Now some young doctors choose to change careers. What do you think is the reason?
Studying medicine doesn't have to be clinical. Doing clinical work doesn't mean doing it all your life. A girl in our dormitory changed careers after graduation and became a teacher directly. It's not too cool to have three months of winter and summer vacations and national holidays in a year.
Another friend, who stayed in the clinic for two years, simply resigned and went home to help his parents open a pharmacy because of his low income. For a man who needs to get married and raise his wife and children, you have to rely on your parents for help for the first two years. It's really difficult to do such a job.
Another friend came to a small restaurant. Although it is not big, it is more comfortable than going to work. If you want to open the door, you can open it. If you don't want to open the door, you can close it. You don't have to work the night shift at night, and you don't have to be on tenterhooks all day. The nurse will wake you up.
So, you see, they have all changed careers, which is nothing more than these reasons. They were dissatisfied with the job, didn't want to do it, had a better choice and left. In fact, life is also countless choices, and we have made different decisions.
As a medical student who graduated for one year, I would like to say a few words on this issue:
At present, some young doctors have changed careers, and there are such doctors around me. Chatting with them, the reasons for changing careers are mostly these:
1, doctors work hard and earn less. There is no doubt about the hard work of doctors, especially young doctors, who get up early every day and go to night shift, and basically do not rest on holidays. As long as there are patients in the ward, we should go to the hospital for rounds. Such a large amount of labor is often the lowest salary among doctors. Young doctors who have just graduated from work often need to make up at home.
2, the pressure is high. At present, the doctor-patient relationship is tense, and patients should be treated with caution for fear of problems and family dissatisfaction. The economic pressure is even greater. People of the same age often buy houses, cars, get married and have children, while doctors may still be at school and have everything, but their income is pitiful. There is a lot of pressure to get promoted. If a doctor wants to be promoted smoothly, he should not only do a good job as a doctor, but also study articles, apply for topics, take exams, and some even need to take the postgraduate entrance examination. Physical stress is unbearable. Generally, under such labor intensity and pressure, there is little exercise, irregular rest and diet, difficult leave, and worrying physical condition.
3. Long culture time and late maturity. Originally, doctors went to undergraduate courses for five years, and now they have standardized training, and then three years, and now they have come to specialist training for two years, and they have become more than 30 so-called young doctors. So many people still don't trust real self-employment. Coupled with the current standardized training, it really needs to be improved, and many things to learn have to be further studied at work. But time waits for no one.
4. A strong sense of frustration. It is said that doctors are a noble profession, saving lives, and a sense of professional accomplishment arises spontaneously. It's only a moment, but if a patient can't be saved, don't say that the patient's family is looking for you. Your own career frustration will slow you down for a long time. I thought the teacher died after a patient's operation, and then she stopped clinical work completely.
The professional level of doctors is getting higher and higher. Some doctors dare not diagnose or misdiagnose in the consultation process, which has caused bad influence to the hospital and caused huge economic losses and even life costs to patients.
Give two small examples:
A patient began to have a stomachache because he was admitted to a local hospital for free treatment. He did X-ray, CT and B-ultrasound, and then said to his family, You are too irresponsible to the people here. The family asked what disease it was. Doctor: There is something wrong with the intestine. Don't you get it? It's basically cancer! This sentence can scare the patient's family. It is extremely painful to see the patient getting worse every day, so I have been treated in the hospital for more than ten days, and the daily treatment cost is more than 1000 yuan, and I haven't seen any effect yet. The patient's family proposed to transfer to a large hospital for investigation, but the local 100 hospital disagreed, saying that he would be treated at our hospital at public expense, and the medical expenses for treatment in other places would not be reimbursed. I stayed for a few more days. Later, the patient was often in a coma with pain, and it was no longer possible. Just on painkillers. The family found an ambulance by themselves and forcibly transferred the patient to a military hospital. After overnight examination, it was diagnosed as severe perforated enteritis and was operated immediately. It has been nearly twenty years, and the patient is still alive today. Look at the fence of the local hospital. The second hospital has advanced medical equipment, and higher vocational doctors line up. A simple enteritis was misdiagnosed. Procrastination has turned into perforated enteritis, and it has not been found out what the problem is.
In the second case, a neighbor felt a little uncomfortable eating the food, went to the hospital to see a doctor, and conducted a series of instrument tests through the program. As a result, he was diagnosed with esophageal cancer and asked to be hospitalized quickly. The patient was as scared as a dead man, and the whole family was stunned. Later, I thought of coming to the military hospital for investigation. Results It was diagnosed as mild esophageal inflammation by doctors in military hospitals, and it was not esophageal cancer. The patient ate a big bowl of dry rice in the restaurant at that time, and then only bought some anti-inflammatory drugs in the drugstore. All the problems have been solved.
What is certain is that if these patients continue to receive treatment in local hospitals, they will die and even destroy their families.
The profession of doctor has its particularity, which is different from most other professions in that the study period is particularly long, the growth is particularly slow, and the income will blow out after middle age.
This feature leads to a young doctor, before the age of 30, may have a low income. Doctoral students have to study for graduate students and doctors, and they have to undergo several years of standardized training after finishing their doctoral studies. In recent years, the income is much lower than that of high school students engaged in other occupations. Before the age of 30, the salary may hardly exceed 1 10,000 yuan, while high school students with the same education may earn more than 300,000 yuan a year if they are engaged in IT or finance.
This has caused many young doctors to insist. After all, the house price of any fourth-tier city is now more than 10,000 yuan.
I think this is the main reason.
Second, the doctor-patient relationship is too tense now, and being a doctor has no sense of accomplishment. Anyway, patients who are cured will be scolded, and patients who are not cured will be beaten.
Third, people who study medicine have good basic grades, and it is really easy to change careers. It's really easy to get a license. I have a colleague who just doesn't want to be a doctor. He took the CPA exam directly. It is difficult for others to take the exam, but he feels relaxed. Another colleague resigned and went to Lijiang to open an inn. He writes articles and feelings online. The article was well written, became an online celebrity, and the inn business was not good.
Some people just don't like the hospital environment, don't like the job as a doctor, and it's not difficult to change careers, so they change careers.
As a relatively young doctor, many colleagues around me have changed careers. So on this issue, Han Yi still has a say.
Modern people's thoughts are extremely active. No matter what occupation you are engaged in, the main reason why you want to change careers is that you are dissatisfied with your income, or that your income is not proportional to your pay. To put it bluntly, there is still too much money for work, especially for young doctors. Young doctors are mainly interns, trained doctors, residents or chief residents.
Doctors know that interns don't make money. Not only do they not make money, but they also pay internship fees and accommodation fees to hospitals and medical schools. Clinicians must go through this process. This is also the period when medical students spend the most money.
Dr. Gui Pei is a new thing, which has only been popularized in the whole country in recent years. Their wages are very low. Most doctors trained and trained rely on national policies and hospital regulations to get certain subsidies. These incomes can only maintain food and clothing. The state subsidizes 800 to 65438+ 10,000 yuan, and most hospitals may subsidize 65438+ 10,000 -2000 yuan. Plus the night shift fee of 200 yuan to 300 yuan, we can only fill our stomachs. As for living expenses such as accommodation, we can only rely on parents' assistance. At work, Dr. Gui Pei does a lot of basic work every day, just like a resident. Many doctors choose to change careers because they can't afford such income and work.
Resident is the lowest job in the hospital, and the work he does is also the most basic, dirty and tiring, but because of the lowest level, the salary and bonus level is also the lowest. The income of residents in different regions and hospitals is different. There are more big hospitals, and some hospitals and departments can reach 1 10,000 or more, but the income of frontline residents in most hospitals and departments is 5,000-8,000 yuan. Some people think that this income is quite high, but compared with the previous high-intensity work such as family commitment, daily busyness, 5+2, white+black, on call, day and night, this income is really not much. Many people can't stand this ratio of income to income and choose to change careers.
Of course, there are also common factors such as prominent contradiction between doctors and patients, bad working environment and working place far from residence.
At present, some young doctors have changed careers, and there are such doctors around me. Chatting with them, the reasons for changing careers are mostly these:
1, doctors work hard and earn less. There is no doubt about the hard work of doctors, especially young doctors, who get up early every day and go to night shift, and basically do not rest on holidays. As long as there are patients in the ward, we should go to the hospital for rounds. Such a large amount of labor is often the lowest salary among doctors. Young doctors who have just graduated from work often need to make up at home.
2, the pressure is high. At present, the doctor-patient relationship is tense, and patients should be treated with caution for fear of problems and family dissatisfaction. The economic pressure is even greater. People of the same age often buy houses, cars, get married and have children, while doctors may still be at school and have everything, but their income is pitiful. There is a lot of pressure to get promoted. If a doctor wants to be promoted smoothly, he should not only do a good job as a doctor, but also study articles, apply for topics, take exams, and some even need to take the postgraduate entrance examination. Physical stress is unbearable. Generally, under such labor intensity and pressure, there is little exercise, irregular rest and diet, difficult leave, and worrying physical condition.
3. Long culture time and late maturity. Originally, doctors went to undergraduate courses for five years, and now they have standardized training, and then three years, and now they have come to specialist training for two years, and they have become more than 30 so-called young doctors. So many people still don't trust real self-employment. Coupled with the current standardized training, it really needs to be improved, and many things to learn have to be further studied at work. But time waits for no one.
4. A strong sense of frustration. It is said that doctors are a noble profession, saving lives, and a sense of professional accomplishment arises spontaneously. It's only a moment, but if a patient can't be saved, don't say that the patient's family is looking for you. Your own career frustration will slow you down for a long time. I thought the teacher died after a patient's operation, and then she stopped clinical work completely.
……
There may be many other reasons, but these basically include these.
I take students now and always ask in advance, do you really want to be a doctor? If you have other ideas, change careers as soon as possible. If this industry can't stand suffering, loneliness, injustice and persistent study, please change careers as soon as possible, because if you can't do this, you won't be a good doctor or even a doctor.
As we all know, the profession of doctors is a long-term profession, that is to say, when they can practice medicine independently and almost make a living, they are often over 40 years old. Prior to this, the income of young doctors was extremely meager, and the monthly income could not support the family expenses, and the working hours were long, the work intensity was high, and the pressure was high. I seldom spend time with my family.
Moreover, the irresponsible reports of the mainstream media in previous years have led to the deepening of the contradiction between doctors and patients in recent years, and it is not uncommon for doctors to be killed or injured. Even some children who volunteered for the college entrance examination directly filtered out medical-related majors.
The author is a doctor in his late forties. Some colleagues around me and some former classmates have switched to other occupations, with much lower labor intensity and higher income than me. Only faith can support us to continue our work. Sometimes, a warm word from patients and their families is a powerful motivation to support us to continue to be good doctors.
To tell the truth, if you don't love this profession, you shouldn't have chosen this major in the first place! If at first you just think that being a doctor is decent, stable and well paid ... You know, you are not a doctor in America! What you said is only aimed at developed countries in the United States and Europe! Then you took the postgraduate entrance examination for eight years and graduated for three years, and suddenly you found yourself 30 years old, and you had to chew on old bones without a car or a house ... and then you finally entered the hospital. Patients who can't finish reading every day are full of abuse, often arguing and even punching and kicking. Although the salary is not very low, it is definitely out of proportion to the remuneration ... there are no legal holidays, no triple salary, and no nine-to-five job.
I think there are many reasons. Although 600,000 medical students graduate every year in China, less than 654.38 million people actually wear white coats. The factors that affect young people's career change are low salary in the early stage of medical practice and long and difficult medical career, among which "medical labor", "medical trouble" and the contradiction between doctors and patients become the key factors. The profession of doctor has become an embarrassing phenomenon with high risk, high threshold and low return in China.
Although many young people are passionate and want to dedicate themselves, the reality is cruel. The road of practicing medicine with high threshold has become a mountain blocking the road. Without a master's or doctor's degree, you can't enter the provincial level. Municipal hospitals also need master's degrees, undergraduates can only run secondary hospitals, and township hospitals accept junior college students, but people are unwilling to go. Medical students all want to go to top three hospitals, but the threshold of key departments in top three hospitals is high, and the pass rate of doctors' practice is only 30%, which makes them discouraged.
In July this year, the female military doctor of Tianjin Armed Police Logistics Hospital was killed, which made many doctors shudder. Although the state has strengthened the rectification of "medical troubles", medical troubles are still common. Moreover, the problems of difficult and expensive medical treatment are still unresolved. Patients complain about doctors, media condemnation, keyboard man black doctors, etc. Moreover, the doctor-patient relationship has not obviously cooled down, and worry and fear are normal.
It is reported that more than half of doctors' income is not in line with their expectations, and the average annual salary is only 95,500 yuan. Accordingly, most doctors are "overworked to death". Overtime is the norm, and no rest is the norm. For example, pediatricians are crowded for more than ten hours a day, which leads many young people to prefer other medical professions or occupations with higher wages.