"Order", "orientation" and "free" are the key words of this plan. Based on the actual needs of township hospitals, order-based enrollment and training are carried out to solve the problem of doctors in township hospitals. This plan has been implemented since 20 10, and has trained and transported a large number of health professionals engaged in general practice for township hospitals and medical and health institutions below the central and western regions. However, in the process of implementation, the attribute of "plan" also affects the quality of training to some extent. It is necessary for colleges and universities to strengthen the quality control of free order training for medical students, adjust the mechanism of students entering order training in combination with the plan, and optimize this plan. In order to further optimize the training of order-based free medical students, the following three aspects can be adjusted or considered:
1, not only for rural students, but also for urban registered students.
Restricting the number of rural students can increase the proportion of rural students entering undergraduate colleges, but it will also make the plan labeled as only rural students, thus affecting the attraction of the plan itself.
2. Change "free" to "free", that is, the order points to public expenses.
It seems to be more in line with the essence of the project that China renamed the free normal students' program as the public-funded normal students' program, that is, students are free, but the state bears the corresponding training expenses. From a practical point of view, the concept of free will will also make some people think that only poor students apply for the exam, thus affecting the choice of non-poor students. Instead of poor students choosing to be teachers in rural areas and doctors in township hospitals, they should also be encouraged. If the order can be free for rural students and adjusted to all candidates in a county at public expense, it will not only improve the attraction of the plan, but also improve the quality of students, which will help to eliminate the labels of "rural" and "poor students" on the plan.
3. Establish a dynamic order adjustment mechanism.
It is suggested that the order for orientation training can be opened to the students in school after the freshmen enter school, and at the same time, according to the situation after the students enter school, the unqualified students who are not suitable for being doctors can be adjusted to make orders. In fact, students applying to enter the order training program after entering school can make them more determined in their career choices and better complete their college studies. Because enrollment is planned separately in the process of enrollment, some candidates first consider whether they can enter the university, rather than whether they want to be rural doctors. In other words, some students choose the order-based free medical student plan, which has the utilitarian consideration of being admitted first, while selecting from college students can make academic and career development factors become the main considerations for students.
To improve the quality of doctors in township hospitals, fundamentally speaking, it is necessary to improve the attractiveness of the profession itself. Therefore, while promoting the order-based free medical student training program, it is necessary to improve the working environment and conditions of township hospitals so that township hospitals can retain doctors. This is the foundation of strengthening the construction of township hospitals.
At present, the enrollment of order-oriented free medical students is a single plan, a single batch and a separate line. Many provinces basically put the enrollment plan in the county for rural students in the county. The advantage of this move is that it not only improves the undergraduate admission rate of rural students in this county, but also improves the professional stability of rural doctors to a certain extent-rural students in this county will work in township hospitals after graduation.
However, after being admitted, but before getting the admission notice, it signed an agreement with the county-level administrative departments of health, human resources and social security where the training colleges and universities and targeted employment are located. Therefore, some students who enter the order are easy to lack learning motivation in their subsequent college study and life. In order to ensure the quality of order training, training units should strictly carry out process management and process evaluation, put forward high standards for the training of order students, and strictly control and manage the quality of student training.