According to the document jointly issued by the Department of Human Resources and Social Security and the Health Commission of Gansu Province, the professional and technical personnel participating in the evaluation of senior professional titles of grass-roots health in Gansu Province have not made rigid regulations on their papers and scientific research, and have strengthened the assessment of medical ethics, which is also the first evaluation standard for senior professional titles of grass-roots health in Gansu Province.
For doctors, the pressure of papers is always with them when they step into the door of medical school. Graduation needs papers, and professional title promotion needs papers even more. No matter what department you are in or what kind of work you are engaged in, for a long time, papers are the "hard lever" for doctors to be promoted. This evaluation system directly led to the proliferation of medical papers. According to the data of the Ministry of Science and Technology, among the top 10 majors in terms of the number of published papers in China, medicine accounts for 4, accounting for more than 30% of the total number of papers, which is out of proportion to the size of the medical discipline itself.
Many hospitals are affiliated to medical universities or comprehensive universities, and papers issued by hospital doctors are often included in university scientific research achievements. Some medical institutions require "SCI start" for the publication of doctors' papers, and even different SCI journals have impact factor scores. Compared with valuing the rating of magazines, it is not within the scope of investigation whether the content and quality of papers can reflect the professional level of doctors.
This is because many medical papers may not be understood by the reviewers in a short time. You should know that the number of domestic medical SCI journals is very limited, and the influencing factors are not high. In order to seek promotion, many doctors have to publish their papers in foreign languages in overseas magazines. European and American magazines can not go up, and Asian, African and Latin American countries can also, or even derive a special industry chain for overseas publication of medical papers, which provides a one-stop service from paper topics, experimental data, written translation, peer recommendation, and article publication. Then, it is inevitable that the papers produced in this way will be watered or even faked. After all, medical research is a cutting-edge science with high requirements for personnel, hardware and environment. It is difficult for ordinary clinicians to make breakthroughs in scientific research.
In the past two years, there have been a number of international journals withdrawing manuscripts from Chinese medical papers, which to some extent has a negative impact on the reputation of China's medical research. In addition, it is self-evident that the academic exchange of papers on domestic medical issues published in foreign languages in overseas journals plays a geometric role.
The role of clinicians is to cure the disease and save the people. It is obviously unscientific and unreasonable to require clinicians who work on shifts 24 hours a day and operate in outpatient wards in tandem according to the standards of scientific researchers. Using papers as a "hard lever" to evaluate clinicians will form a negative orientation of hospitals, doctors and even medical college students to "focus on scientific research over clinical work", which will eventually affect the health of the whole people.
In developed countries, medical students are often divided into scientific research and clinical branches from the beginning of enrollment, and extended to the professional field. Clinicians are only responsible for clinical medical work and have no pressure on scientific research. Our country has also begun to distinguish between academic and clinical types of medical master and doctoral students, and the latter can become a licensed doctor, which is also of great significance.
Medical treatment belongs to medical treatment, and scientific research belongs to scientific research. Only by throwing away the "burden" of the papers of grass-roots medical workers can they be encouraged to concentrate on clinical medical work. Of course, without the paper standard, it is also worth thinking about what kind of standard can be used to decide the promotion of doctors fairly and effectively.
(The article in this column was originally published by China Industrial Network. If it is reproduced by online media, the source must be indicated as "China Industrial Network". If it is reproduced by print media, it must be authorized by China Industrial Network.)
