The tertiary general hospital should strengthen the supervision that is not the registered doctor's clinic quality of our institute

The tertiary general hospital should strengthen the supervision that is not the registered doctor's clinic quality of our institute
The qualification problem has already become medical organization, health inspection authority and focus which the society pays close attention to at present to practise medicine in working qualification problems, especially the doctor of personnel inside the hospital. To that the registered doctor of our institute of Africa is " Three is grown " (receive a training doctor, undergraduate course intern, graduate student) Clinic arrangement and problem of management, there is no clear investigation basis yet at present. This research is passed to the tertiary first rate general hospital of national part " Three is grown " Clinic arrange for situation carry on investigation, how general hospital strengthen to " 3 born " discussion The supervision of clinic quality, thus reduce the medical dispute and improve the whole management level, offer the reference basis for the fact that the administrative department makes the relevant laws and regulations.
The subsidiary grandson in Rui Jin hospital of Shanghai Communications University medical college has issued>, through carrying on the random sampling to the national tertiary first rate general hospital, it amounts to 80 to collect each province and municipality hospital, among them take Shanghai, medical organization of Beijing as the core. Take questionnaire form as the core, combine the interview and telephone interview on the spot, involve content including qualification, doctor of medical organization, put on record situation, register situation, the intersection of clinic and doctor, form, receive a training of doctor's clinic, arrange the proportion mainly, " three is grown " Clinic tape teach situation, have the right, open medical doctor of documentary evidence form, cause medical doctor of dispute form. Investigate on the spot as to the disputable or not clear situation. Send out 80 questionnaires together, retrieve 75 valid questionnaires, the effective rate of recovery is 93.75%. Adopt excel to input the data, carry on data processing and analysis through SPSS13.0 statistical analysis software, count the materials to represent with percentage, adopt �� 2 to examine. Find, allow, receive a training of doctor, go out and examine and account for 22.67% finally, allow intern, graduate student of the undergraduate course to examine and account for 17.33% going out, the ones that received a training and allowed to practise medicine independently under two card complete situations of doctor accounted for 5.33%, in have the intersection of our institute and doctor receive a training of doctor, allow practise medicine account for 77.33%, the intersection of undergraduate course and intern, account for 42.67%, graduate student, account for 81.33% under the situation that tape teach.
The article is pointed out, receive a training of doctor, practise undergraduate, graduate student practise medicine the intersection of qualification and problem become numerous medical organization, health inspection authority, the intersection of patient and focus that colony pay close attention to the fact already at present. Mainly have two following respects: ( 1) Doctor's qualification question will and satisfaction of influencing the patient and going to a doctor directly. Question this appear in above- second -class general hospital especially, patient come on visit this, it was the medical level of the general hospital that was valued: The intersection of doctor and abundant clinical experience, advanced treatment means, find, meet, it examines doctors to be to it receives a training of doctors to be or to have intern, graduate student that tape teach, doctor of our institute, then will go to a doctor to patient psychology produce negative effect, thus make the intersection of suspicion and judgement and treatment means taken of doctor its, and then influence the therapeutic effect. ( 2) According to material which many hospitals get, receive a training of doctor, the intersection of undergraduate course and intern, graduate student, occupy the proportion greatly because of clinical the intersection of experience and the intersection of deficient or sense of responsibility,etc. and medical dispute that problem cause in the fault medical dispute. Though a clinician's growth, the development of medical science, study and practice are obligatory stage, must produce a lot of questions in this course, but these questions can't be ignored when reaching the impact on single patient specifically.
According to investigating, most medical organizations think and receive a training the increase of doctor, undergraduate course intern, graduate student to influence production of the medical dispute. Though we have, consider clinical teaching and doctor it trains to be medical development inevitable to need, but the issue that person this kind of's working qualification is deficient must work to bring the risk to medical treatment meanwhile, so it is necessary to set up a set of intact doctor's operation qualification to follow the system. To the doctor registering in our institute at first, include the clinic, emergency call from department to the medical matters, the qualification situation of registering to this doctor's medical practitioner's qualification and medical practitioner etc. is put on record and connected the network in parallel, when the alteration takes place, register the alteration in a place, the other places are revised correspondingly. Serve the situation to record in every department briefly as to this doctor, should include the following several items: Personal basic situation (curriculum vitae, education, department, professional title,etc.) , practicing qualification situation, specialty, every department working condition (the attitude, sense of responsibility, medical dispute quantity) When. Doctor this take place when the intersection of department and department rotate, receive department, can consult, record, go on, follow, check to work their, record when the manifestation that the undergraduate course room is engaged in the medical activity is real to it, the intersection of medical matters and regularly according to feedback the situation, check his qualification of practising medicine department at the same time, analyze the reason about the personnel frequently happening in dispute or accident, look for and solve the route, determine whether to suspend it and pay a home visit or not according to the actual conditions and the requirement is rectified and improved within a definite time period. The intersection of undergraduate course and intern, graduate student, receive a training of doctor, can adopt the same management too, the system of including this kind of basic situations of personnel in, the tape teaches the department responsible for writing comments, one practises one when finish, the medical matters department carries on qualification, check that passes as to eligible offering, teach department continue, carry on tape teach by next strip, not in accordance with condition to check department get out of and improve the requirement, medical practitioner's qualification must be put on record in medical matters, clinic, emergency call in order to transfer and read to already obtaining.
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