How much is the shortage of pediatricians in China?
"the pharmacist working in children's Hospital, how to supervise children's clinical practice without any paediatric training Medication? Zhu Zonghan, the honorary president of the Beijing Municipal Health Bureau and the Chinese Medical Doctor Association pediatrician branch, was asked to silence the venue.
23 day, at the development seminar of the school of pediatrics at the Nanjing Medical University, many experts believe that the long-term shortage of pediatricians in our country is the disregard of children's medicine and the restoration of pediatric departments. It is not a simple way to cultivate a few students, but to replan and develop children's medicine on the basis of life science. Learn.
"golden eye, silver surgery, careless gynecology and obstetrics and Gynecology, do not do paediatrics", this sentence in the doctor circle for many years of popular ridicule may also be a portrayal of Pediatrics. How short is the
pediatrician?
Paediatrics Hospital Affiliated to Fudan University, Shanghai, there is a large number of queuing people waiting for registration at the first floor of the clinic. Zhu Weihui's surging news
China's 2015 Yearbook on health statistics shows that in the past 5 years, the total number of pediatricians in China has fallen from 105 thousand to 100 thousand, with an average of only 0.43 pediatricians per 1000 children, which is far from the average of 2.06 medical doctors per 1000 people in the country. It has been estimated that a few years ago, the gap of pediatricians in China was 200 thousand. The higher education reform in
1998 led to the shortage of paediatric talents. Undergraduate education in medical schools abolished pediatrics and replaced it with clinical medicine. Pediatrics became one of the courses. In 1999, the national Department of Pediatrics stopped recruiting students.
"pediatrician deficiency, lack of pediatric diagnosis and treatment, lack of paediatric medical institutions." Zhu Zonghan used three sentences to describe his shock to the current situation of Pediatrics. He believes that in the final analysis, children's medicine is not valued. He said, after the Ministry of education revoked Pediatrics, the National Natural Science Foundation had no Pediatrics, even in the selection of academicians, it was also difficult to find paediatrics. In the medical colleges, there was no right to speak in the Department of Pediatrics. In
2016, the central leading group meeting on comprehensive deepening reform first proposed reform measures involving child care. In the same year, the state supported Nanjing Medical University and other 8 universities to hold pediatric specialties. Zhu Zonghan said that restoring Department of pediatrics is not a problem to cultivate a few students, but to rebuild the academic development of children's medicine on the basis of life science and developmental biology and cultivate high quality pediatricians.
"the biggest difference between children's medicine and adult medicine is that adult medicine (Research) is mature towards aging. Children are a life body from one embryo. Development is the key word of children's medicine. It brings new challenges to clinical medicine." Zhu Zonghan said that developmental life science, brain science, genetics and so on are the basis of life science for children's medicine.
Zheng Zhongmin, vice president of Xinhua Hospital Affiliated to Shanghai Jiaotong University, children's Hospital Affiliated to Zhejiang University and deputy dean of Pediatrics, Mao Jianhua, etc. also expressed their identification. Pediatrics is a comprehensive basic subject, including internal medicine, surgery, five senses, even pediatric images, anesthesiology, and pathology, which are different from those of adults. A special study should be made.
"for example, children taking medicine is not an adult dose of 1/2 or 1/3 can be solved." Huang Songming, the children's Hospital Affiliated to Nanjing Medical University and the dean of the school of children's medicine, said that the treatment of children's diseases is not narrowed by the proportion of adults. In the process of development, the physiological anatomy of children is completely different from that of adults. 0 - 3, 0 - 6, and below 14 have different stages, until they reach the age of 14. "To enable pediatricians to master the characteristics of children in different stages of development, we can provide better diagnosis and treatment for patients."
after the two child policy is fully liberalized, pediatric medical and health care needs will become even more urgent. In 2016, the State Health Planning Commission proposed to strive for more than 140 thousand pediatricians in 2020, and the Ministry of education proposed to strive for at least 1 colleges and universities in each province in 2020 to set up paediatric majors.
take Nanjing Medical University as an example. The Department of Pediatrics, established in 1959, is one of the earliest pediatric disciplines in China. For more than 60 years, the school has not disrupted the development of specialized talents in pediatrics. According to Huang Songming, in 2014, the National Medical University was the first in the country to recruit five years of clinical medicine (the direction of Pediatrics). In 2017, the Department of Pediatrics continued to expand the enrollment. At present, it recruited 60 5 year undergraduate students and 60 "53" graduate students. But far from near thirst, "one undergraduate is at school for 5 years. After 3 years of planning training after graduation, it will be at least 5 years for a mature physician, and a surgeon for 8 to 10 years." Huang Songming said.