每年有60万医学毕业生，仅10万穿上“白大褂”？医改专家反思——

Each year 600000 medical graduates，Only 100000 put on“white”？Medical experts reflection--

“广种薄收”的医生培养模式该变变了 “GuangZhongBoShou”Doctor training mode this change

　　“医改推进了多年，核心因素是人，卓越医生改革是在为医改‘加力’。”这是我国医改专家对“卓越医生教育培养计划”的普遍评价。但北京大学国家发展研究院经济学教授、著名医改专家李玲同时提示，我国医生培养体系还需“大改”。

“The cure of the advance for many years，The core factor is the man，Excellence in medical doctor reform is for‘strength’。”This is our country to medical experts“Outstanding doctor education training plan”General evaluation of。But the national development research institute of Beijing university economics professor、Cure of the famous experts who also hints，The doctor training system in China should also“Big change”。

　　“国家每年培养约60万医学生，据我掌握的一个数字，只有约10万人能穿上‘白大褂’。‘广种薄收’式的医生培养模式该变变了。”她和北京大学公共卫生学院教授陈育德都认为，从患者利益出发，医生培养模式有必要转为“量少质优”。

“Countries each year training about 600000 medical students，According to my master of a number，Only about 100000 people can wear‘white’。‘GuangZhongBoShou’Type doctor training mode this change。”She and Beijing university school of public health professor ChenYuDe all think，From a patient's interests，The doctor training mode is necessary to“Quantity is little good quality”。

“广种薄收”影响医生临床技能 “GuangZhongBoShou”The influence of clinical skills

　　在校学习的前5年基本“不临床”，后几年才在医院见习与实习，但还要做研究写论文……这是陈育德眼中，作为顶尖医生培养殿堂之一的北京大学医学部对未来医生的培养模式。“8年应该出个好医生了，但由于‘重理论轻临床’的课程设置，结果连医学博士的看病能力，都不容乐观。”

5 years before the school learning basic“No clinical”，Only a few years after the hospital trainee and the practice，But still need to do research to write papers......This is ChenYuDe eyes，As one of the top doctor training hall of Peking University health science doctor training mode for the future。“8 years should be a good doctor，But because‘Heavy light clinical theory’curriculum，The results of the medical doctor even see a doctor ability，Are not optimistic。”

　　我国目前的医学生学制一般分为5年制本科、7年制本硕连读和8年制本硕博连读三种。据卫生部《2011年我国卫生事业发展统计公报》，去年底，我国的执业(助理)医生已达到246.6万人。世界卫生组织数据显示，此数字位居世界第一。印度和美国约为75万，英国仅为16万。

Our country's current medical students are generally classified into 5 years college schooling、7 years even read the following eight years and this joins read three。The health department《In 2011, health service development statistical bulletin》，end，China's practice(assistant)The doctor has up to 2.466 million people。The world health organization figures show，The digital world at first。India and the United States is about 750000，Britain is only 160000。

　　媒体报道显示，我国各级医学院校每年招录的医学生，约有60万人。李玲认为，在当前培养模式下，不仅大量人才被浪费，而且很难保证每个医学生在临床技能上都被“精耕细作”。

Media reports，All levels of China's medical colleges and universities ZhaoLu every year medical students，About 600000 people。Who think，In the current training mode，Not only large talent is wasted，And it was difficult to ensure that each medical students in clinical skills are“Intensive cultivation”。

　　陈育德告诉记者，在美国学医，一般分为“双4年”，后4年完全用于临床医学。但在国内学医，在被一再压缩的临床实习环节，近年来因扩招而频频遭遇临床实习医院严重不足、有责任心的医生“师傅”越来越少等尴尬。

ChenYuDe told reporters，In the United States who，Generally divided into“Double 4 years”，Four years after the completely used for clinical medicine。But in the domestic study medicine，In have been compressed the clinical practice link，In recent years because of enrollment expansion and frequently encountering a serious shortage of hospital clinical practice、Responsible doctor“teacher”Less embarrassing, etc。

　　“有一年，我们学院的本科医学生一下增加了1000多人。为了安排实习，学校只有想尽办法往现有的实习医院‘塞人’，再降低要求，让周边县市区水平参差不齐的大小医院都成了实习医院。没有学生愿意到没有教学经验、医疗水平也不高的医院实习，但这是没有选择的选择。”一位医学生在自己的博客中这样感叹。

“One year，Our institute of undergraduate medical students the increased more than 1000 people。In order to arrange intern，The school only try to go to the existing practice hospital‘Plug people’，To reduce demand，Let the surrounding the different levels of the hospital wing size has become a practice hospital。No students willing to to has no experience in teaching、Medical level is not high also hospital practice，But this is no choice of choice。”A medical student in his blog in such exclamation。

　　中国青年报记者随机采访了8位地方院校的医学本科生后发现，类似遭遇在6个人身上不同程度地上演。有的实习点因为“人满为患”，只能打扫医生办公室、整理粘贴病人化验单、查房；8人中有3人的有效实习时间不超过半年，对基本术前准备工作、写病例等基本功，也自感“不能规范操作”。

China youth daily reporter random interviewed eight local colleges and universities found after the medical students，Similar experiences in six different degree in on performed。Some ShiXiDian because“overcrowded”，Can clean the doctor's office、Finishing paste patient paper、rounds；Eight people have a valid practice time 3 no more than half a year，On the basic of preoperative preparation work、Basic skills such as writing cases，Also puts“Can't standardized operation”。

　　“医生是实践的学科，如果靠‘大把地进、大把地出’，没有尽职尽责的好医生带领，没有足够的实习基地，甚至解剖也不用尸体，怎么能磨练出一名卓越医生，又怎么能让患者放心地‘以健康相托’？”李玲说。

“The doctor is a practical subject，If, by‘Rightly put into、Rightly put out’，No dedicated good doctor lead，Not enough practice base，Even anatomy also need not bodies，How to build up a great doctor，How can you let patients trust‘XiangTuo with health’？”Who said。

　　记者在采访中发现，由于感觉“学不到真东西”，一部分医学生，已把这一年实习期，当成了复习考研、准备转行的缓冲期。另一部分“坚守者”则在走上医生岗位后，还不得不继续尚未完成的实习。

The reporter found in the interview，As a result of feeling“Learn to be less than true thing”，Part of medical students，Already this year internship，As the review one's deceased father grind、Get out of the cushioning period。The other part of“Stick to the”The doctor in on station，Still have to continue to not yet finished practice。