标签： 上海后花园会所

Guiding opinions of the Ministry of Human Resources and Social Security, the State Health and Wellness Commission and the State Administration of Traditional Chinese Medicine on deepening the reform of the title system of health professionals and technicians
No.51 [2021] issued by the Ministry of Human Resources and Social Security

Provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps Human Resources and Social Security Department (bureau), Health and Wellness Committee, Chinese Medicine Bureau, the State Council ministries and commissions, personnel departments of institutions directly under the Central Military Commission, cadre bureau of the Political Work Department, and relevant central enterprise personnel departments:

Health professionals are an important part of China’s professional and technical personnel, and they are the backbone of implementing the healthy China strategy in the new era. In order to implement the requirements of "Opinions on Deepening the Reform of Personnel Development System and Mechanism" of the Central Committee of the Communist Party of China and "Opinions on Deepening the Reform of Professional Title System" of General Offices of the General Office of the Central Committee of the CPC and the State Council, we hereby put forward the following guiding opinions on deepening the reform of professional title system of health professionals.

I. General requirements

(A) the guiding ideology

Guided by the Supreme Leader’s Socialism with Chinese characteristics Thought in the New Era, we will fully implement the spirit of the 19th National Congress of the Communist Party of China and the Second, Third, Fourth and Fifth Plenary Sessions of the 19th National Congress, adhere to the health and wellness work policy in the new era, follow the characteristics of the health industry and the law of talent growth, take the promotion of talent development as the goal, take scientific evaluation as the core, and take moral ability and performance as the guidance, so as to provide institutional guarantee for scientific, objective and fair evaluation of health professionals and technical personnel, and provide talent support for the implementation of the healthy China strategy.

(2) Basic principles

1. Insist on having both ability and political integrity and putting morality first. Put medical ethics first in talent evaluation, give full play to the role of "baton" in professional title evaluation, and encourage health professional and technical personnel to study medical skills, carry forward medical ethics and correct medical style.

2. Adhere to practice orientation and scientific evaluation. Scientifically set evaluation standards, highlight the performance orientation of practical ability, get rid of the tendency of focusing only on papers, academic qualifications, awards and "hats", and encourage health professionals to take root in the front line of disease prevention and treatment.

3. Adhere to user-oriented and service development. China strategy of making good use of living talents, promoting the combination of talent evaluation and use, meeting the needs of all kinds of employers in selecting talents, and serving the people’s health and health.

Second, the main content

(A) improve the evaluation system

1. Clear titles at all levels. The titles of health professional and technical personnel are junior, intermediate and senior. The junior level is divided into division level and division level, and the senior level is divided into deputy senior and full senior. The professional titles of health professionals are divided into four professional categories: medicine, medicine, nursing and technology. The titles of medical titles at all levels are: healer, physician, attending physician, deputy chief physician and chief physician; The titles of pharmaceutical titles at all levels are: pharmacist, pharmacist, chief pharmacist, deputy chief pharmacist and chief pharmacist; The professional titles of nursing at all levels are: nurse, nurse, chief nurse, deputy chief nurse and chief nurse; The titles of technical titles at all levels are: Technician, Technician, Chief Technician, Deputy Chief Technician and Chief Technician.

2. Promote the effective connection between the health title system and the vocational qualification system. In accordance with the "People’s Republic of China (PRC) Medical Practitioners Law" and "Nurses Regulations", taking the qualification examination for doctors and nurses and obtaining the qualification of practicing assistant doctors can be regarded as obtaining the title of healer; Obtaining the qualification of practicing doctor can be regarded as obtaining the title of doctor; Obtaining the qualification of nurse practice can be regarded as obtaining the title of nurse. In accordance with the "Chinese Medicine Law", to participate in the examination of the qualifications of Chinese medicine doctors with expertise and obtain the qualifications of Chinese medicine (expertise) doctors can be regarded as obtaining the title of doctor.

3. Dynamically adjust professional settings. Focusing on the needs of the development of health undertakings and the development of medical disciplines, we should dynamically adjust the technical qualification examination or professional title evaluation of health professionals, and make a good connection with medical education. The Ministry of Human Resources and Social Security and the National Health and Wellness Commission are responsible for adjusting the technical qualification examinations for primary and secondary health professionals. Provincial human resources and social security departments, health and health departments can adjust the professional evaluation of senior professional titles according to the actual situation.

(B) improve the evaluation criteria

1. Pay attention to medical ethics assessment. Strengthen the evaluation of medical ethics and professional behavior, and take the performance of medical staff in major natural disasters or public health emergencies as an important content of medical ethics assessment. The employer shall establish and improve the examination system of medical ethics, and take advantage of his position to ask for, illegally accept property or seek other illegitimate interests into the scope of examination. We will improve the disciplinary mechanism of good faith commitment and dishonesty, implement the "one-vote veto system" for academic fraud, and revoke all titles obtained through fraud, black-box operation and other violations.

2. Establish and improve the evaluation index of clinical doctors’ practice ability. The working hours of outpatient service, the number of patients admitted and the number of operations are used as reporting conditions; The coverage of diagnosis and treatment of diseases, coverage of operation or operation, number of cases of single disease diagnosis and treatment, average length of stay, average cost per time and number of complications are taken as important indicators to scientifically and accurately evaluate the practicing ability and level of clinicians. Strengthen the medical record as the evaluation carrier, and adopt the method of combining random sampling with individual provision to strengthen the evaluation of the clinical practice ability through a certain number of medical records. Explore the introduction of patients’ evaluation indicators for doctors.

3. Highlight the evaluation of performance level and actual contribution. In view of the practical characteristics of the health industry, the quantity and quality of business work are emphatically evaluated. The evaluation criteria for public health doctors shall be formulated separately, focusing on the ability of public health field disposal, formulation of technical specifications and standard guidelines, health education and popular science, evidence-based decision-making, and completion of basic public health services. Focus on the inspection of Chinese medicine personnel’s ability to master the classical theory of Chinese medicine, the ability to use Chinese medicine diagnosis and treatment methods, the use of Chinese medicine prescriptions and the situation of teachers and apprentices.

4. Get rid of the tendency of focusing only on papers, academic qualifications, awards and "hats". Papers, scientific research projects, awards, study experience abroad (leaving the country), doctoral degrees, etc. are not necessary conditions for declaration. Scientific and reasonable treatment of papers, in all aspects of job title evaluation and post appointment, the number of papers and SCI (scientific citation index) and other related indicators should not be used as preconditions and direct basis for evaluation. Papers published in domestic and foreign journals should be treated equally, and more achievements should be encouraged to be published in influential domestic journals. The honorary title of talents shall not be directly linked to the evaluation of professional titles.

5. Implement the representative work system. Clinical medical records, surgical videos, nursing cases, epidemiological investigation reports, emergency response reports, papers, health standards, technical specifications, popular science works, technical patents, and transformation of scientific research achievements can all be evaluated as representative achievements.

6 the implementation of national standards, regional standards and unit standards. The Ministry of Human Resources and Social Security, the National Health and Wellness Commission and the State Administration of Traditional Chinese Medicine are responsible for formulating the Basic Standards for the Evaluation of Professional Titles of Health Professionals (attached). Regional human resources and social security departments, health departments, and competent departments of traditional Chinese medicine may formulate regional standards according to local conditions. Units with the right of independent evaluation may formulate unit standards according to their actual conditions. In principle, the application conditions, regional standards and unit standards shall not be lower than the national standards, and the evaluation conditions shall be determined by local units within the framework of national standards.

(C) innovative evaluation mechanism

1. Improve the evaluation method of professional titles. The middle and junior professional titles will continue to be evaluated by examination, and the examination will be organized in a unified way throughout the country. The majors that have been unified in examination will no longer be evaluated or identified with corresponding professional titles, and the provinces (autonomous regions and municipalities) can determine the employment standards in their respective regions by the human resources and social security department in conjunction with the health department. In principle, associate senior professional titles should be combined with examination and evaluation, while associate senior professional titles can be combined with examination and evaluation, or combined with defense and evaluation, so as to establish and improve the industry evaluation mechanism based on peer expert evaluation. The specific measures shall be determined by the provincial human resources and social security department in conjunction with the health department.

2. Smooth the evaluation channels of professional titles. Social medical and health professionals enjoy the same treatment as public medical institutions in the declaration and evaluation of professional titles, and are not restricted by household registration, personnel files and different medical subjects. All kinds of health professional and technical personnel in public medical and health institutions enjoy equal treatment in the declaration and evaluation of professional titles. Health professionals and technicians from Hong Kong, Macao and Taiwan who are employed in the Mainland, as well as foreigners who hold permanent residence permits for foreigners or residence permits for overseas high-level talents issued by various places, may participate in the evaluation of professional titles as required.

3. Improve the informatization level of professional titles. Make full use of the information system of medical and health institutions to collect data on the workload, medical records, performance appraisal and working hours of health professional and technical personnel as an important basis for professional title evaluation. Encourage qualified areas to actively use information technology to carry out job title declaration, job title evaluation, certificate inquiry and verification. The results of the technical qualification examination for primary and secondary health professionals and the evaluation of senior professional titles are included in the electronic registration information system for medical institutions, doctors and nurses.

(D) Promote the combination of evaluation and use.

1. Reasonably determine the evaluation and employment mode. All localities fully consider the existing evaluation and employment model and the actual needs of health professionals and technicians, maintain policy continuity, and determine the connection between evaluation and employment of medical and health institutions.

2. Implement the employer’s autonomy. The employing unit rationally uses health professional and technical personnel according to the evaluation results of professional titles, and realizes the connection between the evaluation results of professional titles and post employment, assessment and promotion. Improve the assessment system of employment period, strengthen post-employment management, and realize the promotion and demotion of personnel in post employment.

3. Optimize the proportion of post structure. According to the development of health care, discipline construction and local reality, we should set up professional and technical posts scientifically, reasonably and dynamically, reasonably increase the proportion of middle and senior posts in medical institutions, especially primary medical and health institutions, and broaden the career development space of medical staff.

(5) Encourage talents to flow to hard and remote areas and grassroots front lines.

1. Improve the evaluation criteria at the grass-roots level. Doctors and nurses who work in township hospitals and community health service institutions can take the intermediate health professional and technical qualification examination of the corresponding profession one year in advance. Bachelor degree or above, qualified by the standardized training of general practitioners and working in primary medical and health institutions, can directly participate in the intermediate title examination of general practitioners, and directly appoint intermediate titles after passing the examination. There is no requirement for papers, scientific research and professional titles of primary health professionals in foreign languages, and the focus is on evaluating the ability and level of primary medical services. For health professional and technical personnel who have served at the grass-roots level for a long time, have outstanding performance and outstanding performance, the academic requirements may be appropriately relaxed, and priority shall be given to evaluation and employment under the same conditions. The specific evaluation criteria for primary health professionals can be applied to the Guiding Opinions of the National Health and Family Planning Commission of the Ministry of Human Resources and Social Security on Further Reforming and Improving the Evaluation of Professional Titles of Primary Health Professionals (No.94 [2015] of the Ministry of Human Resources and Social Security).

2. Improve the evaluation method. All localities can set up a grass-roots professional title evaluation committee or evaluation group separately to implement "targeted evaluation and targeted use" for health professional and technical personnel in hard and remote areas and grass-roots front lines, and the obtained professional titles are limited to hard and remote areas or grass-roots units.

3. Implement the service grass-roots system. Medical practitioners who are promoted to deputy senior titles shall have accumulated more than one year’s experience in providing medical and health services in medical and health institutions below the county level or with counterpart support. Foreign aid, aid to Tibet, aid to Xinjiang, aid to youth and other health professional and technical personnel who have performed well in handling major public health emergencies shall be given priority in evaluation and employment under the same conditions.

(six) improve the service mode of professional title management.

1. Promote the improvement of industry management. The human resources and social security department, together with the health department, is responsible for the formulation, organization, implementation, supervision and inspection of health professional title policies. The evaluation committee for senior titles of health series established by various departments, central enterprises and national trade associations in the State Council shall be approved and put on record by the Ministry of Human Resources and Social Security after consulting the opinions of the National Health and Wellness Commission, and the evaluation criteria shall be reported to the Ministry of Human Resources and Social Security and the National Health and Wellness Commission for the record. If it is really necessary for other employers, such as affiliated hospitals of colleges and universities, to set up a health series senior title evaluation committee, the evaluation committee shall, in accordance with the management authority of title evaluation, be approved and put on record by the human resources and social security department at or above the provincial level after soliciting the opinions of the health department, and the evaluation standard shall be reported to the human resources and social security department at or above the provincial level and the health department for the record.

2. Decentralize the evaluation authority of professional titles. On the premise of ensuring the evaluation quality, scientifically define and reasonably delegate the title evaluation right of health professional and technical personnel. Three-level hospitals (including Chinese medicine hospitals) and provincial disease prevention and control institutions with high medical level, strong technical ability, perfect personnel management, and willingness to make independent evaluation can carry out independent evaluation of senior professional titles on a pilot basis. The evaluation committee shall, according to the management authority of professional title evaluation, be approved and put on record by the human resources and social security department at or above the provincial level after consulting the health department, and the evaluation standard shall be reported to the human resources and social security department at or above the provincial level and the health department for the record. Actively play the role of professional talent service institutions, industry associations and other organizations in the evaluation of professional titles and the formulation of evaluation standards.

3. Strengthen the whole process supervision. Improve the selection mechanism of evaluation experts, strengthen the construction of evaluation expert database, and implement the avoidance system of professional title evaluation. Improve the working procedures and evaluation rules of the professional title evaluation Committee and the professional title evaluation office, seriously evaluate the discipline, and clarify the responsibilities of staff and evaluation experts. The implementation of the title evaluation system of openness and publicity, the implementation of open policies, open standards, open procedures, open results. Establish the inspection system of professional title evaluation, establish the accountability mechanism of review, complaint and investigation, strengthen the supervision of independent evaluation units, and withdraw the evaluation right if it cannot correctly exercise the evaluation right and ensure the evaluation quality.

Third, organize the implementation

(1) Raise awareness and strengthen leadership. The reform of professional title system involves the vital interests of the majority of health professional and technical personnel, with strong policy, wide coverage, complexity and sensitivity. All localities should attach great importance to it, earnestly strengthen leadership, clarify work responsibilities, and ensure the smooth progress of reform.

(2) Carefully organize and proceed steadily and cautiously. All levels of human resources and social security departments, health departments, and Chinese medicine departments should carefully organize and closely cooperate with each other, do a solid job in implementing various reform measures in light of local conditions, conscientiously sum up experience, promptly solve new situations and problems arising in the reform, and properly handle the relationship between reform, development and stability.

(3) Strengthen publicity and create an environment. All localities should thoroughly publicize and interpret the title policy, respond to social concerns in a timely manner, guide public opinion, and create a good atmosphere conducive to the reform of the title system for health professionals and technicians.

This opinion is applicable to the health professional and technical personnel of various medical and health institutions at all levels. The army can formulate specific measures for the evaluation of professional titles of health professionals with reference to this opinion.

Attachment: Basic Criteria for Professional Title Evaluation of Health Professionals

Ministry of Human Resources and Social Security
National Health Commission
State administration of traditional Chinese medicine
June 30, 2021

attachment

Basic standards for professional title evaluation of health professional and technical personnel

1. Abide by the national constitution and laws, implement the policy of health and health work in the new era, consciously practice the professional spirit of "respecting life, saving lives, being willing to contribute, and loving the country without borders", and have good political quality, teamwork spirit, professionalism and medical ethics.

Two, physical and mental health, good psychological quality, can fully perform their duties.

Three, health professional and technical personnel to declare medical and nursing titles, should obtain the corresponding professional qualifications, and registered in accordance with the provisions, to obtain the corresponding practice certificate.

Four, health professional and technical personnel to declare titles at all levels, in addition to the above basic conditions, should also meet the following conditions.

(1) Junior professional titles

Physician (division): Taking the doctor qualification examination in accordance with the Law of People’s Republic of China (PRC) on Medical Practitioners and obtaining the qualification of practicing assistant doctor can be regarded as obtaining the title of physician; Obtaining the qualification of practicing doctor can be regarded as obtaining the title of doctor. In accordance with the "Chinese Medicine Law", to participate in the examination of the qualifications of Chinese medicine doctors with expertise and obtain the qualifications of Chinese medicine (expertise) doctors can be regarded as obtaining the title of doctor.

Nurse (division): Taking the nurse qualification examination in accordance with the Nurses Regulations and obtaining the nurse qualification can be regarded as obtaining the title of nurse; Have a bachelor’s degree or above, or a bachelor’s degree or above, and have been engaged in nursing practice for one year, you can directly hire the title of nurse. Have a college degree and have been engaged in nursing practice for 3 years; Or have a secondary school education, engaged in nursing practice for 5 years, can participate in the qualification examination of nursing teachers.

Pharmacist (Technician): With the corresponding professional secondary school or junior college education, you can take the qualification examination for Pharmacist (Technician).

Pharmacist (technician): Master’s degree in corresponding major; Or have a bachelor’s degree or bachelor’s degree in the corresponding major, and have been engaged in this major for 1 year; Or have a corresponding professional college degree, engaged in the professional work for 3 years; Or have the corresponding professional technical secondary school education, obtain the title of pharmacy (technician), and have worked in this profession for 5 years, and can take the qualification examination of pharmacy (technician).

(2) Intermediate titles

The intermediate title of health professional and technical personnel shall be subject to the national unified examination system. Have the corresponding professional qualifications, and meet the following conditions, can sign up for the exam:

Attending physician in clinical, oral and traditional Chinese medicine categories: with a doctoral degree and a certificate of standardized training for residents; Or have a master’s degree and have been engaged in medical practice for 2 years after obtaining the certificate of standardized training for residents; Or have a bachelor’s degree or bachelor’s degree, and have been engaged in medical practice for 2 years after obtaining the certificate of standardized training for residents; Or have a bachelor’s degree or bachelor’s degree, and have been engaged in medical practice for 4 years after being registered as a medical practitioner; Or have a college degree and have been engaged in medical practice for 6 years after being registered as a medical practitioner; Or have a secondary school education, and have been engaged in medical practice for 7 years after being registered as a medical practitioner.

Chief physician of public health category: having a doctor’s degree and engaging in public health practice after being registered as a practicing physician; Or have a master’s degree and have been engaged in public health practice for 2 years after being registered as a medical practitioner; Or have a bachelor’s degree or bachelor’s degree, and have been engaged in public health practice for 4 years after being registered as a medical practitioner; Or have a college degree and have been engaged in public health practice for 6 years after being registered as a medical practitioner; Or have a secondary school education, and have been engaged in public health practice for 7 years after being registered as a medical practitioner.

Nurse in charge: having a doctor’s degree and registered to engage in nursing practice; Or have a master’s degree and engaged in nursing practice for 2 years after registration; Or have a bachelor’s degree or bachelor’s degree, and have been engaged in nursing practice for 4 years after being registered and obtaining the title of nurse; Or have a college degree, and have been engaged in nursing practice for 6 years after being registered and obtaining the title of nurse; Or have a secondary school education, registered and obtained the title of nurse, and have been engaged in nursing practice for 7 years.

Pharmacist (technician) in charge: with a doctorate; Or have a master’s degree, obtained the title of pharmaceutical (technical) teacher, engaged in this professional work for 2 years; Or have a bachelor’s degree or bachelor’s degree, and have been engaged in this major for 4 years after obtaining the title of pharmaceutical (technical) teacher; Or have a college degree, obtained the title of pharmaceutical (technical) teacher, engaged in this professional work for 6 years; Or have a secondary school education, obtained the title of pharmaceutical (technical) teacher, engaged in this professional work for 7 years.

(3) Deputy Senior Professional Title

1. Deputy Chief Physician

(1) Application conditions: academic qualifications, qualifications and clinical workload requirements.

Have a bachelor’s degree or above, or a bachelor’s degree or above, and have been employed as an attending (supervisor) doctor for 5 years; Or have a college degree, work in grassroots medical and health institutions at or below the county level, and have been employed as an attending (supervisor) doctor for 7 years.

Complete the specified work quantity requirements (see Table 1 for details).

(2) Evaluation conditions: professional ability requirements

Clinical, Oral and Traditional Chinese Medicine categories: master the basic theory and professional knowledge of this major, be familiar with the current situation and development trend of this major at home and abroad, constantly absorb new theories, new knowledge and new technologies and apply them to medical practice, and be familiar with the relevant laws, regulations, standards and technical specifications of this major. Have rich working experience in this major, be able to treat critically ill patients skillfully and correctly, and have the ability to guide junior doctors in this major. Strengthen the medical records as the evaluation carrier, and provide 5-10 medical records of rescue, death or difficult cases which can reflect the professional and technical level of the applicant by combining random sampling with personal provision, so as to strengthen the evaluation of clinical doctors’ professional ability.

Based on the data of the first page of medical records, the professional ability and level of doctors are scientifically and accurately evaluated from four dimensions: technical ability, quality and safety, resource utilization and patient management, using the indicators such as the scope and number of diseases to be diagnosed and treated, the level and number of operations, the incidence of postoperative complications, the average length of stay of a single disease and the average cost of a single disease. Among them, the specialty of Chinese medicine should also evaluate the ability and level of Chinese medicine diagnosis and treatment of Chinese medicine doctors based on the data on the first page of Chinese medicine medical records, focusing on the proportion of discharged patients who are mainly treated by Chinese medicine, the prescription ratio of Chinese medicine pieces, the number of patients with difficult and critical diseases treated by Chinese medicine, and the utilization rate of non-drug therapy of Chinese medicine. See attached table 2 for specific indicators.

Public health category: master the basic theory and professional knowledge of this major, be familiar with the current situation and development trend of this major at home and abroad, constantly absorb new theories, new knowledge and new technologies and popularize them, and be familiar with the laws, regulations, standards and technical specifications related to this major. Have rich working experience in this major, be able to solve complex or major technical problems independently, and have the ability to guide junior doctors in this major.

Based on the business work involved, it focuses on the assessment of public health field ability, planning ability, technical specifications and standard guidelines, business management technical report writing ability, health education and popular science ability, evidence-based decision-making ability, professional technical achievements output, scientific research and teaching ability, and the ability to complete basic public health service projects, including field epidemiological investigation report, disease and health hazard factor monitoring (analysis and early warning) report, public health emergency response plan and risk assessment report, and business work.

2. Deputy Director Nurse

(1) Application conditions: academic qualifications, qualifications and clinical workload requirements.

Have a bachelor’s degree or above, or a bachelor’s degree or above, and have been employed as a supervisor nurse for 5 years; Or have a college degree and have been employed as a supervisor nurse for 7 years.

As a competent nurse, he participated in clinical nursing, nursing management and nursing teaching for an average of not less than 40 weeks each year, and there were not less than 480 records of responsible nurses and quality control nurses on the first page of medical records (emergency, severe, operating room, hemodialysis, catheter room and other departments extracted nurse records from corresponding records).

(2) Evaluation conditions: professional ability requirements

Proficient in the basic theory and professional knowledge of this major, familiar with the current situation and development trend of this major at home and abroad, constantly absorbing new theories, new knowledge and new technologies and popularizing them, and familiar with the relevant laws, regulations, standards and technical specifications of this major. Can correctly carry out clinical nursing work according to nursing procedures, master the nursing points and treatment principles of patients in this specialty, and skillfully cooperate with doctors to rescue critically ill patients in this specialty. Have the ability to guide junior nursing staff in this major.

3. Deputy Director Pharmacist

(1) Application conditions: academic qualifications, qualifications and clinical workload requirements.

Have a bachelor’s degree or above or a bachelor’s degree or above, and have been employed as a pharmacist in charge for 5 years; Or have a college degree and have been employed as a pharmacist in charge for 7 years.

During his tenure as a pharmacist in charge, he participated in the pharmaceutical profession for an average of not less than 40 weeks each year.

(2) Evaluation conditions: professional ability requirements

Familiar with the basic theory and professional knowledge of this major; Familiar with the current situation and development trend of this major at home and abroad, constantly absorb new theories, new knowledge and new technologies and popularize them. Familiar with the laws, regulations, standards and technical specifications related to this major. Can participate in the formulation of drug treatment plans, make accurate analysis of clinical drug use results, find and deal with all kinds of unreasonable drug use phenomena in prescriptions and doctor’s orders in time, and put forward opinions on clinical drug use adjustment in time. Have the ability to guide junior pharmacists. Among them, the specialty of Chinese medicine should also have the ability of Chinese medicine pharmacy service such as acceptance, storage, dispensing, preparation and decoction, and can provide consulting services for Chinese medicine, and have the ability to comment on Chinese medicine prescriptions and provide suggestions for rational use of Chinese medicine.

4. Deputy Chief Technician

(1) Application conditions: academic qualifications, qualifications and clinical workload requirements.

Have a bachelor’s degree or above, or a bachelor’s degree or above, and have been employed as a competent technician for 5 years; Or have a college degree and have been employed as a competent technician for 7 years.

As a competent technician, the average annual working time in this major is not less than 40 weeks.

(2) Evaluation conditions: professional ability requirements

Proficient in the basic theory and professional knowledge of this major, familiar with the current situation and development trend of this major at home and abroad, constantly absorbing new theories, new knowledge and new technologies and popularizing them, and familiar with the relevant laws, regulations, standards and technical specifications of this major. Have rich working experience in this major, can independently solve complex or major technical problems, and have the ability to guide junior technicians in this major.

(4) Full and senior professional titles

1. Chief physician

(1) Application conditions: academic qualifications, qualifications and clinical workload requirements.

Have a bachelor’s degree or above, or a bachelor’s degree or above, and have been employed as deputy chief physician for 5 years.

Complete the specified work quantity requirements (see Table 1 for details).

(2) Evaluation conditions: professional ability requirements

Clinical, stomatological and TCM categories: on the basis of having the required level of deputy chief physician, systematically master the basic theoretical knowledge and technology in a certain field of this major, and have some expertise. In-depth understanding of the current situation and development trend of this major at home and abroad, constantly absorbing new theories, new knowledge and new technologies and applying them to medical practice. Have rich working experience in this major, be able to solve complex or major technical problems independently, and have the ability to guide junior doctors in this major. Strengthen the medical records as the evaluation carrier, and provide 5-10 medical records of rescue, death or difficult cases which can reflect the professional and technical level of the applicant by combining random sampling with personal provision, so as to strengthen the evaluation of clinical doctors’ professional ability.

Based on the data of the first page of medical records, the professional ability and level of doctors are scientifically and accurately evaluated from four dimensions: technical ability, quality and safety, resource utilization and patient management, using the indicators such as the scope and number of diseases to be diagnosed and treated, the level and number of operations, the incidence of postoperative complications, the average length of stay of a single disease and the average cost of a single disease. Among them, the specialty of Chinese medicine should also evaluate the ability and level of Chinese medicine diagnosis and treatment of Chinese medicine doctors based on the data on the first page of Chinese medicine medical records, focusing on the proportion of discharged patients who are mainly treated by Chinese medicine, the prescription ratio of Chinese medicine pieces, the number of patients with difficult and critical diseases treated by Chinese medicine, and the utilization rate of non-drug therapy of Chinese medicine. See attached table 2 for specific indicators.

Public health category: on the basis of having the required level of deputy chief physician, systematically master the basic theoretical knowledge and technology in a certain field of this major, and have some expertise. In-depth understanding of the current situation and development trend of this major at home and abroad, constantly absorbing new theories, new knowledge and new technologies and applying them to practice. Have rich working experience in this major, be able to solve complex or major technical problems independently, and have the ability to guide junior doctors in this major.

Based on the business work involved, it focuses on the assessment of public health field ability, planning ability, technical specifications and standard guidelines, business management technical report writing ability, health education and popular science ability, evidence-based decision-making ability, professional technical achievements output, scientific research and teaching ability, and the ability to complete basic public health service projects, including field epidemiological investigation report, disease and health hazard factor monitoring (analysis and early warning) report, public health emergency response plan and risk assessment report, and business work.

2. Chief nurse

(1) Application conditions: academic qualifications, qualifications and clinical workload requirements.

Have a bachelor’s degree or above, or a bachelor’s degree or above, and have been employed as a deputy director nurse for 5 years.

As a deputy director of the nurse, he participated in clinical nursing, nursing management and nursing teaching for an average of not less than 35 weeks each year, and there were not less than 240 records of responsible nurses and quality control nurses on the first page of medical records (emergency, severe, operating room, hemodialysis, catheter room and other departments extracted nurse records from corresponding records).

(2) Evaluation conditions: professional ability requirements

On the basis of having the required level of deputy director nurses, I am proficient in the basic theoretical knowledge and skills of a nursing specialty and have some expertise. In-depth understanding of the current situation and development trend of this major at home and abroad, constantly absorbing new theories, new knowledge and new technologies and applying them to clinical practice. Have rich working experience in this major, can independently solve complex or major technical problems, and have the ability to guide junior nursing staff in this major.

3. Chief Pharmacist

(1) Application conditions: academic qualifications, qualifications and clinical workload requirements.

Have a bachelor’s degree or above, or a bachelor’s degree or above, and have been employed as a deputy chief pharmacist for 5 years.

During the period of serving as deputy director pharmacist, the average annual working time in pharmacy is not less than 35 weeks.

(2) Evaluation conditions: professional ability requirements

On the basis of having the required level of deputy director pharmacist, I am proficient in the basic theoretical knowledge and skills in a certain field of my major and have some expertise. In-depth understanding of the current situation and development trend of this major at home and abroad, constantly absorbing new theories, new knowledge and new technologies and applying them to practice. Have rich working experience in this major, be able to solve complex or major technical problems independently, and have the ability to guide junior pharmacists in this major. Among them, the specialty of Chinese medicine should also have the ability of Chinese medicine pharmacy service such as acceptance, storage, dispensing, preparation and decoction, and can provide consulting services for Chinese medicine, and have the ability to comment on Chinese medicine prescriptions and provide suggestions for rational use of Chinese medicine.

4. Chief Technician

(1) Application conditions: academic qualifications, qualifications and clinical workload requirements.

Have a bachelor’s degree or above, or a bachelor’s degree or above, and have been employed as a deputy chief technician for 5 years.

As the deputy chief technician, the average annual working time in this major is not less than 35 weeks.

(2) Evaluation conditions: professional ability requirements

On the basis of having the required level of deputy chief technician, I am proficient in the basic theoretical knowledge and skills in a certain field of my major and have some expertise. In-depth understanding of the current situation and development trend of this major at home and abroad, constantly absorbing new theories, new knowledge and new technologies and applying them to practice. Have rich working experience in this major, can independently solve complex or major technical problems, and have the ability to guide junior technicians in this major.

5. Job performance requirements.

The following achievements can be regarded as representative works:

(1) Clinical medical records, surgical videos, nursing cases, emergency response reports, epidemiological investigation reports, etc.

(2) technical patents related to this major formed by absorbing new theories, new knowledge and new technologies.

(three) papers and other achievements formed by scientific research combined with the professional practice.

(four) popular science works formed by popularizing the professional scientific knowledge to the public.

(five) technical specifications or health standards formed by participating in the research.

(six) the effectiveness of personnel training (including the number and quality of junior professional and technical personnel who teach the professional field, as well as the teaching topics and achievements, etc.).

(seven) other landmark work performance that can represent my professional and technical ability and level.

Schedule:

1. Physician promotion workload requirements

2 clinical, Chinese medicine, oral professional senior professional title evaluation index.

Editor’s Note: This article comes from WeChat WeChat official account Internet, and the author is Yong Yule, and the entrepreneurial state is authorized to reprint it.

According to the Survey on Wealth Values of College Students in China released in 2017, mobile payment accounted for nearly 92% of the post-90s generation in China in 2016. The per capita payment of China college students on Alipay (including data on transfer, online shopping consumption, red envelopes, financial management, etc.) is about 40,839 yuan, an increase of 97% compared with 2015. This is still the data of Alipay platform five years ago.

For contemporary college students, making money is more like a passive behavior of "people are in the rivers and lakes and can’t help themselves".

This year’s college students will spend the most money and make the most money.

For most students, it is difficult to reach home under the self-awareness of adults, and part-time job has become the choice of many people.

exceptBeing able to earn pocket money is also a fresh experience for college students in ivory towers.

Today, the business model and consumption level are constantly updated and upgraded, and they have grown up in the Internet age.After 00, college students have more ways and means to earn the first pot of gold in life.

Tik Tok, Weibo, bilibili, Xiaohongshu … There are more and more college students’ faces on these platforms. It is not only a platform for young college students to socialize and get information, but also a gold mine for flexible college students to show their talents and discover business opportunities.

Upmaster, game sparring, beauty blogger, short video expertIt has become a new way for college students to make money.

According to the survey data of Ai Media Consulting,In 2021, the average monthly income of college students in China is 1516 yuan.

Specifically, college students with an average monthly income of 1,000-1,500 yuan account for nearly 40%; College students with 1,500-3,000 yuan also account for the majority, reaching 47.7%, and those with more than 3,000 yuan account for 3.3%.

"Getting rid of poverty" seems to have become the goal that this college student is committed to achieving.

On August 17th, 2021,After #00, the sophomore girl took a paragraph and earned 700,000 yuan a month #Rushed to the Weibo hot search list, reading 460 million, discussing 24,000.

Wang Zhixin of Hubei UniversityWhen I was a sophomore, a joke that didn’t pass Grade 4 exploded, which made her gain millions of fans. Before graduation, she had her own studio to pay her seniors and realize the freedom of wealth.

Coincidentally, on November 16, 2021, Weibo topic.# After 00, Xi ‘an’s sideline income exceeded 10,000 yuan per month #Also, "College students identify the authenticity of tide shoes, cosmetic bags and all kinds of bags for their classmates to earn remuneration" was posted on Weibo Hot Search, which gained 150 million readings and 6,143 discussions.

In the comment area, there are also many popular comments from netizens, such as "Please tell me the wealth password, I also want to get rich", "I am jealous of this way of making money" and "I am really caught".

He Shijie, an undergraduate student at Beijing University of Posts and Telecommunications, started his freshman year in 2017."Hello, teacher. My name is He."In bilibili, I uploaded a video related to digital technology, and explained it in a simple and humorous way, which made people praise it again and again.

The number of single videos played exceeded 20 million, and the university participated in Hunan Satellite TV’s "Informal Talks" and interviewed Apple CEO Cook.

With a video of more than one minute, Loctek soared by 14%, equivalent to 550 million shares; Among the major e-commerce platforms, several lifting tables mentioned in the video are out of stock.

This advertisement placement has also brought rich income to He. According to a person familiar with the matter, the market price of this video of He is less than 3 million yuan.Even if he does it once every two or three months, he earns tens of millions of yuan every year.

Even, after graduating from Beihou University, Mr. He boarded a hot search in Weibo, and many students left messages.What’s the experience of graduating college students brushing Weibo to their classmates’ graduation?"

In fact, at present, college students have all kinds of strange ideas and like to pursue novel things, and those novel ways of making money, such as short video, live selling goods and dubbing, which are developed based on short video platforms, have also become the first choice for college students to work part-time, and their income is relatively higher.

If you are in Little Red Book, Tik Tok or bilibili, search."College students earn more than 10,000 yuan a month"You will find that there are many bloggers who have earned tens of thousands of dollars a month through part-time work during their school days.

There are even post-00 s who have multiple jobs and use school time fragments to continuously improve their capital income.

However, more college students rely on platforms such as Tik Tok and Xiaohongshu to realize the circle powder.

It is true that for college students, there are countless part-time jobs that can be realized by only one mobile phone.

Released by Tik TokTik Tok University Student Data Report 2020It shows that in 2020, college students in Tik Tok released video broadcasts, with a total of more than 311 trillion times, 118.4 billion likes and 2.7 billion shares.

Dormitory culture, college students’ daily life, graduation, starting school … These college students have become the source of college students’ daily income.

Short videos are just a way for college students to make money.

Before the Internet was developed,There are many college students scrambling to distribute leaflets, waiters, tutor, promote sales, and even novel scribes.However, the general commission is not high and it takes a lot of time, so it is difficult for college students to really get rich from it.

However, with the rise of short, flat and fast platforms such as Tik Tok, Aauto Quicker and Xiaohongshu, there are also many occupations, such as:Live broadcast with goods, beauty bloggers, wear bloggers, food bloggers, etc.

On the premise of low threshold and low cost, these "within reach" ways to make money have become the options for college students to earn extra money after school and realize the freedom of pocket money.

According to statistics,In 2021, 83.9% of college students in China’s first tier cities have part-time jobs after class.; 81.8% college students in second-tier cities have extracurricular part-time jobs; Third-tier cities have a higher proportion of extracurricular part-time jobs, reaching 86.1%; The proportion of extracurricular part-time college students in fourth-tier and below cities is 80.0%.

howeverFrom the perspective of the little red book platform, there are also many internet part-time sharing posts.

Among them, there are more than 30 thousand notes on "sending models", and more than half of them are sharing posts about college students’ experiences as part-time sending models; There are more than 60,000 notes on "College Students Live with Goods"; More than 5,000 notes on "Handmade by College Students"; There are also 5,900 notes on "Student Party Knowledge Sharing".

On the other hand, the topic of "student party sideline" played on the Tik Tok platform is as high as 276.2W；;# College Students’ Entrepreneurship # The number of topics played was 3.55 billion.

In addition, according to the data released by Cass,"2019 Beauty Short Video KOL Marketing Report"According to the survey, among the beauty bloggers in Tik Tok, Aauto Quicker and bilibili, the age of 18-24 accounts for the most, which means that there are not a few student parties whose sideline business is beauty.

Seeing the cheap and easy-to-use college students’ resources, smart capital began to act, and more and more MCN set their sights on colleges and universities.

We searched the employment networks of Shanghai Normal University, Nanjing Communication College, China Communication University and other universities, and found that "online celebrity" jobs such as recruiting celebrities, talents, UPmasters and anchors after the MCN season also appeared in the recruitment list with high profile.

The 2021 campus recruitment of MCN organization’s bee colony culture has launched the positions of beauty fashion, life orientation and talent to short video talents. Elephant mutual entertainment also recruits full-time anchors for college students.

theseIt is not without reason that institutions take a fancy to college students.

For example, about 70% of the traffic of talent under the banner of Ivy Culture is concentrated in bilibili, while the audience in bilibili is mainly young people under the age of 23, so the creators of young groups on campus will know more about them.

Under the promotion of professional MCN institutions, there are indeed college students who have done "online celebrity" in circles.

Funny humor UP main self-invited volume Miki and anime blogger UP main star Youye both entered MCN institutions during their college years, and were discovered and hatched by the company into online celebrity Talent, and now they are all big V’s with millions of fans.

In addition to college students who are out of the circle, there are many college students who get rich by "labor".

Xiaomi, a college student in Beijing.A wide range of hobbies, the pursuit of quality of life, spending as high as seven or eight thousand or even tens of thousands a month. More than half of this is earned by oneself.

From the freshman year, she worked part-time, as a tutor, delivering food, sorting express at the express station during the Double Eleven, playing games, and helping others walk their dogs at night …At the busiest time, she took seven part-time jobs at the same time.

Get up early in the morning to translate subtitles for movies, then go to class, deliver takeout for 2 hours after class, sing in folk bars at night, and help others walk their dogs when they come back. They are busy until eleven or twelve o’clock, and they will also go to the secret room to escape npc…… on weekends … The total income can reach about five or six thousand per month, and sometimes tens of thousands.

Yu Xia, a college student in ShanghaiSenior script killer fans often go offline to carpool and play books. Because of their clear logic and expression, they are taken by the boss of the script killer shop and work part-time as a DM on weekends.

Because of her extroverted personality and good looks, she became a top-level DM in the store. She can host three screenplay killings in a row on weekends, but the boss promised her a sharing mode, so she can earn nearly 1000 yuan a day.

She now has a plan to kill the author as a script, and plans to write her own script and sell the copyright.

She herself said that when DM only earns some pocket money temporarily, creation is her goal, and DM allows her to jump out of the player’s perspective and feel as much as possible what everyone is interested in and what interesting mechanisms are, which is also helpful for creation.

These accumulated experiences and Internet traffic can still be the key to widening the distance between peers in the future.

3、College students’ view of money has changed.

For contemporary college students, making money is more like a passive behavior of "people are in the rivers and lakes and can’t help themselves".

We can sum it up as two mountains where "money" is pressing on college students:Freedom of consumption and pressure from classmates.

Going to college is a watershed for personal consumption. In high school, food, clothing, housing and transportation were basically solved within the school, and there was not much extra cost. But after going to college, all kinds of consumption items came.

Freedom of consumption has become the premise of obtaining most other freedoms.

What brand of clothes to wear, what brand of mobile phone and computer to use, which online celebrity restaurant to eat, what kind of exhibitions to watch, and what kind of APP members are … Differences in consumer goods have almost become an important way for college students to show their differences from others.

Xiaomi in Beijing gives her daily consumption record: it costs 3,000 yuan to eat every month; Falling in love, buying gifts for friends, and attending class reunion are also at least 2,000 yuan per month; Cosmetics and clothes also need about 1000 yuan every month …

Peer comparison also makes college students more active in making money.

The Internet allows people to peek into other people’s lives. Under the general environment of "everyone is rich and beautiful, and everyone is not short of money" in Tik Tok and Xiaohongshu, college students are passively involved, and others who are beautiful find that others are more beautiful, and those who make more money find that others earn more.

I went to 985 and 211, only to find that I had nothing.The author who grew up in a small town had excellent grades since childhood, but after being admitted to a prestigious school in a big city, he found that he was behind his classmates in appearance, family, contacts and vision-"The more difficult it is to climb, the more painful it is to see."

College students’ involution is invisible, and earning money part-time is to prove themselves and relieve anxiety.

"Part-time job" brings not only "pocket money freedom" to universities, but alsoAfter entering the society, it has become one of the biggest reasons to open the distance between peers.

For college students, when everyone is in school, there may not be much difference for the time being. Even if some people work part-time and some people study hard every minute, these can’t give them too much visual impact, but if they don’t work hard, once they leave the society, they will immediately go to two worlds.

This common and immediate example can be found everywhere among many college students.

In fact, let’s not talk about right and wrong. If you want to get more pocket money to improve your quality of life, you can get it by part-time in your spare time, and you can also accumulate work experience while being self-sufficient.

Because college students are young, they are curious about the unknown world and want to keep exploring and making progress, butIt’s not that they can’t bear hardships, but they don’t want to suffer meaningless and imposed hardships.

This is reflected in the way they make money.

This article (including pictures) is reproduced by the cooperative media and does not represent the position of the entrepreneurial state. Please contact the original author for reprinting. If you have any questions, please contact editor@cyzone.cn.

Born in the Sun, starring Rulu and Vengo, is a true and warm story based on the famous cartoonist Xiong Dun’s anti-cancer. Vengo, who has just come out of The Beauty of Cheongsam, feels that she has cooperated with Rulu once again, but this time it is Rulu who is even more disobedient.

The play tells the story of Xiong Dun, a young cartoonist, who was in adversity when he suffered both emotional and workplace setbacks, but bravely fought against the disease, insisting on smiling at life and infecting everyone around him. Once officially announced, "Born in the Sun" was listed on the list of Weibo dramas TOP1 be broadcast.

However, this only seems to be expected by people. In fact, it is really uncomfortable to look at a girl with cancer in Rulu! Because this TV series had a movie version that Bai Baihe had shot before, which was "Fuck off!"! Tumor jun has achieved very good results in both box office and word of mouth. At the same time, Bai Baihe has been subsidizing the parents of the archetypal characters in recent years, which makes her do everything. More importantly, Bai Baihe has been in a state of hanging the whole entertainment circle in the chick movie market. On the one hand, it depends on the unique spirituality. The audience who saw the movie must remember the literary and green appearance of Bai Baihe’s cartoonist Xiong Dun venting his emotions on the top of the mountain, which didn’t make the audience feel uncomfortable and embarrassed at all.

Her aura is all the more obvious. Rulu, who has cut short hair, is patting the same bridge, but it is wide, strong and artificial. As far as the present situation is concerned, whether it is modeling or whether the whole character is shaped naturally, her performance makes people feel very embarrassed. Rulu really doesn’t have the temperament to perform a positive girl with cancer in her prime.

This is not the first time that Rulu has made people vomit, and the appearance alone does not conform to the role setting. Before "Pentium Age", Rulu began to show people with short hair, but she no longer wanted to be sexy and mature like in the past and get rid of the label of Hua Fei, but it has not been successful until now. If we say that Rulu has no acting skills, it’s a bit of a lie with your eyes open. It is obvious to all that she has shaped and grasped many roles. Not only Hua Fei, but also in some film and television plays before, she contributed a good acting skill.

Then why have people been embarrassed many times in the past two years? There are two reasons:

First, always challenge the completely opposite role, not step by step. In fact, netizens and fans can also understand Rulu’s feelings. After all, every aspiring actress doesn’t want to play the same type of role all her life, and her transformation is a matter of course. However, the method she chose is a bit too radical. Every time she chooses a role, it is completely different from her personal image. She should take it step by step to gradually change the audience’s inherent impression of Hua Fei. Take Sun Li, who was labeled together, and it was only after repeatedly testing the water that she gradually got a different feeling.

Second, the age limit, did not develop their own characteristics. Rulu’s age is not small, and her figure is particularly limited. She should add moderately, enlarge her own advantages, foster strengths and avoid weaknesses, instead of blindly pursuing slim girlish feelings and cutting short her hair to completely subvert her image. In addition, it is crucial that Rulu always plays roles that are not in line with his age. More than a decade ago, she was playing a mature girl in her early twenties, and now she turns around to play an ignorant young girl. This is what she can’t get over, and it will make the audience get over it.

In short, the role of the new drama "Born in the Sun" is not suitable for Rulu’s own appearance and characteristics, and Zhu Yu is in the front. Just the preview makes the audience feel uncomfortable. This is really a sweat for Rulu’s ability to choose books for filming. On-Moon Arc