称)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7c3811138989, createdName=xxxx1053, createdTime=Mon Jan 29 09:03:00 CST 2018, time=2018-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282956, encodeId=383128295614, content=henhao, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Sun Jan 28 19:59:28 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282923, encodeId=5c90282923ec, content=学习.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sun Jan 28 17:07:41 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282799, encodeId=0b6b282e998f, content=认真学习天天天向上, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo61WAV0ROeLAoicPxPKoKaogwLWLL8STv86qplbdOibN2YR4KxkJicqNectCXGR8gPJhGLc7yYLSdnpx4kaVXndTfu/0, createdBy=a6962042337, createdName=1391e9f2a7m, createdTime=Sun Jan 28 08:02:07 CST 2018, time=2018-01-28, status=1, ipAttribution=)]
    2018-02-25 天涯183

    非常好的文章.学习了

    0

  4. 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objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Sun Jan 28 19:59:28 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282923, encodeId=5c90282923ec, content=学习.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sun Jan 28 17:07:41 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282799, encodeId=0b6b282e998f, content=认真学习天天天向上, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo61WAV0ROeLAoicPxPKoKaogwLWLL8STv86qplbdOibN2YR4KxkJicqNectCXGR8gPJhGLc7yYLSdnpx4kaVXndTfu/0, createdBy=a6962042337, createdName=1391e9f2a7m, createdTime=Sun Jan 28 08:02:07 CST 2018, time=2018-01-28, status=1, ipAttribution=)]
    2018-02-07 天涯183

    非常好的文章.学习了

    0

  5. 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objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Sun Jan 28 19:59:28 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282923, encodeId=5c90282923ec, content=学习.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sun Jan 28 17:07:41 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282799, encodeId=0b6b282e998f, content=认真学习天天天向上, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo61WAV0ROeLAoicPxPKoKaogwLWLL8STv86qplbdOibN2YR4KxkJicqNectCXGR8gPJhGLc7yYLSdnpx4kaVXndTfu/0, createdBy=a6962042337, createdName=1391e9f2a7m, createdTime=Sun Jan 28 08:02:07 CST 2018, time=2018-01-28, status=1, ipAttribution=)]
    2018-01-29 天涯183

    非常好的文章.学习了

    0

  6. 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objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2VdicMnaLeK2Im5gKx4Ucxd8Bwu6S7RG0uILBFQx5HTW2bU4VricDYlQqN20ibASSMYAeGrZrrTpy2Q/0, createdBy=b10c1938054, createdName=1e0e5697m83(暂无匿称), createdTime=Sun Jan 28 19:59:28 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282923, encodeId=5c90282923ec, content=学习.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sun Jan 28 17:07:41 CST 2018, time=2018-01-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=282799, encodeId=0b6b282e998f, content=认真学习天天天向上, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo61WAV0ROeLAoicPxPKoKaogwLWLL8STv86qplbdOibN2YR4KxkJicqNectCXGR8gPJhGLc7yYLSdnpx4kaVXndTfu/0, createdBy=a6962042337, createdName=1391e9f2a7m, createdTime=Sun Jan 28 08:02:07 CST 2018, time=2018-01-28, status=1, ipAttribution=)]
    2018-01-29 天涯183

    非常好的文章.学习了

    0

  7. 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    2018-01-29 xxxx1053
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    2018-01-28 1e0e5697m83(暂无匿称)

    henhao

    0

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    2018-01-28 惠映实验室

    学习.谢谢分享.

    0

  10. 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    2018-01-28 1391e9f2a7m

    认真学习天天天向上

    0

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