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.
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