Doctors often work night shifts and are very tired, but why not recruit more doctors so that the long shift time (or each department hires a doctor who works night shift) will not be so tired. Moreover, the attending doctor has to receive so many sick patients a day, so tired, why not train a few more good doctors to share the burden? The reason why the doctors in the hospital receive too many patient numbers and are overwhelmed is because when I went to see some hospitals in fourth-tier cities and second-tier cities to see a doctor, they found that there were people who were waiting in front of the department one after another. I couldn’t help but raise the question of “Why not arrange two doctors to receive these patients at the same time”. In that case, it will relieve the doctor a lot of mental burden.

Of course, the town hospitals and county hospitals do not have so many patient numbers, and there is no need to add doctors, but they still work on a night shift every three days, which is quite tiring. I’m just curious, why don’t those “busy” hospitals add doctors.

Teachers seem to have always been particularly lacking. In a small city in a large province, there are six to seventy people in a class, and there is only one set of teachers. Why not divide more classes and charge more teachers? The reason for saying this is that we also surveyed junior and senior high schools in Zhenshang County and some cities in two, three, four and five counties, and found that the senior high schools in towns, counties, and third, fourth, and fifth-tier urban areas are almost all in a class of 70 students. In second-tier cities, there will be about 45 people in a class.

Obviously doctors and teachers are a profession of supply and demand, why not recruit more medical students and teacher students? Is it because the money is not enough to pay so many doctors and teachers?

It is not that they are unwilling to recruit more people, but as society develops, the treatment of many doctors and teachers has not kept up. The China Health and Family Planning Commission has released a set of data. From 2005 to 2015, China trained 4.7 million medical students, but only about 750,000 actually worked in medicine, and the wastage rate was about 84%. why? Let’s look at a set of salary data for medical freshmen in 18 years. The rigor and experience required for the profession of medicine determines its industry specificity. It usually takes several years of study, a few years of internship, and then practice slowly, only then can there be room for improvement. A friend of mine who studied clinical medicine told me that his probation period is about 2,000 a month, and his salary is 4,000 to 5,000 yuan after he is converted, and his monthly salary can range from 7,000 to 8,000 after the completion of the regular training. When you are young, you are in a hurry for money. How many people can afford to buy a house, buy a car, or talk about marriage? In other words, it is the particularity of the industry, coupled with the failure to keep up with the treatment, resulting in a serious disparity in the ratio of input and output, which has discouraged many medical students. And not only treatment, medical resources are also critical. The imbalance of resource allocation has led to some chances to not go to the top two, and must go to the top three. Just as teachers are unwilling to go to ordinary schools and are willing to wait to enter key schools, the ceiling determines how far they can go in the future. In today’s age when consumerism is prevalent, there are not many who can truly abandon their interests and invest in the education and medical industries. This is not their fault, but environmental factors.


By zhiwo

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7 months ago

Medical treatment is like this. It depends on who is right. For example, patients are short of doctors, right, but patients cannot decide whether to recruit doctors or not. Isn’t it the hospital who decides whether to recruit? Is there a shortage of doctors in the hospital? Hospitals, like other institutions, lack money (self-financing). In fact, going forward will involve a lot of things, such as the hospital’s operating model, the proportion of hospital staff, medical pricing, the impact of teaching and research on medicine, and so on. In short, one doctor treats two purposes as what the hospital wants. I don’t know what the education industry is like.

7 months ago

The doctor didn’t understand, and talked about the teachers of basic education. In all fairness, as far as I know, every school is in a state of lack of people, but it is also limited by the establishment. Now it is in a vicious circle. The people who make a lot of money (old teachers with high professional titles) and those who work a lot (new teachers with low professional titles) are completely different groups. Most young people hope that they can do less work that has nothing to do with teaching at a certain age. But think about it carefully, what is the reason for the lack of people? In fact, what is missing is people who are willing to work hard. The reason why everyone is getting more and more confused is probably because there is no corresponding return for serious work. Since everyone is not a saint, they are slowly beginning to catch fish more and more. But if the title is cancelled, young people now have no hope. There are probably even fewer people willing to come in. Taken together, there are too many reasons for not hiring more people. And it is difficult to solve.

7 months ago

The doctor industry doesn’t understand, I can’t comment. I am a high school teacher in a public school. There is indeed a shortage of teachers in our school, but the quota is full. We also need to recruit substitute teachers. There are more than 30 substitute teachers in our school. You can imagine the extent of the lack of teachers. . Teachers themselves are the largest group in the career establishment, and their salaries are fully allocated by the finances. A large number of teachers will be recruited, which will bring a part of the financial burden. In addition to the shortage of teachers, I think there should be the following reasons: 1. It is common for schools to move between units that are seconded to each other, and many flows are beneficial and can be “gold-plated”. These seconded teachers are all in the original school. However, if the person is not there, they may go for a few months or even a few years. If their establishment does not change, they will occupy the quota of the original unit. So now many units and not just schools have the embarrassing situation of the absence of people and establishment. . Moreover, in this situation, most township teachers are seconded to cities, and many township schools are over-staffed, but the number of teachers is insufficient. If the local borrowing rate is not standardized, this will cause problems for many schools. 2. There are more and more middle-level staff. Schools can be roughly divided into two types of people, one is in class, and the other is not. The most tiring is the former. Therefore, many teachers want to keep going. A middle-level leader, only in this way will he naturally become the latter type of person! The situation in our school is the secretary, principal, deputy principal, chairman, and director. These types of people do not attend classes. In other words, in general, the more departments and the more middle-level leaders, the more people who do not attend classes! At the beginning of the school, our school had two departments, and now there are 5 departments, and the staff of the departments are also growing! There are indeed a lot of middle-level leaders in our school. Generally, they don’t take classes, or they take a relaxed class for job title evaluation. Although the responsibilities are different, there are too many middle-level staff, which greatly wastes the strength of teachers. 3. Maternity leave and sick leave The current situation in schools is that there are far more female teachers than male teachers. Especially in the recruitment of teachers in recent years, the proportion of male and female teachers applying for exams is seriously out of balance. Teachers are also ordinary people, will get married and have children, and female teachers will inevitably take maternity leave. There are more female teachers in schools, especially young female teachers. It is very likely that several teachers will take maternity leave in a semester. In addition, sick leave also exists, which makes it clear that there are so many teachers, but not so many are on duty. Fourth, teachers’ salaries cannot keep up, and the salaries of teachers who cannot attract talented teachers are a commonplace issue. Slogans have been chanted every year, but the implementation situation is worrying. The salary of teachers is indeed not high, especially for men, the social pressure is greater, and fewer people choose the profession of teacher. This is one reason why the number of female teachers far exceeds that of male teachers in recent years. If teachers’ salaries cannot keep up, they will not be able to attract outstanding talents to join the teaching profession, especially in rural areas. Now there is a strange phenomenon in teacher recruitment. The urban teacher establishment is gathered together to apply for the exam, but the department’s remote towns and towns cannot recruit people. The main reason is that there are too many differences in regional economic development, the low salary of teachers, and the lack of conditions to attract teachers. 5. The proportion of old teachers is too large. Many schools, especially township schools, have a serious aging of teachers. Although the old teachers have rich teaching experience, they have limited energy after all, and it is more difficult to be a front-line teaching job. Old teachers in many schools will retreat to teach minor subjects, especially in junior high and elementary schools. It is quite common for teachers of majors in Chinese, Mathematics, English and English to retreat to teach minor subjects such as ideology and morality. Even if this is not the case, the old teachers have limited energy, and naturally they will bring fewer classes. So if there are fewer young teachers in a school, the number of teachers in the school seems to be relatively large, but in fact it is not enough.

7 months ago

Let me give you an example. Some private schools often have a tuition fee of 50,000-100,000 a year. So many parents think that their teachers are very strong, and then look back, Ma, the qualifications are really ordinary. The teachers are also dumbfounded: no matter how much you pay for the tuition, my mother is still 4.5000 a month, and you still want me to lift your child to the sky? dream. What is lacking is the kind of people who are willing to make sacrifices. Last time, a classmate told me that a sister in the hospital worked with a salary of 2500 for more than ten years. I really didn’t know how to bear it. I don’t know how to bear it.

7 months ago

In general, these two professions are both a carrot and a pit. Take a doctor as an example. For a new hospital, the approximate number of doctors has been arranged as early as the initial planning, but as time goes by, the number of patients is getting more and more. More and more, more and more doctors came here, but a carrot and a pit, more and more graduate students replaced undergraduates, and later more and more doctoral students replaced graduate students, slowly in large hospitals. ; The title of teacher is also well-known that there are more monks but less meat, and how many schools in a city, how many teachers are assigned to schools, and how many positions are needed. Medical resources in China have been unevenly distributed. There is no shortage of talents in Beijing, Shanghai and Guangzhou hospitals, but we are lacking. Basic-level doctors, in fact, don’t blame the doctors. Most of the doctors now have undergraduate and master’s degree courses, and some of them take a doctorate. It takes a lot of time and costs. There are clinical trainings. The pass rate of practicing doctors is not high. Those who come out later have to continue to pass for their professional titles… But the salary and benefits of grassroots doctors, future promotion, etc. are not as good as those of the top three hospitals in big cities. It is a small return on the initial investment that can be seen by the naked eye. At this time, the problem of one carrot and one hole is returned. It is not that the industry is unwilling to recruit more people, but that there are too many people in big hospitals and not enough holes. There are many pits in small hospitals, but there are not enough people. Another point is the uneven distribution of human resources in the hospital. In which department, how many people are allocated, is it based on benefits or actual needs? How to balance the input-output and benefit of the hospital? The water is too deep, and it’s hard to tell that the reputation that doctors continue to accumulate is to a certain extent the stickiness of patients. Famous doctors are a scarce resource. I thought about why I didn’t recruit more people when I saw 30 patients in the morning. Later, I made a report and the hospital said that the establishment was full… When I was away, the outpatient service was half less, and there was no need for so many people. . In some places, build a new hospital, expand the recruitment of doctors, and introduce famous doctors. This can reduce the waiting time for patients and reduce the burden on doctors. The only bad thing is-no money, unsustainable… When participating in the interweaving of medical education, some other perspectives may be needed to re-recognize these industries that we thought “as they should”… I wish you all good health!

7 months ago

Increasing the number of doctors will not increase the income of the group of doctors, but will also decrease because more people share money, because after all, the income of doctors comes from patients, and if the number of patients is large, the income of doctors will increase. This may be the reason why hospitals are pursuing the volume of outpatient and emergency services. I’m just a newbie. I have a very simple understanding of the industry.

7 months ago

3 questions: 1/ Who will bear the cost (time and money) of cultivating a fluency in English (in order to keep up with the new developments in international medicine) and solid clinical skills (requires a lot of pathogenic practice)? Or pass it on to whom? Who will bear the cost of cultivating a teacher with solid teaching skills, complete subject knowledge, and outstanding test-taking ability? Pass on to whom? 2/The answer to the previous question, there are countless correct answers, and only wrong answers One, that is “me”. 3/ To achieve 1, is “the benefit greater than the cost” for “me”?

7 months ago

Because the posts in our country’s system are not recruited on demand, but recruited on the basis of establishment. Take our medical industry as an example. I dare to pat my chest and say that almost all hospitals are short of staff, especially emergency, critical care, pediatrics, and anesthesia. However, there are only a few places in the establishment! It can’t solve the problem at all. In addition to the establishment, which is what we call the contract system, it is obvious that equal pay for equal work, in fact, there is too much difference in hidden benefits, such as five social insurance and one housing fund. There is no hope of breaking the game right now!

7 months ago

Because the cake is so big. It is the frontline and the grassroots who call for the lack of doctors every day. The front line is too tiring. The more people there are, the less work everyone gets, and it can be easier. However, performance distribution and bonus coefficients must be considered above, which can only guarantee the maximum benefit. In other words, the fewest people do the most work. The fewer people, the less wage performance paid. It’s best to do the work of two by one person, and leave the job if you can’t stand it. Anyway, a hospital with iron and a running hospital. The doctors/postdoctors of the good hospitals cannot enter in line, and the prefecture-level cities cannot keep people. The grassroots want a master’s degree, a master’s degree wants to enter the top three, and the top three want a doctorate. The doctor wanted to get into the top three, and the top three began to pick and choose. So there are medical students/doctors who can’t find a job everywhere, recruiting people everywhere.

7 months ago

First, doctors treat illnesses and save people, and teachers teach and educate people. They are all things that cannot be ambiguous at all, so they must be filed. Second, they are not very powerful doctors. The salary is not high, but they are very tired. It’s even hard to please many times. As for the teacher, you can see that the teacher has winter and summer vacations that seem to be particularly easy, but I would rather not take a break during these two months, because usually the salary is really not high, and there are all kinds of shit. Churning and churn, the heart is tired. There is no shortage, and there is no real relationship between supply and demand, unless there are more votes. After all, everyone wants a better life.

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