In-depth reporting: The channel for finance and economics of CCTV broadcasts Why did the medical professor of Peking University die in BJ Univ Hospital? Thinking that initiates

In-depth reporting: The channel for finance and economics of CCTV broadcasts <>Thinking that initiates
In-depth reporting: The channel for finance and economics of CCTV broadcasts <>Thinking that initiates
Staff reporter Tan Jia Recently, the channel for finance and economics of CCTV " Economy 30 Minutes " The column broadcasts <>Program in,last a lot of of having medical practitioner credentials born at BJ Univ Hospital " illegality practise medicine " medical science . This film broadcasts, cause the extensive concerns of the various circles of society immediately, grow colony medical science to push to the teeth of the storm. An awkward one: It is easy to be misunderstood " Practise medicine illegally " CCTV born about numerous medical science in the first hospital of Peking University in the report ' Namely BJ Univ Hospital) " whether illegality practise medicine " Statement,it is at the north medical cause strong by response at son. Student think from medical case the own judicial organization tries Which is right and which is wrong, but medical science grows legal medical science to study and practise undoubtedly. "It is totally rational and legal that medical science grows and carries on the clinical practice under the guidance of doctors of higher authorities, do not act on one's own, practise medicine illegally absolutely. " 07 grades of Master degree candidate's moustaches BJ Univ Hospital were just said. Practise medicine in illegality that a doctor of 02 grade of department of nerve internal medicine of BJ Univ Hospital thinks, the society grows to medical science " " Misunderstanding mainly is come from about medical science it grow understanding of training mode. In fact, this is rich to read medical science to grow at time when learn on the job in the fifth year in succession, it is mainly emulation and view; Practise in the sixth year and subsequent resident stage carries on clinical medical treatment and works under the guidance of doctors of higher authorities, " every doctor's order should have doctors of higher authorities to check on " . The intersection of medical science portion and graduation, hospital, Changhai of Shanghai, whom department of general surgery work light to forgive, tell reporter now from Peking University just, he can finish the majority except operation operator and work clinically during studying for the master, but finish under the guidance of doctors of higher authorities. The body surface minor operation that the surgery makes can be finished under the guidance of doctors of higher authorities too. "The clinical practice is the essential course that medical talents grow up. " The third hospital Liu Ping, Deputy Director of reproductive medicine center in Peking University thinks, the even riper doctor wants to go through the course of growing up constantly too, need going through numerous hardships in the clinical practice. If medical science is grown and far away from clinical practice, lack the knowledge of medical course and is familiar with, it is difficult to grow into a qualified doctor. Ministry of Public Health shows publicly too on November 4, is that the clinical practice in the medical education moves about that the medical graduate's clinical practice in the medical organization move about in saying, medical science is grown in the strict meaning and probationary period, and the informal one practises medicine. The control over this kind of activity, there are laws to abide by, have regulations to abide by, do not belong to the category of practising medicine illegally. " interim regulation on the management of clinical practice of the medical education " jointly printed and distributed and implemented formally on January 1 this year according to Ministry of Public Health, Ministry of Education, "medical science born under not bringing up, teaching supervision of Mr., guiding while being clinical, contact and observe a patient, inquire patient's medical history, check patient's physical sign, consult patient's relevant materials, participate in analyzing and discussing patient's condition, write the case history and patient's course of disease in hospital to record, fill in all kinds of and check and handle single, doctor's order and prescription, have something to do with and make a diagnosis and operate the patient, participate in relevant operations " ; " the medical graduate can offer corresponding clinic diagnosis service for patient under guiding the doctor's supervision, guiding in probationary period " . The awkwardness two: The regulation of clinical practice remains the gap Though clinical practice that medical science grows absolutely not " Practise medicine illegally " ,Obtain the intersection of operation and credentials, need, must deepen clinical medical science, sometimes too can grow again yet because a own one " The special identity " And it is awkward to fall into. The intersection of jade and village Liu, director of Peking University, say " whether the intersection of operation and medicine imitate " issue, clinical skill type cultivation of graduate student face the predicament. As pursuing the master degree, they not graduating yet can't participate in medical practitioner's examination, it obtains graduate students of practicing qualification to be must in accept training clinically yet. For example, the graduate student of internal medicine department needs to rotate in the emergency call from 8 months to 10 months, the surgical graduate student needs to rotate in the emergency call for 3 months. "Not going, because students lack and rotate and can not graduate clinically, does not have a practicing qualification card after going, in a dilemma. " Since 2007, this kind of graduate student is allowed to participate in medical practitioner's examination. But the problem solve well still at present, rich medical science that read in succession this grow, have undergraduate course diploma to can't join medical practitioner have an examination still. There are 514 graduate students now in BJ Univ Hospital, among them 303 people have already obtained medical practitioner's card, 211 people have not obtained medical practitioner's card yet. "The clinical practice is the only road of training the graduate student of the clinical skill type. If in order to evade the risk, does not allow students to contact patients, then train clinical type medical talents to have any actual meaning? " The intersection of jade and village Liu say. Division chief of BJ Univ Hospital education department Wang Ying thinks, practice is a core of medical personnel training, but existing legal provision and personnel training scheme of clinical medicine also need further coordinating. Train scheme and Beijing training doctor to train the scheme according to shining on the professional graduate student of medical science of bed, beyond department is example, what has been trained include whether there aren't medical science goal, completion rotates as scheduled, undertake the first line of clinic and work; Internal medicine department needs to finish the heart and lungs and recover etc. and operate independently too. "Should be according to shining on the regulation that the bed is practised strictly, the clinic that graduate student and training doctor wait within probationary period is unable to finish training the plan while rotating. " Ying Wang say Ministry of Public Health, about stipulate in the " the the intersection of medical education and the intersection of clinical practice and interim regulation on the management " Ministry of Education, "the clinical practice activity of the medical graduate goes on in the relevant medical organization in probationary period, engaged in the clinic diagnosis activity under the guidance of guiding a doctor, improve clinical service ability in practice " . But the definition of the clinical practice activity that the medical graduate can be engaged in should also be further clear to probationary period. For example, can be engaged in the clinic diagnosis activity under the guidance of doctors of higher authorities, but form and content guided are still indeterminate. Because it does not have operation qualification that medical science is grown in probationary period, the patient can query any medical behavior of theirs. In fact, there is not clinic work of the risk at all like this to ask the medical history, take blood pressure, the medical graduate can well finish independently in probationary period. "If in probationary period, a medical graduate should have doctors of higher authorities' company all the time, certainly will lead to the fact medical the intersection of personnel training and cost increase while being great, have a real one either but implementation. " The awkwardness three: Vivid mobile phones of medical science will be fewer and fewer it is reported, in our country <>Examine clear regulation in China's clinical ability to doctor. If there is detailed point scale on cutting, arresting blood, tying, cutting the line in basic operation operation. And secrete the house surgeon of the urine and should grasp on the pubic bone the bladder punctures the working technique which makes Lou; Specially thoracic surgery Doctor should grasp the pleura and puncture and operate subject; Should doctor master the department of anesthesia? Pour Ju calumny cup of Zhyuan The otter 5 �� lets out Cuo toweringly and coughs and holds in the mouth ���� Piao's stool to plant Hu It is surnamed Wu to assassinate cave father's spring onions Window gather Ling of natural pond China fir peptide train nurse entangle proud to give repeated exhortations Hao Pa it knocks rice steamers to be difficult for the intersection of �� and Australia to collate and stop just? In addition, it is apparent and slightly long too that medical science grows the course of obtaining medical practitioner's qualification. All goes weight, from participate in clinical practice get, take medical practitioner's credentials to, need the past two years finally. According to the current legal provision, the medical graduate with undergraduate course education of the university is one year after graduating and participating in the clinical practice, can enter for medical practitioner's qualification test. Pass the examination, obtain doctor, after the credentials, need, could finish registering after the sure time also too, this Section passes the examination but not has a formal medical practitioner's identity " The empty window one " ,Also make the medical graduate fall into the awkward condition. " they do not have legal operation qualification in this period of time " ,In fact cause and lengthen in probationary period, it is apt to cause the contradictions of doctors and patients to increase the cost of personnel training too. The reporter knows in the interview too, because the medical risk that may face, now a lot of invasion operation, medical science grow, move mobile phone can. The intern can operate and make appendix operation, cut hernia under the guidance of teacher in the past, but it is luxurious that such a chance is grown to much medical science now. It is small to forgive a doctor and say so: "10 years ago, an undergraduate course graduated medical science and must be able to give birth to the single operator finished appendectomy. Now, it may not also be qualified to do the operation to read to doctors, why is this? " "Someone is sighing over the good doctor with feeling fewer and fewerly, young doctor's technology is in a greatly reduced state compared with what it used to be, whether have thought, our moving mobile phones will be fewer and fewer too. " In the interview, a medical science has grown and signed with such feeling. "If present graduate student all have no training of clinical practice, then 10 years later, 20 years later probably even young doctor who will perform the operation does not have. People will be getting panic then: How is medical science grown to train? " It is clinical teaching sloppy management last " grow during practice medical science ",can't write a prescription for the patient, at operating table, it enters that ward is blameless, can also even operate minor operation, but must go on in higher authorities' tape teach a teacher. " Famous medical expert, Budd, academician of Chinese Academy of Engineering, in our country think every year, the growth that medical science grows is due to the clinical practice, but the clinical practice activity that must be grown to medical science is managed strictly, teaching hospital and tape teach a teacher how to shoulder the important duty. "To be simple, should just carry out the responsibility system of the doctors of higher authorities strictly, should be responsible for every patient. " The reporter knows in the interview, though the national responsible institution has already to practise had clear policies and regulations to the clinical teaching that medical science grew, but the concrete execution and implementing the situation not the same in every hospital. Ones that are in charge of tightly, often doctors of higher authorities check on everywhere; Open and easy, the doctors of higher authorities open at one glance, close at one glance, grow and let to medical science drift, the medical treatment for patient buries the hidden danger safely. The intersection of jade and village Liu say, practise medical science, grow, open case of prescription independently as to the intersection of CCTV and about mentioning in the report hospital, the hospital is reviewing too, how to further improve and strengthen clinical teaching management. For example can set up doctor's authority in the computer system, practice medical science without prescription right is grown and can not draw prescriptions,etc.. In the interview, a personage points out too, can find out too, the hospital really existed in clinical teaching management and slipped in incident once from then on, in cases urgent or happen suddenly, the relevant norm is carried out uncompletely, it is more indifferent that some students must look for the consciousness that the doctors of higher authorities sign while carrying on clinical practice. It is at Xiong for Zhuo for in not recording,be lacked by higher authorities doctor to 3 signature that intern guide, practice medical science in the emergency ward opens the prescription independently without asking the doctors of higher authorities for instructions too when being given birth to. This incident warns the teaching hospital undertaking to educate people's important task too, must carry out the responsibility system of doctors of higher authorities in the clinical teaching practice of the medical education strictly, bring up, teach teacher and medical science grow, want, strengthen consciousness to standardize management, strengthen and contain by oneself, launch the clinical practice according to the relevant regulation strictly, can't relax to some extent at any time. The patient's vital interests must be safeguarded, it must be ensured that medical treatment is safe. On the premise of these, how to let the graduate student of clinical medicine have more moving the mobile phone to know, improve the clinical skill, worth thinking deeply about too. Budd proposes every year, from the aspect of laws and regulations, the clinical practice activity grown to medical science needs the further explanation too to prove. Medical science of different length of schooling, different stage is grown, what operation can be carried on under the guidance of teacher respectively, let the medical clinical practice be more normal, rigorous, science. Wang Ying thinks too it is necessary and further thinning, clear and improving every regulation and policy, define medical science grows the supervision ranges of clinical practice and higher authorities' doctor that can be engaged in. "Let medical talents' cultivation system be more rational, strive for to greater rights and interests for the patient too. " Budd proposes every year, before entering clinical practice, must perfect the basic training while growing in medical science, and accept the whole guidance of the teachers of higher authorities, through examining, the side can enter clinically. Should let the patient feel, it was the stricter, medical care standardized that got in the teaching hospital. View The intern " The personal behavior " One that is with BJ Univ Hospital " Representativeness " The intersection of Peking University and medical the intersection of Professor and for die case behind the intersection of BJ Univ Hospital and operation Zhuo Xiong, cause the high concern about the safe problem of medical treatment of the society. BJ Univ Hospital respond, claim the intersection of intern and Liu that reporter's investigating secretly find wish high to diagnose and prescribe in writing November 4, belong to the personal behavior violating the regulation of the hospital without authorization, does not have " representativeness " . Without suggestion and mandate of the hospital, how dare, and how could the intern sit in the emergency ward paying a home visit generously? If is only the specific behavior, could the secret investigation registering how can be at will once be met? The response of BJ Univ Hospital obviously lacks convincingness. Operation medicine imitates article 14 to stipulate clearly, are not registered and obtained the practising certificate, can't be engaged in the operation activity of a doctor. According to " interim regulation on the management of clinical practice of the medical education " which Ministry of Public Health, Ministry of Education will jointly issue in 2008, intern participate in clinic diagnosis must request for agreement to patient, want in lead, teach teacher or instruct doctor go on supervise, guide, while being clinical. The intern has no signature right of the material of making a diagnosis of prescription,etc., can't offer clinic diagnosis service for patient alone. However, in Xiong Zhuo is the case, postoperative clinical case histories made a diagnosis, rescued of the dead, there is only signature of 3 interns, have already been regarded as the behavior of practising medicine illegally. And media's reporter is in Peking University medicine recently It is on duty that the institute investigates the emergency call met secretly " Doctor " ,It is still more the students not getting doctor's practising certificate. They pay a home visit, prescribe independently in a situation that the patient know nothing, having obviously violated relevant laws and regulations, not only ignoring to patient's right of being in know, and bury the enormous hidden danger for masses' health right, life right. Doctor subordinate a case involving human life is to be treated with the utmost care. It is more important to train talents' task, must guarantee life safety of patient preferably too, respect the patient's fundamental right. Must not because old in work load, business verdant at managing to to practise nervous, let alone treat intern as the formal doctor uses. On November 4, Ministry of Public Health responds, urges Beijing Municipal Health Bureau to grow and pay the serious investigation in clinic diagnosis question to medical science of BJ Univ Hospital, and announce to the society in time. We wait and see. Whether the other hospitals could use this as a guide and mirror, come some is checked and rectified and improved, pay close attention to people. (Select and edit since the 5th of November Author of www.xinhuanet.com of Japan: Jiang Lin) Blog To CCTV " Economy 30 Minutes " Teacher regarding impressions Mr. Xiong of the news of BJ Univ Hospital our one department have the idea affably and very much, in charge of scientific research not so frequent that she keeps in touch with I who am clinical, but Corey's parties, Corey's activities of every year have been exchanged with her every week. Remain unchanged clear to remember and Mr. Xiong in the intersection of scientific research and the intersection of floor and scene that laboratory jokes, really let people think she rests assured very much, a very warm man. Unexpected to pass away to her, the intersection of Corey and all shock very much at that time and sad deep sorrow. I do not know the concrete situation of dept. of orthopedics, but the one that can confirm is not looking like what the media says absolutely, it is the intern that assumes power and performs the operation. Unless it is Mr. in Xiong worker of our institute, or professor at school,such how can special identity let intern not appeared on the stage by operationed? As far as I know, that operation is that the head of the department of bone assumes power and makes in person, the high age and service seniority is in hospital medicine can only work as the assistant nearby, the leave from office writes the case history, is responsible for postoperative treatment. And Mr. Xiong present, amalgamate disease while being postoperative weekend - -When the acute pulmonary embolism, the whole the intersection of institute and relevant department all chief of the office cancel, get back to the hospital vacation temporarily, the star of big internal medicine department, big surgery is basically neat, even " outside the mound " Call and help to rescue a head of the department of surgery of ambition. What I wonder " Have not rescued with all strength " The saying? The dead that speak heart break and liver break to actually well understand at the news, heart and lungs recover the intersection of skill and itself even if have, create, rescue, go on, turn on chest, fetch bolt, wait for, create rescuing while being a series of also at that time what's more. Whether the tactics are rude, I think this is that a professional personage is different from perceptual cognition of the amateur personage. For example one patient happen suddenly a large amount of pneumothorax, it rescues measures to be to take syringe, make, puncture, rank angry above clavicular centre line promptly, do not even use to anaesthetize. But if have no plan to make improvements unfortunately, such a scene will be probably understood: That doctor assassinates the patient with the needle directly very cruel and ferociously! Talk about again " Practise medicine illegally " . Our country has regulations: Medical college graduate must try out one year in qualified teaching hospital, can participate in medical practitioner's qualification test after being qualified. But what is " Try out " ? How to come to appraise it " It is qualified to try out " ? Try out one year early after graduation from medical college, enter for medical practitioner's examination again, the smooth words can get the certificate in the second year, that is to say from graduating to " holding the card and practising medicine " fast most Exist time difference for two year at least, ask during the this section letting why it will be people these? And clinical type graduate student's cultivation scheme is to rotate in the department in Chinese graduate student's structure of education, and clear clinical work load, the professional direction is clinical skill and research, then how do these graduate students face this awkward dual identity? Does the hospital has enough strips that teach manpower, are not " practising medicine without licences " Prerequisite lay train student? Doctor, all the time it is I that have thought that there are the most meaningful jobs too of the challenge most, but a lot of doctors give up the clinical work because of various reasons. I is clinical to be leave already,want I to and not enter by junior fellow apprentice junior sister apprentice that be workeds clinical also at students that be workeds clinical, though China's operation environment is not good at present, the treatment is bad, hope that forget why oneself originally wants to enter the medical field. Whether the front is a great wave turbulent, thistles and thorns are abounded with, must not forget this original intention. (Select and edit it from website's author of the cloves garden: OngHoCheng) Chain the American resident and train the system to generally acknowledge, the continuous entity of higher medical education includes 3 stages in the world, cure and study the education of undergraduate course of the universities and colleges, medical education after graduating and continue educating stage. Someone says, study medical science that the universities and colleges graduate to grow, only get 20% of the medical ABC that can be used at work in higher medicine, other 80% want through the medical education after graduating and continue the medical education to get. And the medical education is the stage forming a connecting link after graduating. In U.S.A., the examinee who enters for the medical college should generally finish the study (it was mainly science and engineering before of the undergraduate course of college of science and engineering for 4 years, increase the proportion of people literature progressively too now) ,Among them must finish the study of corresponding course, through MCAT examination (apply to major in medicine to study a indispensable standard of universities and colleges and have an examination) finally ,Could enter and cure and learn the universities and colleges to study in, the length of schooling is 4 years. Study based on the the past two years usually, the next two years the clinical practice. Students need to participate in the first step of examinations of the whole America doctor's qualification test at the end of second grade of medical college, can enter study of the high grade after passing test, the medical college carries on the second step of examinations before graduating. After passing the first two step examinations, students can combine one's own school grade according to one's own interest hobby, the resident who enters for affiliated hospital or relevant discipline in the medical center of medical college of every university is trained. The last qualification test, need until resident train expire, going on one year. Only through the qualification test of doctor in the whole America of the above-mentioned three steps, it could be qualified to become the attending physician (the doctor in an actual meaning) ,And it is engaged in the work of independent clinic to get the hospital. For example, in American University of Washington, the training time of ordinary house surgeon is 5 years, and is known as the intern in the first year. Each resident will be included in a medical group, each medical location group is usually made up of several attending physicians, a high age and service seniority resident, one or many new residents, goal of rotating each time and requiring to make the resident obtain corresponding knowledge and operative skill. In the ordinary house surgeon's training project, the one that train for every grade has corresponding requirements to complete a course: First year, should should strengthen Q A to attend to the ward to ordinary the intersection of clinic and patient, patient in hospital while being capable, involve basically operating in surgery of laboratory and operating room progressively; In second year, should have the ability to utilize various means to maintain the life to deal with the critical case, some rotates in the department and still demands to manage medical care; In third year, can manage medical care, take on the leader's duty, guide students and the lower grade resident,etc.; In fourth year, residents should possess technology and management skill that learnt in the past, improve the theoretical level of surgery; In the fifth year, can start the treatment of the internal and external patients of operating room, exercise the function of leader and management. In the house physician of University of Washington trains and guides the supervisory system, all medical work of the resident's must go on under supervising and managing guidance, the high age and service seniority resident is responsible for guiding the resident in the first year, every resident must be under the guidance of attending physician, finish 24 months, directness in one's power of ability in 36 months and manage a patient and work. Every subject rotate, must have, require to division of duty, doctor of higher authorities, in writing. Guiding the supervisory system requirement according to the units at various levels, the attending physician should be responsible for checking resident's daily case history; The resident is responsible for recording that discusses the result with the attending physician condition; The attending physician jointly signs to resident's case history doctor's order, in order to show and check and identical. Among them, the supervision of the ward should be by the attending physician, train the doctor in training, the resident is responsible for the residents of grade one in two years, three years; Until clinic supervise and in training hold a consultation, attending physician, train the doctor take on by training. In train require, emphasizing each the intersection of attending physician and tape teach, allow over 8 resident, the intersection of training and doctor and medical science grow especially. (select and edit from " American new development of the system and our reference that the resident is trained ") " interim regulation on the management of clinical practice of the medical education " that the policy was implemented from January 1 of 2009 Article 1 In order to standardize the management of the clinical practice activity of the medical education, protect the legitimate rights and interests of the patient, teacher and student, guarantee the intersection of medical education and the intersection of teaching and quality, make regulation this according to " whether medicine, operation of the People's Republic of China, imitate ", " the law, higher education of the People's Republic of China, ". Article 2 Regulation this suitable for all types of medical science of universities and colleges that set up with the approval of educational administrative responsibile institution born until " whether the intersection of operation and medicine imitate " fixed probationary period medical graduate ' Hereafter referred to as the medical graduate in probationary period) Medical education clinical practice activity. Article 3 Learn on the job in clinic that the refered medical education clinical practice of this regulation includes medical science grows, practise the activity and clinical practice activity of the medical graduate in probationary period in clinical teaching such as clinical practising, graduation field work. It means that has the professional students of medical science at school who registers the roll that medical science is grown. Practise the activity and go on on the clinical teaching base in clinical teaching that medical science grows, clinical to participate in the clinic diagnosis to move about under the guidance of bringing up and teaching a teacher, realize and study the purpose. The medical graduate refers to the medical graduate that is employed by the relevant medical organization and not obtained medical practitioner's qualification yet in probationary period. The clinical practice activity of the medical graduate goes on in the relevant medical organization in probationary period, engaged in the clinic diagnosis activity under the guidance of guiding a doctor, improve clinical service ability in practice. Article 4 The clinical teaching base refers to the affiliated hospitals of the universities and colleges and and hold the universities and colleges of medical education to establish teaching cooperation relation, undertake the medical organization of the teaching task, including teaching hospital, practising hospital and community hygiene service organization,etc.. The arrangement of the clinical teaching base must accord with the relevant regulations of education, health authority, the clinic tape with medical practitioner's qualification with enough quantity teaches a teacher. Article 5 Practise the activity in clinical teaching that the clinical teaching base is responsible for organizing medical science to grow, offer the essential condition for implementing the clinical teaching practice and moving about and accomplishing the task of teaching, safeguard clinical teaching and practise the relevant participant's legitimate rights and interests in the course. Article 6 The relevant medical organization refers to undertaking the medical organization of the medical graduate's clinical practice task in probationary period. The relevant medical organization runs the clinical practice activity of the medical graduate in probationary period, confirm a medical practitioner as instructing the doctor, the medical graduate guides to probationary period. Article 7 Clinical teaching base and relevant medical organization should take the effective measure to protect the clinical teaching of the medical education and practise the patient's right of agreeing in the know in the activity, right of privacy and other relevant rights and interests. Clinical teaching base and relevant medical organization have responsibility guarantee medical treatment safety of patienting in the clinical practice course of the medical education and medical quality, and tell the relevant patient in order to cooperate with the clinical practice activity through the various forms. Article 8 Clinical teaching base and relevant medical organization should strengthen to giving birth to and the medical graduate's medical ethics and atmosphere and character building education of the job in probationary period of medical science. Article 9 Bring up, teach teacher mean base and relevant universities and colleges check and approve through clinical teaching while being clinical, undertake clinical teaching and medical practitioner of the personnel training task. Instruct the doctor the medical graduate guides the medical practitioner of the task to mean in probationary period by the relevant medical organization check and approve, undertake. Article 10 Bring up, teach teacher and instruct doctor responsible for, instruct the intersection of medical science and give birth to and probationary period medical medical education clinical practice activity of graduate while being clinical, confirm the concrete content engaged in the clinical practice activity of the medical education, examine and sign medical science to give birth to with the medical file that the medical graduate wrote in probationary period. Article 11 Bringing up clinically teach teacher and guidance doctor how to should establish teaching consciousness firmly, strengthen doctors and patients and link up the idea, persuade the relevant patient to cooperate with the clinical practice activity of the medical education actively; Before arranging and guiding the clinical practice and moving about, should try and tell the obligation and obtain the consent of relevant patient. Want guarantee medical treatment safety of patienting and legitimate rights and interests in teaching practice. Article 12 Under growing the supervision of teaching the teacher in the clinical tape, guiding in medical science, can contact and observe a patient, inquire patient's medical history, check patient's physical sign, consult patient's relevant materials, participate in analyzing and discussing patient's condition, write the case history and patient's course of disease in hospital and record, fill in all kinds of and check and handle single, doctor's order and prescription, make a diagnosis to the patient relevantly and operate, participate in relevant operations. Article 13 The medical graduate can offer corresponding clinic diagnosis service for patient under guiding the doctor's supervision, guiding in probationary period. Article 14 Medical science born medical graduate participate in the intersection of medical education and the intersection of clinic diagnosis and activity must bring up, teach teacher or guide the intersection of doctor and supervision, guidance while being clinical with probationary period, can't offer clinic diagnosis service for patient alone. Clinical practice about making a diagnosis the intersection of characters and material that produce must bring up, teach teacher or instruct doctor check, regard as the medical file formally sign, while being clinical in the course. Article 15 Medical science is grown should respect the patient in the know agrees to right and right of privacy while moving about with the medical graduate in probationary period in the clinical practice of the medical education, can't decrease Hurt the patient's legitimate rights and interests. Article 16 Malpractice or medical dispute happening in clinical practice of the medical education, through appraising, it was hospital's reason that causes, are undertaken responsibility by clinical teaching base and relevant medical organization. Because the clinical tape teaches a teacher and instructs the doctor how to guide the improper malpractice or medical dispute causing, the clinical tape teaches a teacher or instructs the doctor how to bear corresponding responsibility. Article 17 Medical science give birth to and medical graduate bring up, teach teacher and instruct under the guidance of the doctor participating in the clinical practice activity of the medical education while being clinical probationary period, do not bear the malpractice or medical dispute responsibility. Medical science born medical graduate lead, teach teacher or instruct doctor agree while being clinical with probationary period, develop the activity of clinic diagnosis without authorization, bear corresponding responsibility. This regulation is implemented since January 1 of 2009. (select and edit the websites of growing department of self-defence) Ministry of Public Health, to " reply regarding it is engaged in making a diagnosis that medical science has not obtained doctor's qualification letter about question of the activity temporarily after growing and graduating " The department of public health of Henan Province: You receive by the intersection of Room and " grow, obtain the intersection of doctor and qualification, engaged in, make a diagnosis the intersection of activity and about question letter temporarily graduate, about medical science ". Through studying, answer as follows now: The professional graduate of medical science has not obtained doctor's qualification after graduating from the first year, can practise clinically under the guidance of medical practitioner, but can't be engaged in the clinical activity independently, have medical documentary evidence and medical document of any kind including obtaining. The medical organization violated the regulation the professional graduate of medical science who is arrange for and has not obtained doctor's qualification was engaged in clinical work independently, deal with according to the provision of article 48 of " management rule of medical organization "; Ones that cause patient's life to damage, deal with according to " medical crash handling regulations ". The professional graduate of medical science not obtaining doctor's qualification violated the regulation and engaged in clinical work in the medical organization independently without authorization, deal with according to the regulation of article 39 that " operation medicine is imitated "; Ones that cause patient's life to damage, deal with according to the provision of article 61 of " medical crash handling regulations ". September 5, 2005 (pluck the websites of growing department of self-defence)


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