Is the clinical medicine major good? How about employment?

The ancients advertised that "if you don't want to be a good doctor, you should be a famous doctor", and modern people prayed that "there is nothing but money and nothing but illness". These widely circulated classic words express the society's admiration for the profession of doctors, and express the fear of human diseases and the desire for health. For a long time, many people think that "studying medicine" is the right way and reliable way out of life: not to mention the great significance of medicine to the survival and development of human beings, from the "physical" point of view, an ordinary family has a medical student, so there is no need to worry about seeing a doctor and taking medicine at home. There are also many people who think that studying medicine will never be unemployed, and the older you get, the more popular you will be. If there is really no way out, they can open their own small pharmacy and never worry about survival. In a word, this is a golden career of "advancing and attacking, retreating and defending", and "real materials" must make parents and children feel particularly safe. It may be because of these reasons that people who apply for medical colleges have been eager for it, and clinical medicine is even more hot, which has been "high temperature" for many years.

However, in recent years, the feedback from the job market shows that medical graduates have encountered great employment embarrassment. In Zhengzhou, Changchun, Hefei and other places held several college students' employment double-election meetings, many top three hospitals recruited people. However, these hospitals have stricter restrictions on undergraduates. The demand for ordinary posts is either master students or doctoral students, or throwing hydrangeas at nursing college students. Only undergraduates are either high or low, embarrassed and frustrated. According to industry insiders, at present, it is common in China that large hospitals need master's and doctor's degrees. A bachelor's degree will not be considered unless it is particularly excellent or the "background" is particularly hard. In the future, doctors with low academic qualifications and poor level will be eliminated from medical posts. Therefore, some people regard medicine as the "darkest", "most deceptive" and "least economical" major on the grounds that the employment scope is too narrow and difficult, the educational system is too long (usually five years), and it is very hard and expensive to study, which makes many high school students who are interested in studying medicine feel uneasy and hesitant.

Is that really the case? Look at the employment distribution table of graduates of Peking University Health Science Center in recent years, and you may understand the truth of the difficulty in employment of medical majors. There are about 1000 graduates in Peking University Medical Center every year, including undergraduates, seven-year undergraduates, graduate students and junior college students. As far as the employment situation of undergraduates is concerned, most students go to departments, cities and districts, and few graduates go to work in counties and cities. Some choose to study in graduate schools and study abroad. In addition to hospitals in Beijing, many affiliated hospitals and teaching hospitals under Peking University Medical Center can receive some students every year. When it comes to the problem of difficult employment for undergraduates in some medical colleges, Teacher Yi of peking university health science center Education Department analyzed that medicine is a major with strong professionalism and practicality, which requires students to be truly talented and practical. Graduates from ordinary local colleges sometimes seem to have high grades, but their competitiveness is often not as good as that of poor students from famous universities. Local universities are not as good as famous universities in terms of teachers, experimental equipment and students' internship opportunities, so the quality of graduates is certainly different. Employers attach great importance to whether medical graduates graduate from prestigious schools. Because students' practical ability will soon be revealed in the company, and the differences between students in different schools are also obvious. If the employer is not satisfied with the students recruited this year, there will be few or even no graduates from this school in the future. It is precisely for this reason that many units are prone to form a "school effect" (that is, graduates from the same school are reused in the same unit).

Xing He, a teacher from China Center for Disease Control and Prevention, believes that doctors are a highly knowledgeable profession, and the requirements of social development for highly educated and lifelong learning are inevitable. She suggested that students who are interested in medical career should make a good life plan and prepare for postgraduate entrance examination and doctoral studies before choosing college entrance examination volunteers.

From this perspective, it is not that the medical and health industry lacks the ability to attract talents, but that it excludes ordinary and low-end medical graduates. This can't help but remind people of a passage in Mencius: "If you don't love someone, you must be kind; If you don't cure people, you will be wise. If you don't answer, you will be respectful. Doing something wrong is seek fortune for oneself. " Explain that I love others and others are not close to me. I have to ask myself if my kindness is enough; If I manage others but I can't manage them well, I have to ask myself whether my knowledge and ability are enough; I am polite to others and get no response, so I have to ask myself if my attitude is respectful enough. If any behavior does not achieve the expected results, we should ask ourselves well and check ourselves. Transcribe this quotation and tell all the students: If you really like medicine, bravely take her as your college entrance examination volunteer, work harder from now on, get into the best medical school, or accumulate knowledge and confidence for future postgraduate entrance examination.

Interpretation of professional connotation

Modern clinical medicine originated from the establishment of human anatomy in the16th century, and developed continuously on this basis. /kloc-in the 0 ~ (th) century, percussion was used for diagnosis, blood pressure measurement, temperature measurement and other auxiliary diagnosis began to be applied, and the application of anesthesia, antiseptic and aseptic methods promoted the rapid development of surgery. In the 20th century, the development of science and technology has made epoch-making progress in clinical medicine-the continuous discovery of pathogenic microorganisms and the advent of antibiotics have brought infectious diseases under control, the formation of molecular biology has brought medical treatment to the molecular level, the development of DNA double helix structure, DNA and RNA biosynthesis and restriction endonucleases has made genetic engineering serve clinical treatment, and X-ray and magnetic resonance imaging have also been fully applied to clinical diagnosis ... Modern clinical medicine has developed into a mature theory and perfect technology.

As far as the whole medical field is concerned, clinical medicine plays a leading role in the medical direction to a great extent and is a pioneer in the medical field. To sum up, clinical medicine majors train doctors. Doctors who examine, diagnose, treat and even operate on patients in hospitals belong to clinical medicine. Anesthesiology, medical examination, medical imaging and other medical technology majors serve clinical diagnosis and treatment and belong to the category of "medical assistance".

Studying clinical medicine is like walking on the road to a happy life. After the experience, you will find that although there will be occasional wind and frost along the way, you can enjoy the proud snow of red plums, smell the fragrance of jasmine, listen to the bloom of orchids and taste the brilliance of epiphyllum.

Clinical medicine is the general name of various professional disciplines that study the diagnosis, treatment and prevention of diseases in medical science. According to the clinical manifestations of patients, this major studies the etiology, pathogenesis and pathological process of diseases as a whole, makes a diagnosis, and then eliminates diseases, relieves patients' pain, restores patients' health and protects the labor force through treatment and prevention. This is an applied science with great emphasis on scientificity and practicality. If you have a corresponding biological and chemical background, learning will come naturally.

With the continuous progress of basic medicine, clinical medicine has gradually formed many branches and specialties, such as infectious diseases, neurology, cardiology, nephrology, neurosurgery, oncology, pediatrics, obstetrics and gynecology, geriatrics, radiology, emergency medicine and intensive care unit. Because there are many courses and there are two stages of theoretical study and practice, the undergraduate education system has five-year and six-year programs, seven-year undergraduate and postgraduate programs, and eight-year undergraduate and doctoral programs. After the clinical practice stage, seven-year students should have at least one-year orientation practice in two disciplines, systematically master the theory and skills of clinical medicine, be able to deal with common diseases, frequently-occurring diseases and critical diseases, master the principles of diagnosis and treatment of difficult diseases and the ability of initial treatment, and at the same time have a preliminary understanding of the scientific research process, master basic methods and have scientific research ability. Medical education in Union Medical College has always been an eight-year program. In 200 1 year, peking university health science center enrolled eight-year clinical medical students for the first time, and then Shanghai Medical College of Fudan University, Tongji Medical College of Huazhong University of Science and Technology and West China Medical College of Sichuan University began to enroll eight-year clinical medical students.

Studying clinical medicine is a very rigorous thing. Once you become a practicing doctor, the flash of any idea will determine the life and death of the patient. In order to be worthy of the sacred title of angels in white, you must have solid professional knowledge as the backing: learning human physiology, anatomy, histology and embryology, biology, pharmacology, pathophysiology, pathology, diagnostics, internal medicine, surgery, gynecology, pediatrics and other professional courses well is equivalent to having the wings of an angel. Of course, if you want to fly with these wings, you have to go through experience, that is, clinical practice, that is, internship in a hospital, personal contact with patients, and actual treatment of diseases.

God helps those who help themselves.

If the factors such as poor employment of college students are taken into account, the employment situation of clinical medical graduates should be said to be relatively good. Because of its strong professionalism, the employment pressure of its graduates only comes from the competition between different medical colleges. Graduates of other majors can't grab the jobs of medical students, but medical students can show their talents in many fields other than medicine. Employment guidance experts believe that with the deepening of medical system reform, private hospitals and community hospitals will be greatly developed, which will make such graduates more sought after. In addition, due to the increasing pressure of people's work and life, the prevalence rate is also increasing, and the existing medical system can not meet the needs of more patients, which has formed a seller's market in the medical industry. Therefore, as long as you find the right position, studying medicine will become more and more popular. At the same time, the newly emerging plastic surgery in recent years is also eager for talents. In the traditional sense, the demand for talents is relatively small but practical, such as ophthalmology, stomatology, otolaryngology and so on. The insiders believe that if you study these majors, the risk factor of future work will be lower and it will be easier to open a private clinic.

Of course, because clinical medicine is particularly professional and requires high professional knowledge, the most popular ones are undoubtedly masters and doctors with higher academic qualifications. Undergraduates are always at a disadvantage in the competition with them, and there is a big gap in employment rate and treatment, so they should choose to continue their studies when they have the opportunity. The medical level abroad has certain advantages, so choosing to go abroad for further study will be of great help to improve your medical skills. Because foreign hospitals attach great importance to doctors' clinical practice, it is difficult to apply for studying clinical medicine abroad directly after graduating from domestic undergraduate courses, so it is best to work or study in China and accumulate some clinical experience before applying for going abroad. If you are confident and family conditions permit, you'd better choose a seven-year program or an eight-year program.

When choosing a school, candidates should also compare the comprehensive teaching staff of each school with the affiliated hospitals. Because medicine is a major with strong professionalism and practicality, especially clinical medical students spend more than half of their time practicing in hospitals, the level of affiliated hospitals can better represent the strength of the school.

There are many things to remember when studying medicine, and "memory+understanding" is the main learning method. The study content is very extensive, and only by holding the belief of "breaking the wall in ten years" and studying hard can we gain something. Although the process is bitter, it is also worthwhile: in addition to mastering the knowledge and skills that you deserve, you can also experience the beauty and touch of life. Whenever you face the patient's painful body, the trusting eyes of the patient's family, and the grateful eyes when the patient recovers from your successful treatment, you gain not only the joy of success, but also the feeling and cherish of life.

■ Links: Different education systems have different training objectives and requirements.

Five-year program: Five-year clinical medicine major mainly trains medical professionals engaged in clinical medical work. Students are required to master the basic theories and medical skills of basic medicine and clinical medicine; Can correctly diagnose and treat common diseases and frequently-occurring diseases, and can initially treat acute, dangerous and serious diseases; Master the basic knowledge of preventive medicine and traditional Chinese medicine; Have the initial ability to carry out clinical medical research. Basic medical courses mainly study human anatomy, biology, physiology, histology and embryology, biochemistry, microbiology and immunology, pathological anatomy, pathophysiology, pharmacology and parasitology; Clinical courses mainly study diagnostics, internal medicine, surgery, traditional Chinese medicine, obstetrics and gynecology, pediatrics, neurology, psychiatry, epidemiology, ophthalmology, otolaryngology, stomatology and dermatology. Preventive medicine mainly studies hygiene, epidemiology and statistics, and carries out graduation practice in the last year. Graduation confers a bachelor of medicine degree.

Seven-year program: Seven-year clinical medicine majors train senior medical professionals with master's degrees in medicine. Students are required to have good ideological morality and professional ethics, extensive knowledge of humanities and social sciences, rich natural science foundation and medical theory, skilled clinical practice skills, solid and comprehensive independent self-study, independent thinking, independent ability to find, analyze and solve problems, proficiency in a foreign language, and certain scientific research ability, creativity, dedication and great development potential. The courses offered by seven-year clinical medicine specialty are based on strengthening the training of five-year clinical medicine specialty, adding some marginal knowledge and basic experimental skills training. After students enter the school, they will implement a segmented tutorial system and study and conduct clinical research under the guidance of the tutor. In the sixth and seventh academic years, students complete the cultivation of clinical and scientific research ability and graduation thesis at the master's stage. Graduated from master of medicine.

Eight-year program: the eight-year program of clinical medicine mainly trains high-quality clinical medical professionals who meet the needs of the development of medical and health undertakings, have a broad and solid theoretical knowledge base, are proficient in clinical work and independent clinical research work, have strong innovative spirit and practical ability, have strong development potential, and develop morally, intellectually and physically. The main courses are human anatomy, histology and embryology, physiology, biochemistry, biophysics, cell biology, immunology, genetics, etiology, pathophysiology, pathological anatomy, pharmacology, biomedical practice, diagnostics, internal medicine, surgery, obstetrics and gynecology, pediatrics, psychiatry, preventive medicine, rehabilitation and so on. General basic courses include English, chemistry, physics, mathematics, computer application, medical natural syndrome differentiation, biostatistics, ethics and introduction to law. Graduation confers a doctorate in medicine.