Text ｜ Xu Yan, Hairo Mirror
Eight years ago, Liu Jing, who entered the gate of the TOP Medical College, could not think that it would be so difficult to enter the Beijing Three -A Hospital when he graduated from a master’s degree.She was in the dermatology department of the hospital. The doctoral or post -post -post -post -posts of SCI papers were over 100 points.
Near the graduation season, this year, more than 900,000 medical students will face continuing school or career. The medical school expands and has depreciated. In the past, the master’s degree in the medical school of 985/211 was narrowed sharply in the passage of the first -tier cities.It is also increasingly fierce.Become a doctors who have a preparation, which is really "thousands of troops and thousands of horses crossing the wooden bridge."
For the huge master’s degree in medical, there seems to be many choices of heart: or continue to study doctors, and in the road of rules and hospitalizations, we welcome "volume".Or choose "downlink" employment, such as leaving the public hospital system; leaving first -tier cities, going to second- and third -tier cities for a way out; leaving the clinical department and entering the medical technology department;Enter other industries.
When evaluating the whereabouts of employment, future career development, work intensity, preparation of hukou, interest, etc. are all measurement indicators considered by medical students.From the perspective of career development, medical students who intend to continue medicine often want to stay in the third hospital instead of entering the community health center or secondary hospital.Essence
On the road of disturbing and Baili Picking, the five masters of clinical medicine told their career selection stories to the "Houlang Research Institute", and also told the hard -working and hard work of being a angel who saved the angels of the wounded.
The following is their experience.
I am currently in the top four medical universities in Beijing for clinical medicine. I am at the dermatologist at my junior year. The master’s degree is about to graduate smoothly.If the "normal" development path in the general sense, I either continue to accumulate academic achievements and start working hard to doctoral degrees.Either start the ranks of "volume" to impact the post of doctors in the junior hospital.
But I didn’t choose these two roads.I abandoned reading and entering public hospitals. Instead, I sought to enter the medical beauty industry and work in private hospitals. My choice is often considered to be the "alien" in the medical student group.
In fact, the current medical employment has been "rolled". The threshold of most of the clinicians of the three hospitals in Beijing is basically a doctoral start.Almost everyone has articles with SCI cumulative influence factor of 100 or more.This made me know that a doctoral degree with a master’s degree or less results did not have the opportunity to stay here at all.And when I remembered 8 years ago, the dermatology department of a master’s degree was relatively easy. It can only be said that the changes in the times make people a little breathless.
If you abandon the Three A and find a job with a sinking secondary hospital or community hospital, I will feel too limited to personal development.I used to take the elderly at home to the county hospital to see a doctor. There is no basic oxygen mask there. Such a medical condition will restrict the training of a graduated medical student diagnosis ability.Especially in dermatology, many skin diseases are not as "standard" as in textbooks. The number of patients seen by doctors is closely related to the level of medical skills.Sitting in the Three Hospital for a year, what you have learned and the growth you have learned is far more than that of lower -level hospitals.
During the hospital internship, some of the contradictions between doctors and patients also dismissed me.One time, the teacher brought the teacher to a patient who had neuroditis diagnosed and determined that the other party had no penicillin allergy.However, after taking the other party, he firmly believed that he was allergic to have a fever. He also hung many experts and emergency numbers in the department. He was paranoid that the dermatologist was prescribed in the wrong medicine.After tossing, there was no result, and ran back to the dermatology department, lying on the ground and said that he couldn’t breathe.Teachers and I can only try their best to soothe, and finally let the teachers in the emergency department come over to assist in the past.I got off work very late that day, and prayed on the road and not to encounter such a thing the next day.
"Volume" is not moving, the lack of resources in the lower hospitals, and the relatively tense doctor -patient relationship, all of which have become the reason for changing my employment direction.As early as the year ago, I have invested in some medical aesthetic companies. Fortunately, there are basically echoes. I chose the most satisfactory job in these companies.Although in public hospitals, the dermatology department is not a large department, but it is very popular with the medical beauty industry. I look forward to creating a beautiful feeling for others after becoming a doctor of medical and beauty.
There are many monks and less porridge, and the Chinese medicine department of a master’s degree in the first -tier cities is difficult to go to the sky.
I studied Chinese medicine and encephalopathy. I graduated from a master’s degree this year.At present, I haven’t signed the work unit. One is that I feel that time is still early. I want to see if there is a better job opportunity in the back. The other is that they are busy graduating now.
At this stage, my employment intention is the traditional Chinese medicine department of second- and third -tier cities.
Our master’s degree in traditional Chinese medicine finds a job, and the focus is on a "difficult".First of all, a three -level head hospital like Beijing in large cities in Beijing is very limited to provide students in traditional Chinese medicine every year.The annual demand for graduates of the Chinese Medicine Hospital is not large, and Western Medicine Hospital is even more pitiful to recruit people according to "subjects".Coupled with the expansion of medical students in the past two years, doctors have to cut their heads into the top three, and the master’s degree is not even qualified to submit resumes.Some hospitals, even after doctoral doctors in Chinese medicine, may not be prepared. When I learned about this reality, my heart can be said to be cool and cool.
Furthermore, the characteristics of the subject of Chinese medicine have also become an obstacle to the employment of Master of Chinese Medicine.In terms of Chinese medicine, there are certain differences in the concepts of each family. Unlike Western medicine, there is a fixed theoretical system. Many things in Chinese medicine need to be realized by yourself.I now have a feeling that the more I learned the more I do n’t understand. Other disciplines, including Western medicine, have matured in terms of knowledge and technology during the master’s degree. The Master of Chinese Medicine can really be said to have just started, and I only learn fur.First -tier cities, the top three hospitals of the first -tier cities, especially Chinese medicine hospitals, their level represents the "ceiling" of domestic Chinese medicine. Who is willing to recruit "Bai Ding" like a master’s degree in them?
Source: Visual China
In this context, there are two mainstream roads, "volume" or "lying flat"."Volume" needs to go to bed at two or three in the morning, get up at seven o’clock in the morning, and take into account the clinical work and the doctoral examination of hell -like life; "lying flat" is to go to Beijing’s secondary hospital or community hospital to find a jobAccording to the feedback from the classmates around me, such a job is still hard to find.
I don’t want to go to a doctoral doctor so hard nor to go to the community hospital for employment. After all, the lower -level hospitals are still very restricted to personal development.Therefore, I chose a "intermediate route", that is, employment in traditional Chinese medicine in the second- and third -tier cities.My family is not in Beijing. If you stay in Beijing for development, you need to consider renting a house. The economic expenses will be very large. It will be much better if you go to second- and third -tier cities.Moreover, the "top flow" hospitals in second- and third -tier cities can also meet my personal career development needs, and at the same time work pressure will be smaller.
Although the employment of a master’s degree in Chinese medicine is really difficult, I do not regret choosing a major in Chinese medicine.I have learned a lot in eight years, and employment in second- and third -tier cities can also meet my employment expectations.As mentioned above, the first -tier cities and the three hospitals are really too "rolled". Even if Dr. did not easily graduate and entered this type of hospital, the pressure of competition in the process of promotion was also great.I hope that I can operate my own life while doing my career, so if I can find such a job in the end, I am still very satisfied.
I have studied nursing, and my master is a 211 college in Jiangsu Province.Previously, I had been in an internship in a nursing position in a three -hospital hospital in Wuxi for a long time. However, after experiencing some ideological struggle, I gave up the medical path when I graduated. Now I have been transferred to the court to work as an assistant job.Although I left the original professional track and did a job that had nothing to do with the knowledge I learned, at this moment I felt that the road in front of me was extremely clear.
Nurses are the mainstream job search directions in nursing, but nurse careers are often rated as "low ceilings" by people in the medical industry.On the one hand, the nurse’s practicality is very strong. Not only require professional medical care knowledge, but also work hard to enhance communication skills and deal with patients. For example, students who are divided into pediatrics also have to learn some children’s psychological content.But on the other hand, the promotion space in the nursing industry is small, and the qualifications will reach the end.Moreover, there are also a few who can achieve the head nurse. Many nurses cannot see the hope of promotion. They will frequently change jobs between various hospitals, just for the narrow rising channel.
In the employment path of nursing, the nursing department is a very special existence.We are very envious of a classmate in the school, because there are three or four core journal results, and they are directly admitted to the Nursing Department of a Military Medical University.Because nursing itself is more difficult to publish a dissertation than other medical directions, the results of thesis are very competitive during nursing employment.In my eyes, the Nursing Department, as an administrative department, has the power of managing nurse. The work intensity is slightly lower than the front -line nursing position, and the salary level is higher.However, I have not recruited fresh graduates from the Nursing Department’s officers in Wuxi III before the internship. They are selected from front -line nurses.
"Low ceiling" is actually reflected in gender, and the employment disadvantage of girls is obvious.In nursing majors, boys account for about 10%, and their advantages in employment are very obvious.When the hospital recruits, as long as the boys enter the interview, they will basically be left. The work rooms such as operating rooms and ICUs will be more inclined to recruit male students with high work intensity.Like a male nurse who I know in Wuxi, the starting salary has exceeded 10,000, which is a height that most fresh graduates, especially girls, are not touched.
At the same time, the work intensity of the nurse did persuade me.I usually arrive at 7 o’clock in the morning during the internship. The white class generally ends at around 5:30 pm. The night shift starts from 18:00 and is divided into night shifts (18:00 to 24) and night shifts (0:8:30.point).Newcomers who come to an internship like me have about 10 night shifts every month, and I basically have no personal time.
The threshold for entering the three -way is getting higher and higher, but at the same time, the treatment and work intensity have not changed much.Although friends and relatives around me often tell me that preparation is important, but such development prospects and work intensity have made me decide not to pursue the preparation of this big three.
After graduating, I entered a period of "bumpy" job hunting period. I abandoned the hospital without bringing a flat way to me.I first applied for a medical media to engage in the work of medical science and thesis translation. After half a year of work, I felt that the nature of work did not meet my expectations, so I resigned decisively.After the New Year, I was paying attention to the court’s assistant to the judge assistant. This position does not have much professional and academic qualifications. It is a bit like "three unlimited". In the end, I successfully obtained this position through a series of assessments.
The current work in the court makes me feel very comfortable. I may be closer to various documents and paper pen and paper compared to the infusion needle and patients.Getting along with the judge is no longer as nervous as facing patients and teachers. This long -lost relaxation is more important than many things at this stage.
I have invested 7 years on the medical road, and now I have changed my efforts to make many past efforts seem to be "Fu Zhidong".However, I don’t think this choice is wrong. After all, I still have the opportunity to choose my life after 7 years, letting me find a real place. This is also the treasure I have excavated after many years of medical studies.
In fact, I really did not expect that the employment of the imaging department is now so rolled.
I am in the top three medical colleges in the Southwest, and I am studying in medical imaging diagnosis. Before graduating from graduation, my master’s degree is preparing to impact the posts of imaging physicians directly under a provincial -level hospital.But when I got the recruitment brochure, my heart was half -hearted, because there was no video subject entry on the Shiner, only some technicians’ positions.In addition, technicians also require a master’s degree or above, and it is clearly stated that only doctors can be qualified to be prepared. The implication is that the master’s degree can only go to the contract system.
In other words, in this three hospitals, even if I do my best, I can only find an unprecedented technician post.
The difference between a physician and technician is actually very large.Image scientists do not have the right to diagnose clinical clinical practice. They are mainly responsible for operating instruments. The results of the instruments are delivered to the doctor for diagnosis. It is much lower than the physician.
Generally speaking, doctors’ positions can be obtained by my medical imaging diagnosis major. The technicians are more students with medical imaging technology.Medical imaging technology has issued a science degree and does not require regulatory training, but it is not possible to take a qualified physician certificate. The difficulty and cycle are less than the diagnosis of medical imaging.So this recruitment seal makes me a little uncomfortable, and I have finally come out of the long medical training. Can’t even doctors do it now?
But considering that the other party was a three -one after all, I still submitted a resume. In the end, I did not get any notice within a week, that is, the resume is not over.
I was a bit unwilling, and I found a post in the imaging physician in the Three -A Hospital in Shaanxi. After the registration was successful, the staff was guided by the staff into the QQ group.At first, I was still thinking why I did n’t use WeChat groups. After entering the group, I understood that there were already more than 700 people including staff in the group, and it was continuously increasing, exceeding the upper limit of 500 WeChat groups.On the day of the registration deadline, the number of people in the group just broke through.
This round of recruitment includes 9 positions in the image department, intervention department, and radiotherapy department. According to the number of people in the group, the reimbursement ratio is about 111: 1, and the real hundred miles are one.After a few days after the resume screening, the staff in the group announced that let him have received a private chat with him and enter the new group. I did not enter the group without entering, and I did not receive any notice.Later I learned that there were more than 80 Dr. Guang in the resume submitted this time, and there was almost no competitiveness of the master’s degree.More than a month later, the hospital hung a public list on the official website: Sure enough, 9 people are doctors.
After two failures, I was a little frustrated and felt that I was in the huge vortex in the roll.Doctoral doctors and post -Bo postmodern doctors in the Department of Film Department, the master’s degree at most as a three -in -three technician.The master’s degree in medical imaging diagnosis goes to the three -section of the three -section.Friends of the master’s degree in medical imaging can only go to lower -level hospitals, let alone the situation of undergraduate colleges.Pressing one layer and one layer, you can’t breathe.
Source: Visual China
After these two suffered, I don’t want too much to recognize the situation. I returned to my hometown. A county -level city -level hospital second -level hospital successfully applied for the position of technicians in the imaging center.The reason why it is a technician is because there are preparation. There are only doctors who are considered to be editable.
However, I have not completely given up hope. First, I do well in the position of the technician. Waiting for the opportunity, I also strive to obtain a large -scale equipment attendance.I always want to be a physician with the right to diagnose. It is also stubborn that the master’s degree in video diagnosis is a bit bid to be a technician. I am sorry for my long regulatory and practicing physician.But sometimes I think about so many doctors still lined up on it. Why do I get in front of others?
In the second year after I joined the job, the bachelor’s degree in the recruitment of this county -level second -level imaging department has been removed, indicating that "graduate students" and "English level 6" have been marked.One day I saw the staff of the Personnel Section sending a thick application material to the leadership office. I was thinking, how many doctors were lying down.
"The situation of the X bed is not very stable, you add a class tonight …" In the two years of internship in the department, the most thing I heard is this sentence.When I think of being an obstetrician and gynecologist, this will be my norm in my life in the future, and my depression and irritability will devour me.
If I let me choose it again, I will never choose a clinical medicine major. This is the one I said the most to myself during the period of graduation.Therefore, despite the 8 years of clinical practice, in order to have regular work and life, I still chose a medical technology department like B -ultrasound at the end of employment.
I am a student of the “Five+Three” long -school training model. After the undergraduate rotation is completed, I chose the obstetrics and gynecology department. This year, I graduated from a master’s degree.My family is in Beijing, the conditions are acceptable, and my parents are very enlightened. I never give my future too much interference.Now think about it, I feel that after the college entrance examination, I choose to learn clinical medicine and choose to be a clinician.
At the age of 18, with his emotional understanding of the work of doctors, he felt that this was one of the greatest occupations in the world.Wearing white clothes, saving the wounds, saving countless families and winning the respect of the world.But when I experienced these eight years of study, I realized that I only saw the surface of this profession at that time, and ignored the "cost" that I needed to pay as a clinician.
The patients of obstetrics and gynecology are some pregnant mothers. During the entire pregnancy, the weight of pregnant women generally increase by about 10-12 kilograms, and the mothers of labor are not very convenient.As a obstetrician and gynecologist, we will inevitably move to patients in the process of examination and surgery. This is really an individual work.
In addition to the great physical labor, emergencies are mostly the second feature of obstetrics and gynecology.First of all, when pregnant mothers have children, this time is not sure, which means that our department needs 24 hours.The on -the -job teachers will basically be worthy of a big night shift in 4 to 5 days. From 5 pm to 9 am the next day, the duty period is basically similar to the working state during the day.Our patients are relatively large, so there will always be demand for delivery rooms.
The uncertainty of time has also led to the irregular work of our schedule. It is common to eat breakfast at 11 o’clock in the morning and 12 o’clock, and often the meal time does not exceed ten minutes.
In addition, there are many emergencies including postpartum bleeding.If there is a problem with the patient you are responsible for, then the unit’s requirement is that "the call will be available if necessary", which means that we cannot take a rest.
I am not a workaholic. I like to run and enjoy my life. I hope that my time belongs to myself when I rest.Three years of practice made me feel that this state of work of clinicians is really not suitable for me.
After some tangles, I finally chose to go to the medical technology department like the B -ultrasound room during employment. After all, I have studied clinical medicine for eight years.Although facing re -training, my schedule will be very regular. As long as it is after class, the time is mine. I am satisfied with the rhythm of life.
In the opinion of outsiders, my choice may have some "pity", but I don’t think so, is it "pity"?correct.
(The requirements of the interview object, the text is a pseudonym in the article)
