Can you raise mice to make cells but not see a doctor? What kind of doctors do we really need? Great | Doctors | Cells
Introduction: Some doctors spend a lot of time on research funding, publish many articles, and have a great reputation, but their medical or surgical skills are average or even poor. This kind of doctor is definitely not what patients need.
Author | childlike innocence of money from first Finance and Economics
What are the standards for a good doctor?
Professor Ge Junbo, an academician of the CAS Member and director of the Department of Cardiology of Sun Yat sen Hospital affiliated to Fudan University, once said: "In every patient's mind, there is a steelyard. A good doctor should first have medical skills and moral integrity, but also have humanistic feelings. When a patient treats his disease, he should also treat his heart disease. I think this is a good doctor."
Some patients also expressed that although they do not know how to judge a doctor's level, they can see if there are many people queuing up to see him for medical treatment and surgery. Doctors who are busy with daily medical treatment and surgery should be good doctors, and the number of outpatient surgeries is generally proportional to the doctor's professional ability; If a doctor doesn't have many people coming to him for treatment and surgery, then there must be a problem.
Although the standards of a good doctor are difficult to quantify, for patients, the standards of a good doctor are simple. In addition to having the most basic medical ethics, ultimately it is whether they can cure the disease.
It is not easy to cultivate doctors who can cure diseases. Even after nearly a decade of strict medical education, most doctors do not immediately cure diseases and save lives after entering the workforce. They still need a considerable period of experience accumulation.
There are also doctors who spend a lot of time on research funding, have published many articles, have a great reputation, but their medical or surgical skills are average or even very poor. This type of doctor is not what patients need.
This is also why there are so many doctors in China, but the real problem solving doctor resources are still very scarce, which is the reason why large hospitals are overcrowded and small hospitals are empty.
To solve the problem of doctors not being able to see a doctor, on the one hand, it is necessary to have a good medical education and doctor training system; On the other hand, there is also a need for a healthy talent evaluation mechanism for doctors.
Is doing scientific research a good doctor?
Among the medical community, some people not only have extremely high expertise in surgery, but also have a large number of original achievements in basic research, known as "doctor scientists". However, such doctors with strong clinical and scientific research abilities are rare in China.
Ge Junbo candidly said, "The demand for medical talents varies among different hospitals, and large tertiary hospitals undertake more research tasks. Nowadays, many hospitals require doctors to be able to both receive medical treatment and conduct scientific research, but in reality, it is not necessary. Doctors who seek medical treatment on a daily basis do not need to achieve a balance between the two. For county-level hospitals, it is more important to have a good eye on the disease."
In China, clinical doctors conducting scientific research seems to be a norm and an important indicator for talent evaluation and promotion. To change this, we need to start with the assessment mechanism.
The reporter from First Financial News learned from medical staff at or above the level of attending doctors in multiple tertiary hospitals in Shanghai that scientific research has almost become a common "task" for everyone.
"When it comes to the standards of a good doctor, it is definitely better to have good clinical practice and scientific research," a department director of a tertiary hospital told a reporter from First Financial News. "But I believe that scientific research should be voluntary and not mandatory, because not all doctors are suitable or passionate about doing scientific research. Some people are good at seeking medical treatment."
Another attending doctor from a top tier hospital told a reporter from First Financial that sometimes, even if he doesn't have research funding, he still has to engage in research after paying for it. He buys reagents, consumables, and animals because hospital promotion is closely linked to scientific research achievements. Scientific research achievements have become an important indicator for evaluating doctors.
A attending doctor from a top tier hospital also told First Financial that many doctors admit that many scientific research projects know they cannot be transformed, but they still need to work on them. As a result, many so-called "zombie patents" have emerged.
"In fact, scientific research in various industries is like this. There are a lot of CNS articles, how many can be converted?" said the attending doctor of the aforementioned top three hospitals.
Doctors cannot throw away their clinical skills in their profession
A chief physician from a tertiary hospital told First Financial that many doctors are now engaged in basic scientific research, which is related to the evaluation system. In fact, it is "putting the cart before the horse". "Many doctors have great reputations, have conducted a lot of cell genetic research, and published many articles, but their medical treatment and surgery are average or even poor, many of them," he told a reporter from First Financial News.
He believes that clinical practice and scientific research are mutually reinforcing. Clinical practice provides research direction for scientific research, and scientific research provides new theories and methods for clinical practice. Improving the analytical ability of clinical doctors can change their way of thinking. The ultimate goal of clinical research and clinical work is to better address the treatment issues of diseases.
He suggested that on the one hand, clinical and basic research papers should be distinguished, and used as a criterion for whether to include them in the promotion assessment of doctors, so as to drive research that is beneficial to clinical practice; On the other hand, doctors should also be encouraged to improve their clinical research skills, such as writing more case reports and skill analysis, and use them as indicators to evaluate their clinical abilities.
A professor from a top tier hospital also agrees that doctors should be allowed to spend more time on clinical research. He told a reporter from First Financial News, "The work of doctors often requires scientific research thinking and the use of scientific evidence to guide clinical practice. However, many people believe that conducting scientific research is just raising mice and conducting cell culture, which is incorrect. More time should be spent on clinical research."
"It is a good thing for doctors to conduct scientific research and development papers, but it should comply with practical laws and not make unrealistic demands, forcing doctors to publish useless papers for promotion." An expert said.
And some doctors who are not interested in scientific research sometimes even go online to "buy papers" to cope with publishing articles, which has given rise to a "strange industry chain" of buying and selling papers. Doctors, paper factories, and magazine assembly lines have produced a large number of junk papers. According to online statistics, the Chinese medical community publishes hundreds of thousands of papers annually, but there are very few high-quality and influential papers, which has also caused a loss of national research funding.
But doctors who love doing scientific research should still be encouraged. Academician Dou Xiankang, Director of the National Natural Science Foundation of China, recently stated in a media interview that he plans to conduct a pilot program next year, increase funding for clinical medical scientists, and create a separate track for outstanding doctors willing to conduct scientific research, increasing the number of outstanding young people.
In response to this, Lin Guiping, Director of the Department of Scientific Research and Discipline Construction at Sun Yat sen Memorial Hospital of Sun Yat sen University, stated in a media interview that full consideration should be given to the particularity of the work content and achievements of clinical doctors, increasing the dimensions of achievement assessment, and increasing the proportion of related outputs such as patents, achievement transformation, and guidelines, rather than just examining the number of papers.
