Today, we will not talk about the national situation, not talk about the system, not talk about the national investment, not talk about medical ethics, medical style, just talk about medical technology:
A
China's doctors level, the lower limit is very terrible, the lack of rigorous standardization of the training, which is the biggest gap with the foreign countries.
Knowing the active doctors medical students, most of the Xiebei Fuxiao Xiangya Huaxi Tongji Zhongshan such top institutions out, the least of the least is also basically three hospitals above. The doctoral students are as many as dogs, eight-year system everywhere, masters basically no one right, each have to test USMLE test MRCP. if you look at a long time, it will be the same as the social field, feel that today's annual salary of 200,000 can't see people, annual salary of 500,000 is barely enough to eat.
And in fact, according to a 2013 report by the Ministry of Health, of the 2.795 million doctors in China, 28.5% are undergraduates and above, 38.7% are junior colleges, 30.0% are junior colleges, and 2.7% are high schools and below. China*** has 13,396 public hospitals and 11,313 private hospitals. Among them, there are 1,787 tertiary hospitals, accounting for 7.2%
In China, the "county" is the most basic level of the complete government organization. And what kind of doctors are in a county hospital, which is responsible for the medical care of hundreds of thousands of people and is likely to be the most authoritative institution in a 100-mile radius?
It's a pity that it's not the kind of doctors and medical students at the top hospitals that are described as studying hard every day, being diligent in their clinical work, being serious in their research, reading foreign literature on time, and so on, but it's more a case of drinking and playing poker every day and getting by, with their specialties basically not being looked at, and their dissertations basically being copied/bought, and their abstracts having to be translated by Baidu. Just as in the county the vast majority of institutionalized people.
Even, I've seen many county hospital doctors who haven't even taken a medical license and have been practicing medicine illegally. I don't want to comment too much on the level of medical care, a lot of it is beyond jaw-dropping.
These are the people who make up the absolute backbone of China's healthcare system, and even the absolute authority at the grassroots level.
Even a doctor like me is afraid to go to a community hospital, let alone an ordinary person.
Two
Even at the top domestic level, the gap with foreign countries is all-encompassing.
Taking the cardiac surgery department I work in (which can basically be considered one of the departments representing high medical sophistication) as an example, for surgeries that are already very mature, doctors in China's big hospitals can rely on the ample supply of patients to be technically on par with foreign countries.
But at this level of competition, it's not just about individual doctors, it's about teamwork and even national strength. The so-called "Chinese doctors a year to see the disease than foreign doctors a lifetime to see more", some "Chinese high school students to do trigonometry problems than foreign college students have seen more" the sense of aq. At least in the mainstream medical field, China has never really been able to stand on the main stage.
For example, the level of scientific and technological support, including a variety of the latest instruments, a large number of basic scientific research supported by the latest treatments and so on, to take cardiac surgery as an example, China's top hospitals just about ten years behind the world's first-class level. (tavi, robotics, mitraclip, etc.)
For example, the cultivation of team spirit. When I studied at a first-class cardiac surgery department abroad, I was very impressed that they still insisted on gathering all the relevant department heads at least twice a week to discuss cases even though they were as busy as the domestic doctors, and in China, even if it is just a formality, the hospitals that can do it can be counted on one hand.
For example, medical humanism, the importance of patient privacy, patient care, etc., in the domestic ...... Anyway, every time I mention this in Zhihu will be scolded "pretending to be a bully", "mother of God! "
This is the first time I've ever seen a woman in the United States who has been in the United States for a long time.
For example, the updating of medical concepts, to take the simplest example, in the current foreign medical and scientific research, more and more emphasis on the standardization of treatment, emphasizing the use of a variety of advanced means of minimizing the impact of the doctor's personal level, while in the country, the publicity is often still "xx director of the how awesome, gifted, and other people can not get the operation, he will be a person! The company's website has been updated with the latest information on the latest developments in the field of medical technology.
Using an analogy I've said before to summarize: domestic top masters driving ae86 into the supreme realm of human-vehicle unity, and foreign counterparts driving Bugatti efforts to pk.
Three
The all-encompassing backwardness of medical education determines that it is basically impossible for China to catch up with the medical standards of the United States and Japan.
Of course, this is by no means just a medical problem. It's also a big problem with our education.
A Chinese medical student's falling behind Reprinted from China Weekly 2011, Issue 4 By Liu Chang
You can go to see this article, which is the eight-year system of Concordia, the tip of our Chinese pyramid, are feeling a deep sense of powerlessness in the comparison with their foreign counterparts, whereas the standardized medical student and residency training in foreign countries described in the article is not only unique to the cow schools but is nationally Uniform. If you can understand that, you might be able to relate to this unquenchable despair as well.
In my case, having ****ed with Japanese, Indian, Brazilian, North American, European, and Arab medical students and doctors in my studies abroad, I sadly and shamefully don't think I could have reached the level of any of them, although, I don't think it was because of my clumsiness or laziness.