I am a full-time doctor of medicine, I can responsibly tell you that after 20 years, our doctors will be far lower than the level of medical care. My mentor in his 25 years old can already independently complete the third level of surgery, emergency can be unique, now the master's degree doctor rarely have the opportunity. 20 years ago, they study every day to see the patient to do surgery, now the master's degree graduate students three years to do what? What does a master's student do in three years? Go out to rotate departments (training) + research (for graduation) + the last half year to prepare for work or doctoral exams, how much can you learn from rotating departments? How much can you learn from rotations? How many chances do you have to get started? Apart from pulling the hook is sewing the skin. The most important thing to do is to research, one year of research is considered to be the beginning, and finally clinical research is skin deep. Doctoral students are basically in research for three years, and full-time doctors are basically in the lab, so they basically can't learn anything in the clinic. Doctoral graduation to stay in the university hospital, the so-called "big hospitals", but also scientific research and clinical together, into the title is completely related to scientific research. Why do they all go to big hospitals? Because the Chinese patients recognize, big and small illnesses go to the big hospitals, huh? The key stage of growth of the doctor is not in the examination of graduate school is doing scientific research, can see the patient to do surgery? Genius is also bad enough, medical practice is countless clinical practice + theory of repeated improvement, the current system is to allow young medical students to focus on things that have nothing to do with the medical profession, helpless, helpless.

There are a number of reasons why doctors as a group are becoming more and more academically demanding, and why the big hospitals are looking towards PhDs, so let me talk about two of the most significant factors:

1, with internationalization: our country's large hospitals now in the medical equipment and medicines, consumables equipped, almost and the top of the developed world hospitals, however, in the talent, there is still a small gap. The English word for doctor is doctor, and the English word for doctor is also doctor, which in itself shows that in the old European and American developed countries, the profession of doctor itself is equated with doctor, therefore, our big hospitals nowadays also have higher requirements for talents;

2, the fierce competition for employment in large hospitals: large hospitals, especially teaching hospitals, are often referred to as "white towers", a metaphor for "unreachable". Over the years, the expansion of undergraduate enrollment, postgraduate enrollment, doctoral enrollment, making the teaching hospitals already scarce positions more competitive. In many teaching hospitals, doctors are not only required to have a doctoral degree, but are also required to have an undergraduate degree in clinical medicine from a 211 school or an eight-year program, and even more specific requirements for the number of scores and articles in SCI papers. In fact, these requirements tend to change, fewer positions, more graduates when the natural additional requirements; more positions, fewer graduates, there will be the opportunity to relax the requirements appropriately. To stay in this "white tower" sometimes not only have the hard power, but also to choose the right mentor, and sometimes even some luck, real "timing, right place, right person", you can't have one without the other.

Thank you to the Secretary of Wukong Q&A/Headline Education for the invitation.

I'm Ichabod and I'll answer if there's an immortal.

Why do you need to read to the doctor in order to enter a large hospital, in fact, the questioner said very clearly, to enter is a large hospital, which is determined by the relationship between supply and demand, because everyone wants to enter the first-tier cities of the three hospitals, the oversupply, so naturally need to sieve part of the sieve down, or to say that the outstanding talents screened out, and that set what standards? Academic qualifications is a simple and effective standard, although it is said that academic qualifications are not omnipotent, but highly educated people are relatively stronger professional skills and knowledge reserves, which is considered a proven method.

Then why everyone is willing to go to the three hospitals and not go to the general hospital? Ye Qiu said a personal experience of the example, the other day Ye Qiu take the child to the community hospital to the child to play the full-month vaccination, during the period of the doctor or the nurse took three phone calls, went out three times, each time in five to ten minutes, completely regardless of the queue waiting for the injection of us, the second is to recommend that Ye Qiu buy to the child to supplement the calcium, said that the child's head on both sides of the head some pointy, is a lack of calcium, recommended that Ye Qiu to buy a course of three months, Ye Qiu Sorry to refuse directly, after all, we have to take a shot later, bought a month (not sure whether to make up for their things are not assured), the child has some jaundice it told me that I can not give the child drops AD.

As a result, the child 43 days of physical examination checkup went to the provincial children's hospital, asked whether the child needs to supplement calcium, the doctor said that before half a year old do not have to, through the mother to supplement on it, asked there is jaundice can not supplement AD, the answer is that you can. Both sides of the answer is completely different, you say who to listen to. Definitely listen to the big hospital! This is why some people don't go to small hospitals for minor illnesses, it's too unreliable! This kind of example Ye Qiu around a lot, so everyone trusts the big hospital is reasonable, health matters who do not want to find a professional strength, suffer a loss will be late.

Therefore, large hospitals will always be overcrowded, doctors are of course very hard, but the treatment is good, the level of improvement quickly, who do not understand this reasoning, to go to the big hospitals can improve their own level of treatment and good, do not want to enter the only stupid!

Therefore, those who want to enter the big hospitals can line up a long line, and the requirement of a high degree is an important means of screening talents, and the medical graduates with a high degree of education are usually not too bad in the college entrance examination, why? The following chart is the minimum admission score line of medical majors in some institutions in 2017, you can see that many schools 5+3 Benbao's are higher than the score of the five-year undergraduate, and quite a lot higher, the college entrance examination, although it is a past tense, but it illustrates a person's ability to learn.

Secondly, the acquisition of a doctoral degree means that one has reached a certain level in one's field of study, belonging to those who are in front of the field, with a richer knowledge base, more solid theories, and a better understanding of the frontiers of the discipline. Treating patients and saving lives cannot be achieved without a rich knowledge base, which can help save patients in the future with more confidence and more methods.

Third, hospitals need PhDs. It is very simple, hospitals also need SCI papers, also need projects, also need the proportion of PhDs in the staffing structure, these are the benefits that PhDs can bring. Hospitals not only need to treat patients and save lives, but also need research, which requires papers and projects, and in this regard, PhDs are more advantageous than undergraduates and masters.

Fourthly, medical personnel also need to further their education, and also need to exchange and study at home or abroad, and the professional ability and language ability of doctors are the most suitable. And Ye Qiu a batch of Shanxi Province provincial chip abroad the most is the university teachers and doctors, and doctors Ye Qiu know of more than 90% of the doctor is a doctor. To get a doctoral degree requires intensive reading of a large amount of English literature, which can not be done by undergraduate or do not need to do, and when going abroad to exchange may often need to discuss with the tutor or the group related literature or problems, for the doctor may not be too much of a problem, but undergraduate or master's degree because of reading less literature may be more strenuous.

Fifth, this is a technologically advanced society. What do you mean, medical treatment also requires the use of a lot of equipment, and a lot of pictures and charts, and the continued introduction of all kinds of new drugs and treatment options, which require more specialized knowledge, and in this regard, a Ph.D. is far more dominant than an undergraduate master's degree.

Sixth, a doctor with a PhD is more likely to be trusted by patients. One doctor has a Ph.D. and one has a master's degree, so who would you choose when there doesn't seem to be much of a difference?

These points are the reasons why big hospitals ask for PhDs.

This is a good question, read a lot of people's answers, I am a famous doctor, mention a little and others do not have the same opinion. First of all, our country to learn the characteristics of the medical school system, relative to foreign medical school system is slightly confusing, what does it mean? Doctors in our country's education span is too large, there are 3 years of college education, there are 5 years of undergraduate education, and master's degree (some are 7 years of undergraduate and master's degree, there are 5 + 3), and doctoral degree (8 years of undergraduate and master's degree, 7 years of undergraduate and master's degree + 2-3 years, 5 undergraduate and master's degree + 2-3 doctoral degree), so the longest study 11 years, the shortest of three years, the basics of the school, the learning of new knowledge after graduation The ability to learn new knowledge after graduation from school is vastly different. The foreign countries are relatively homogenous, such as the mighty United States. The United States undergraduate is not a medical specialty, they implement the 4 + 4 + 3-5, what does it mean. The first 4 years is a university undergraduate (and not a medical specialty), the second 4 years of medical school courses, and finally complete 3-5 years of internship program, so that at least 11 years, directly is a doctoral degree, of course, their study of medicine requirements are very, very high, but also very hard. Finally after their 11 years are up, they have to do 3-5 years of specialty training and pass the attending physician exam. But the difference in medical level between doctors in the US will not be very big, even family doctors are very good, certain comprehension will not be worse than those in big hospitals. Here we go back to the question, why big hospitals are recruiting doctoral students, master's degree students are very difficult to enter the big hospitals, big hospitals are actually in a saturated state of positions, the unit recruiting is certainly to recruit the best, now the big hospitals as a doctor is not so simple, clinical care is part of the writing articles issued by the subject matter may be more important than the care of the disease. An undergraduate, such as Peking University medical undergraduate, and then a Peking University medical doctor graduated, together in the same post work, undergraduate medical level is not necessarily worse than the doctoral level, maybe the same age undergraduate than the doctoral students a lot of powerful, departmental scientific research capacity is certainly a lot of difference. Then the same two people, the doctor to work in small hospitals, and then undergraduates to work in large hospitals, 2-3 years undergraduate clinical level is certainly higher than the doctoral students, and research will slowly catch up with the doctor, this is the importance of the platform, so now the country is learning from the health care system of other countries, 5 years of bachelor's degree after 3 years of standardized training. Only the big hospital training students, the same hospital high degree of training students will certainly be better.

Master's degree students can't get into big hospitals. This big hospital is a generalized concept, then for the big, which is like us here in Yuncheng Central Hospital, is a tertiary hospital, bed size of more than 1800. Although it is a prefecture-level city of three hospitals. But the beds are very tight, when hospitalized. Most of the departments always have no beds.But the central hospital is hiring. 99.99% all masters students. Hardly any PhD students.Because most of the doctoral students are in provincial tertiary hospitals, that tertiary hospitals are also very different, Peking Union Medical College Hospital is a tertiary hospital. And our central hospital here is also a tertiary hospital, although they're both tertiary hospitals.But the difference is huge. There is a huge difference in level, not even close.

Like Peking Union Medical College Hospital. Peking University First Hospital, Peking University Third Hospital, West China Hospital. Zhongshan First Affiliated Hospital, Xiangya Hospital. Tongji Hospital. Huashan Hospital of Fudan University. Fudan Zhongshan Hospital. Shanghai Jiaotong University Ruijin Hospital. And so on.Famous hospitals, top-ranked hospitals, are invariably teaching hospitals, full of professors, while municipal tertiary hospitals are not teaching hospitals. They don't have their own independent medical schools. They can't train their own medical students. Every time a doctor is recruited. You have to go to the medical school to recruit.

Now the answer to why big hospitals want PhD students. Because medicine is a cutting edge discipline. Knowledge is broad and complex, undergraduate medical school 5 years out. Can only learn a fur. Can not engage in scientific research. Master's research can only be medium, to doctoral research can only be, and large tertiary teaching hospitalsIt's science, teaching. Research is a trinity of development. One is indispensable. Every year to publish national journal papers. Scientific research, so long as it is a large three A teaching front hospital, recruitment of doctoral students. Masters do not.

I talk about this situation on another level that can be reflected upon.

Four resignations in obstetrics and gynecology this month, two doctors and two nurses, went to Canton Hospital;

Resignation of the Chief of Pathology; Resignation of the Deputy Chief of Anesthesiology, and Resignation of the Chief of Pathology by the Director

It was two people; together they went to the Jiaxing Hospital;

Young FNM male physician in ICU resigns;

The orthopedic department produced an excellent male doctor who also resigned to go to a tertiary care hospital;

Anyway, after promotion to the title, those who had the opportunity resigned.

Newly assigned young doctors or nurses quit more frequently.

The hospital staffing structure has become a cliff of resignations, and there is a strong fault line in the talent structure of the hospitals.

The sudden resignation of trained stalwarts and the imbalance in the young medical force.

Even I quit my job several times and then stayed. Because I love this little city.

Graduated and assigned to work here for almost 20 years, Jiayuguan City is as clean as a European town,

Avant-garde has charm, we probably have some sentimentality and clichés, I guess.

Resignations have led to departments that are barely functioning; this is the state of the art for a tertiary care hospital in a small western town.

Ph.D. students are even less likely to come to our small, local city, and are simply not recruited, the

The few post-graduate students available in the post are also there for a number of reasons, including caring for the elderly

Stay and be as rare as a baby at the hospital.

Our hospital is newly promoted as a tertiary hospital, belonging to a group of staff hospitals in a very small city of 600,000 people.

But it's clean, neat, stylish, with a thick human base and high quality personnel;

With such miniature small towns and hospitals it is still very busy, full of patients and hard to find beds;

Each department has an annual and monthly refresher and continuing medical education program that rotates out to Beijing,

Shanghai and other large tertiary hospitals to study and further training, to create a variety of opportunities and means to improve medical technology;

Slightly larger surgeries in the department must invite field experts to attend, teach, mentor, and exchange studies.

The hospital's medical equipment ranges from nuclear magnetism to CT, gastrointestinal scopes, to color ultrasound and other large-scale equipment, medical treatment

and operations management processes are scientific and ahead of their time.

But still can't keep people. Especially highly educated medical students!

This is actually only related to supply and demand. There are too many medical students, the base is large, so there are more graduate students and more doctoral students, but there are only so many positions, so naturally the requirements are high, if there are fewer medical students, then the requirements for the positions will be lower. If there were fewer doctors studying medicine, then the requirements for jobs would be lower. And because there are more doctors studying medicine, it's a seller's market, so the salary of a newly graduated doctor can't be high, and if you don't want to do it, there's plenty of people who will. The government also dares to formulate harsh policies to suppress doctors, the reason is that the number of people studying medicine ah, not afraid of no one ah, every year a large number of graduate students studying medicine can not find a job ah.

Because medicine is the study of the human body and life. Human life is precious and invaluable and cannot be over-emphasized in any way. Therefore, the theoretical foundation, practical ability, and level of understanding of practitioners are increasingly required.

And undergraduates, masters, and PhD students certainly don't have the same accumulation in these areas.

Let's start with this joke, where an undergraduate, a graduate student, and a PhD student are writing a paper together, "On the Practice of Red Meat



This is a joke, but from this joke, we clearly see the difference between doctoral, master's and undergraduate in terms of the depth of understanding of the problem, research ability, and method of thinking. The master's and doctoral stages are not only about enriching and deepening knowledge, but also about changing and shaping the way of thinking and improving practical ability.

I. Have a more solid theoretical knowledge of the profession Specific to

Medical profession, medicine is a profound discipline, both theoretical and practical are very strong, the requirements for practitioners are very high. Facing clinical diseases of all shapes and sizes, it puts high demands on the doctor's ability to judge, analyze and comprehensively deal with them.

Patients do not get sick according to textbooks. In the face of all kinds of difficult and complicated diseases, the more knowledge you have, the more knowledgeable you are, the more you can accurately confirm the diagnosis and deal with it correctly. Therefore, a solid theory is the foundation of becoming a good doctor. Having a higher education means a more professional, in-depth and accomplished understanding and exploration of basic theories.

(ii) Fostering a more scientific mindset towards evidence-based medicine.

While conventional medicine emphasizes individual practical experience, evidence-based medicine believes that any medical decision should be based on scientific research evidence. Evidence-based medicine is not intended to replace conventional medicine, but rather emphasizes a combination of personal experience, patient realities and clinical evidence.

Medical students can have a lot of time in their master's and doctoral programs to solidify their basic knowledge, as well as the ever-changing new knowledge and advances, to follow the latest frontiers of their discipline, and to develop a scientific and evidence-based medical mindset. This is all essential for later career growth. It has been proven that both the lack of solid basic theoretical knowledge and the lack of knowledge of cutting-edge disciplines will limit a doctor's growth and bring great limitations to a doctor's development.

III. Stronger practical skills before practicing medicine independently

In addition to learning a great deal of specialized knowledge, medical master's and doctoral students spend a lot of time following their supervisors in clinical practice, where they learn and accumulate, laying the groundwork for independent medical practice in the future.

Medicine is the science of the human body, the complexity of the human body far exceeds our cognition, the same kind of appearance such as headache, caused by a thousand different reasons. To follow the tutor in the clinic is to make one's book knowledge realistic, three-dimensional and enriched, and at the same time, under the tutor's guidance and demonstration, to improve one's professional and practical ability more accurately and rapidly, which is a resource and condition that students with a lower level of education do not have.

To sum up, a medical student needs to travel a long and long way to grow up to be a doctor. In this journey, having a higher degree means having more and more solid theoretical foundation, and having the guidance and companionship of a mentor can provide more and more valuable help to the student's growth.

When we go to the hospital, each specialist is surrounded by several interns or trainees, many of whom are the doctor's master's or doctoral students. During the period of schooling, they are exposed to a large number of clinical cases with their supervisors, and see a variety of difficult cases, which is an opportunity that young doctors cannot have independently from the medical profession. It is precisely because of following the tutor that they can have the opportunity to broaden their horizons, increase their knowledge, and accumulate experience and reserve their abilities for future medical practice.

Nowadays, it is impossible to enter a tertiary hospital without a doctoral degree. The development of society has made people pay more and more attention to life and health, which puts higher requirements on medicine and also higher requirements on medical practitioners.

The minimum qualification required for recruitment in many tertiary hospitals these days is a PhD, an MD. Why do hospitals require a PhD?

Because of the present title system, it is not easy for a doctor to make the arduous step by step journey from a practicing physician to an attending physician, and then to an associate director or chief physician. From attending physician to associate director, in addition to professional examinations, there must be scientific research projects and a certain amount of articles. Without these supports, the title will just stay put.

Many of the doctors in the department are busy with their clinics. The hospital is a place where there are fewer doctors and more patients, and every doctor is particularly busy. Not to mention the declaration of the project, write articles, is a stack of stacks of medical records let them distracted, burnt out. So many departments are looking for some research specialists, or those who are inclined to research, to fill the gaps in the department's projects and articles, and only when they have graduated from the doctoral program can they be considered to have a certain degree of understanding of scientific research, and can they be unique in their research.

What the three hospitals are short of is not bedside doctors, but doctors who do research. But why recruit a medical doctor to do research, and why study medicine if you want to do research.

With the development of society, medical students with high education is inevitable! Medical students tend to be more and more elite education, our country gradually abolished specialist medical students, medical undergraduates after graduation gradually positioned into the grass-roots hospitals, such as large tertiary hospitals, the general medical master's degree after graduation is very difficult to enter, unless the medical specialty studied is more in short supply! China's large population, the increasingly fierce competition for talent, medical students demand high education also side reaction to the progress of China's medical education level and improve the level of medical quality! Working in a tertiary hospital, not only to do a good job of clinical work, but also shoulders the scientific research and teaching work, at the same time in the promotion of title competition is also quite fierce, the higher the education, the more advantageous! The higher the education, the more advantageous! If you have a low education, you will be embarrassed to stay in a tertiary hospital! In short, it is not easy for the state to train a good doctor, which is the most clear when the doctor's heart, learning medicine is also too bitter and too difficult to learn down the investment of time, energy, money, more than most other industries! That's why highly educated graduates often want to enter large hospitals, their own psychological balance! In fact, a high degree of education is only the starting point for becoming a good doctor! It doesn't mean that you have to be highly educated to be a good doctor! A bachelor's degree or a master's degree in medicine in a second-class hospital or a community hospital, as long as you work hard, you can still become a good doctor! So don't take your education too seriously! The main thing is to give yourself a good position, life should have a goal, the heart without regret!