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大量医学生毕业未从医 就业制度僵化或为主因

2015-11-29 刘桂英 财新网

有专家提出数据称,2008年至2013年间,中国新增高等医学专业的毕业生近289万人,但同期新增医生数仅有59万人,二者比例接近5:1。学者认为,医生就业往往受束缚于一家医疗机构,就业制度不灵活,是大量医学生最终放弃从医的主因医生资源短缺,是发展中国家普遍面临的难题。而在中国,目前还有近一半的医生没有本科学历;而高等医学专业培养的大量医学生,毕业后不愿从医的现象普遍,又进一步加剧了中国医疗发展的

有专家提出数据称,2008年至2013年间,中国新增高等医学专业的毕业生近289万人,但同期新增医生数仅有59万人,二者比例接近5:1。学者认为,医生就业往往受束缚于一家医疗机构,就业制度不灵活,是大量医学生最终放弃从医的主因

医生资源短缺,是发展中国家普遍面临的难题。而在中国,目前还有近一半的医生没有本科学历;而高等医学专业培养的大量医学生,毕业后不愿从医的现象普遍,又进一步加剧了中国医疗发展的人才困境,并成为中国医改难以见效的主要掣肘。

11月28日,中欧国际工商学院医疗管理与政策研究中心主任蔡江南在2015年度“健康中国论坛”上引用了国家卫计委的统计数据,表达了上述观点。蔡江南指出,中国现有约200万名执业医师,与同样是人口大国的印度相比,“中国似乎不太缺医生”。

但从教育背景看,中国有近50%的执业医师没有本科学历,有些甚至是高中生。如果去掉本科以下学历的医生,中国的医师人口比例仅和印度相近。此外,中国的200万执业医师中,仅有10%的医生达到研究生及其以上的学历,和美国比起来差得很远。

更值得注意的是,本就稀缺的医学“高材生”,毕业后大多没有走上从医的道路。蔡江南提供的数据显示,1998年至2007年间,中国新增的高等医学专业毕业生约147万人,而新增医生数量只有约20万人;而2008年至2013年间,医学生放弃从医的趋势接着延续,这一期间新增高等医学专业毕业生近289万人,同期新增医生数量仅为59万人,二者比例接近5:1。

“一方面短缺,一方面资源浪费,这个问题不解决,我们医疗卫生当中的问题就没法解决。”蔡江南认为,大量医学生不愿从医的主要原因,在于中国医生的就业机制不灵活。

在医师的培养路径上,高校医学院的毕业生只是“半成品”;要成为真正的医生,毕业生还得到基层医院或者三甲医院接受临床教育。但受限于三甲医院的实习名额有限,大多数的毕业生只能去基层医院实习,最终留在基层医院工作,和供职医院维持“一对一”的固定关系,“没有办法往三甲医院发展”。面对这样的选择,许多医学生放弃从医。

反观美国等国家,尽管医学毕业生大多也和教学医院签约,但在临床教育阶段结束后,毕业生们的选择更广,他们可以去其他医院、诊所或者医生集团工作,和多个医疗机构签约。在这些国家,医生和医疗机构的关系具有弹性,一位医生资源可由多个医疗机构共享。

在蔡江南看来,中国医改推进多年,问题颇多,关键之一在于没有解决好医生问题。

他认为,近年来政府着力推行分级诊疗,欲强化三级以下医疗机构的力量,但现实情况是:三级医院的门诊量和住院量不断增长,且规模呈扩大趋势。而这种“倒金字塔型”的资源分配模式,即与医学“高材生”不愿下沉等因素有关。

张晓林曾在北京复兴医院工作,并任副主任医师,而后又在社区医疗机构服务多年。张晓林在前述会议上告诉财新记者,有些专科毕业的基层医生,甚至不了解许多最基本的医学知识,这不是靠三甲医院的医生去基层做做培训就能解决的。

对于医生短缺的困境及其影响,蔡江南认为,必须开展医生就业制度改革,给医生自主执业权,让医生能在公立医院、民营医院、三级医院与下级医疗机构之间互相流动,鼓励医生自己开办诊所。

赋予医生更多的执业选择权,并不是近几年才出现的声音。早在2009年,原卫生部便发布了《关于医师多点执业有关问题的通知》,将医师多点执业行为,分为政府指令、医疗合作、主动受聘这三类。2014年11月,国家卫计委又出台了《推进和规范医师多点执业的若干意见的通知》,进一步探索医生执业制度改革。

政策“松绑”后,张强医生集团、医生工作室等推进医生资源弹性组合的平台陆续出现。但许多学者曾指出,包括“部分院长不放人”、“三级医院医生超负荷工作”,和一旦转往体制外之后,医生的职称晋升和科研后勤得不到保障等多重疑虑,都导致了大部分的医生仍选择留在公立医院里,并未尝试更多元的执业平台。

蔡江南则强调,在中国医疗卫生体制的一系列问题中,“医生问题是医疗服务痛点的核心”,而“医生就业制度(改革),是解决医生问题的关键,医生多点执业和创建更多的医生诊所是改革途径”。

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    2016-04-25 Channel J

    其实医学就是拼学历,拼医院,真乏味。三甲也不见得好。

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=82685, encodeId=7b0582685db, content=其实医学就是拼学历,拼医院,真乏味。三甲也不见得好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160927/IMG57EA96AC605D49387.jpg, createdBy=7e381677945, createdName=Channel J, createdTime=Mon Apr 25 08:36:00 CST 2016, time=2016-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=45046, encodeId=daa845046b2, content=医学生找相对合适工作也难, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Mon Dec 07 14:48:00 CST 2015, time=2015-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582485, encodeId=5bde15824852d, content=<a href='/topic/show?id=32164e280dc' target=_blank style='color:#2F92EE;'>#就业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47280, encryptionId=32164e280dc, topicName=就业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1f7816933825, createdName=ms1948154235210413, createdTime=Tue Dec 01 06:25:00 CST 2015, time=2015-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44223, encodeId=3ddc442236e, content=都说学医的难转行,因为除了医学啥也不会,万万没想到居然5:1, beContent=null, objectType=article, channel=null, level=null, likeNumber=163, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/e3b78fdf1c4d3e2e9ec6e03f643df0e2/6ca494c7b27a25fdde0721c5dac778d7.jpg, createdBy=2e441664544, createdName=鲜花飞鸟, createdTime=Mon Nov 30 22:35:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44180, encodeId=7af44418035, content=教育明显的滞后, beContent=null, objectType=article, channel=null, level=null, likeNumber=195, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=51bf1629603, createdName=pjnlj, createdTime=Mon Nov 30 16:32:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44132, encodeId=8ce744132e6, content=僵化的医疗制度, beContent=null, objectType=article, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59d01634640, createdName=tennian, createdTime=Sun Nov 29 22:37:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44129, encodeId=d6494412980, content=五比一, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 29 20:10:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44120, encodeId=b89144120df, content=期待着, beContent=null, objectType=article, channel=null, level=null, likeNumber=182, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=40251618559, createdName=2014lb3, createdTime=Sun Nov 29 17:41:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44117, encodeId=a7374411eab, content=毕业等于失业?, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sun Nov 29 16:49:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44102, encodeId=999444102f5, content=医疗改革的这条道任重而道远!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151109/IMG563F820F984734123.jpg, createdBy=f0e51662019, createdName=荒唐的左, createdTime=Sun Nov 29 15:53:00 CST 2015, time=2015-11-29, status=1, ipAttribution=)]
    2015-12-07 cmn

    医学生找相对合适工作也难

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=82685, encodeId=7b0582685db, content=其实医学就是拼学历,拼医院,真乏味。三甲也不见得好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160927/IMG57EA96AC605D49387.jpg, createdBy=7e381677945, createdName=Channel J, createdTime=Mon Apr 25 08:36:00 CST 2016, time=2016-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=45046, encodeId=daa845046b2, content=医学生找相对合适工作也难, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Mon Dec 07 14:48:00 CST 2015, time=2015-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582485, encodeId=5bde15824852d, content=<a href='/topic/show?id=32164e280dc' target=_blank style='color:#2F92EE;'>#就业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47280, encryptionId=32164e280dc, topicName=就业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1f7816933825, createdName=ms1948154235210413, createdTime=Tue Dec 01 06:25:00 CST 2015, time=2015-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44223, encodeId=3ddc442236e, content=都说学医的难转行,因为除了医学啥也不会,万万没想到居然5:1, beContent=null, objectType=article, channel=null, level=null, likeNumber=163, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/e3b78fdf1c4d3e2e9ec6e03f643df0e2/6ca494c7b27a25fdde0721c5dac778d7.jpg, createdBy=2e441664544, createdName=鲜花飞鸟, createdTime=Mon Nov 30 22:35:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44180, encodeId=7af44418035, content=教育明显的滞后, beContent=null, objectType=article, channel=null, level=null, likeNumber=195, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=51bf1629603, createdName=pjnlj, createdTime=Mon Nov 30 16:32:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44132, encodeId=8ce744132e6, content=僵化的医疗制度, beContent=null, objectType=article, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59d01634640, createdName=tennian, createdTime=Sun Nov 29 22:37:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44129, encodeId=d6494412980, content=五比一, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 29 20:10:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44120, encodeId=b89144120df, content=期待着, beContent=null, objectType=article, channel=null, level=null, likeNumber=182, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=40251618559, createdName=2014lb3, createdTime=Sun Nov 29 17:41:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44117, encodeId=a7374411eab, content=毕业等于失业?, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sun Nov 29 16:49:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44102, encodeId=999444102f5, content=医疗改革的这条道任重而道远!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151109/IMG563F820F984734123.jpg, createdBy=f0e51662019, createdName=荒唐的左, createdTime=Sun Nov 29 15:53:00 CST 2015, time=2015-11-29, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=82685, encodeId=7b0582685db, content=其实医学就是拼学历,拼医院,真乏味。三甲也不见得好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160927/IMG57EA96AC605D49387.jpg, createdBy=7e381677945, createdName=Channel J, createdTime=Mon Apr 25 08:36:00 CST 2016, time=2016-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=45046, encodeId=daa845046b2, content=医学生找相对合适工作也难, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Mon Dec 07 14:48:00 CST 2015, time=2015-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582485, encodeId=5bde15824852d, content=<a href='/topic/show?id=32164e280dc' target=_blank style='color:#2F92EE;'>#就业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47280, encryptionId=32164e280dc, topicName=就业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1f7816933825, createdName=ms1948154235210413, createdTime=Tue Dec 01 06:25:00 CST 2015, time=2015-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44223, encodeId=3ddc442236e, content=都说学医的难转行,因为除了医学啥也不会,万万没想到居然5:1, beContent=null, objectType=article, channel=null, level=null, likeNumber=163, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/e3b78fdf1c4d3e2e9ec6e03f643df0e2/6ca494c7b27a25fdde0721c5dac778d7.jpg, createdBy=2e441664544, createdName=鲜花飞鸟, createdTime=Mon Nov 30 22:35:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44180, encodeId=7af44418035, content=教育明显的滞后, beContent=null, objectType=article, channel=null, level=null, likeNumber=195, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=51bf1629603, createdName=pjnlj, createdTime=Mon Nov 30 16:32:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44132, encodeId=8ce744132e6, content=僵化的医疗制度, beContent=null, objectType=article, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59d01634640, createdName=tennian, createdTime=Sun Nov 29 22:37:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44129, encodeId=d6494412980, content=五比一, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 29 20:10:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44120, encodeId=b89144120df, content=期待着, beContent=null, objectType=article, channel=null, level=null, likeNumber=182, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=40251618559, createdName=2014lb3, createdTime=Sun Nov 29 17:41:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44117, encodeId=a7374411eab, content=毕业等于失业?, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sun Nov 29 16:49:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44102, encodeId=999444102f5, content=医疗改革的这条道任重而道远!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151109/IMG563F820F984734123.jpg, createdBy=f0e51662019, createdName=荒唐的左, createdTime=Sun Nov 29 15:53:00 CST 2015, time=2015-11-29, status=1, ipAttribution=)]
    2015-11-30 鲜花飞鸟

    都说学医的难转行,因为除了医学啥也不会,万万没想到居然5:1

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=82685, encodeId=7b0582685db, content=其实医学就是拼学历,拼医院,真乏味。三甲也不见得好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160927/IMG57EA96AC605D49387.jpg, createdBy=7e381677945, createdName=Channel J, createdTime=Mon Apr 25 08:36:00 CST 2016, time=2016-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=45046, encodeId=daa845046b2, content=医学生找相对合适工作也难, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Mon Dec 07 14:48:00 CST 2015, time=2015-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582485, encodeId=5bde15824852d, content=<a href='/topic/show?id=32164e280dc' target=_blank style='color:#2F92EE;'>#就业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47280, encryptionId=32164e280dc, topicName=就业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1f7816933825, createdName=ms1948154235210413, createdTime=Tue Dec 01 06:25:00 CST 2015, time=2015-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44223, encodeId=3ddc442236e, content=都说学医的难转行,因为除了医学啥也不会,万万没想到居然5:1, beContent=null, objectType=article, channel=null, level=null, likeNumber=163, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/e3b78fdf1c4d3e2e9ec6e03f643df0e2/6ca494c7b27a25fdde0721c5dac778d7.jpg, createdBy=2e441664544, createdName=鲜花飞鸟, createdTime=Mon Nov 30 22:35:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44180, encodeId=7af44418035, content=教育明显的滞后, beContent=null, objectType=article, channel=null, level=null, likeNumber=195, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=51bf1629603, createdName=pjnlj, createdTime=Mon Nov 30 16:32:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44132, encodeId=8ce744132e6, content=僵化的医疗制度, beContent=null, objectType=article, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59d01634640, createdName=tennian, createdTime=Sun Nov 29 22:37:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44129, encodeId=d6494412980, content=五比一, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 29 20:10:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44120, encodeId=b89144120df, content=期待着, beContent=null, objectType=article, channel=null, level=null, likeNumber=182, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=40251618559, createdName=2014lb3, createdTime=Sun Nov 29 17:41:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44117, encodeId=a7374411eab, content=毕业等于失业?, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sun Nov 29 16:49:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44102, encodeId=999444102f5, content=医疗改革的这条道任重而道远!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151109/IMG563F820F984734123.jpg, createdBy=f0e51662019, createdName=荒唐的左, createdTime=Sun Nov 29 15:53:00 CST 2015, time=2015-11-29, status=1, ipAttribution=)]
    2015-11-30 pjnlj

    教育明显的滞后

    0

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    2015-11-29 tennian

    僵化的医疗制度

    0

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    2015-11-29 三三五五

    五比一

    0

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    2015-11-29 2014lb3

    期待着

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=82685, encodeId=7b0582685db, content=其实医学就是拼学历,拼医院,真乏味。三甲也不见得好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=152, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160927/IMG57EA96AC605D49387.jpg, createdBy=7e381677945, createdName=Channel J, createdTime=Mon Apr 25 08:36:00 CST 2016, time=2016-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=45046, encodeId=daa845046b2, content=医学生找相对合适工作也难, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Mon Dec 07 14:48:00 CST 2015, time=2015-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582485, encodeId=5bde15824852d, content=<a href='/topic/show?id=32164e280dc' target=_blank style='color:#2F92EE;'>#就业#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=47280, encryptionId=32164e280dc, topicName=就业)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1f7816933825, createdName=ms1948154235210413, createdTime=Tue Dec 01 06:25:00 CST 2015, time=2015-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44223, encodeId=3ddc442236e, content=都说学医的难转行,因为除了医学啥也不会,万万没想到居然5:1, beContent=null, objectType=article, channel=null, level=null, likeNumber=163, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/e3b78fdf1c4d3e2e9ec6e03f643df0e2/6ca494c7b27a25fdde0721c5dac778d7.jpg, createdBy=2e441664544, createdName=鲜花飞鸟, createdTime=Mon Nov 30 22:35:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44180, encodeId=7af44418035, content=教育明显的滞后, beContent=null, objectType=article, channel=null, level=null, likeNumber=195, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=51bf1629603, createdName=pjnlj, createdTime=Mon Nov 30 16:32:00 CST 2015, time=2015-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44132, encodeId=8ce744132e6, content=僵化的医疗制度, beContent=null, objectType=article, channel=null, level=null, likeNumber=139, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59d01634640, createdName=tennian, createdTime=Sun Nov 29 22:37:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44129, encodeId=d6494412980, content=五比一, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=df9e1651052, createdName=三三五五, createdTime=Sun Nov 29 20:10:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44120, encodeId=b89144120df, content=期待着, beContent=null, objectType=article, channel=null, level=null, likeNumber=182, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=40251618559, createdName=2014lb3, createdTime=Sun Nov 29 17:41:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44117, encodeId=a7374411eab, content=毕业等于失业?, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Sun Nov 29 16:49:00 CST 2015, time=2015-11-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44102, encodeId=999444102f5, content=医疗改革的这条道任重而道远!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151109/IMG563F820F984734123.jpg, createdBy=f0e51662019, createdName=荒唐的左, createdTime=Sun Nov 29 15:53:00 CST 2015, time=2015-11-29, status=1, ipAttribution=)]
    2015-11-29 老段

    毕业等于失业?

    0

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    2015-11-29 荒唐的左

    医疗改革的这条道任重而道远!!!

    0

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美国医学院入学考试,亚洲学生分数最霸气

所有申请攻读美国医学类院校的同学必须参加医学院入学考试(Medical College Admission Test简称MCAT)。虽然所有人参加同一个考试,但是录取分数却各不相同。从美国医学院协会(American Associationof Medical Colleges)公布的MCAT数据来看,被录取的学生中亚洲学生平均分为32.8,比白人学生的31.7高出了1.1。而非裔美国学生和西班牙

这五个学习技巧每个临床医学生都应该知道!

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惊险!为了赶手术,他也是拼了:竟冒险趟深水赶路!

昨日杭城冷热空气来个大碰面,清早来了一番法海和白娘子斗法的水灾剧情。闹得朋友圈好热闹。MedSci小编发现一条令人“敬佩”的新闻。【今天杭州人的朋友圈被这图刷屏!照片中的人原来是……】原来是某医院的医学生。一名很敬业、负责的“傻劲儿”医学生为了赶手术,冒着大雨,骑着电瓶车勇闯快被淹没的涵洞。有媒体称当时水深:1.8米。照片是这样子的。很多的网友对这样的责任心和勇气点赞,但也有许多网友留言说:“师兄

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