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Why do many medical staff in public hospitals wish to be transferred to functional departments?

Why do many medical staff in public hospitals wish to be transferred to functional departments?

Hospital administrators, and many normal occupations, as long as the day shift, there are Sundays and holidays, do not have to stay up all night, generally not overtime, the work is relatively easy and pleasant, little responsibility, little risk, no doctor-patient conflicts, and have the right to health care in the hospital to do the most work, the status of the lowest, in the face of the patient's nitpicking, complaints, complaints, but also subject to discipline, can be described as a force, the two ends are not called good. Moreover, the administrative logistics average award, drought and flood insurance income, although the individual department benefits a little better, but, compared with the administrative staff, or not cost-effective, clinical medical income is to take the life of a lot of administrative and logistical staff, are the hospital leadership of the royal relatives, the leadership will treat them poorly? This epidemic, hospital subsidies, you can see how much the front-line medical staff suffered! I hope that the country will pay attention to the medical staff and the people will be less critical.

I am a senior Chief Surgeon who has done clinical work and worked in a functional department, so I have some say in this matter. I think what this netizen has said is really wrong. On the contrary, many medical staff in public hospitals are now reluctant to be transferred to functional departments. Why?

1. Technology is easily outdated.

When it comes to functional departments, because there are so many non-clinical administrative tasks to be accomplished, by the time the functional departmental workload is done, there is not much time that can be spent on the clinic. Due to the new technology and new ideas in medicine, the update is very fast, coupled with the gradual surgicalization of internal medicine. Therefore, whether it is internal medicine, or surgical technicians, to the functional departments for a relatively long time, slowly will find their own technical level can not keep up with the development of clinical business. Therefore, for a medical staff who loves clinic and likes to engage in clinical frontline work, functional department is not a good choice.

2. The complexity of interpersonal relationships in the functional sector is exhausting.

We should know that the hospital function is to deal with a variety of complexities of the administrative logistics section, a variety of interpersonal relationships are relatively complex. Unlike the clinical front-line departments, as long as the standardized service to patients with heart on the line. It can be said that the functional departments of the emotional intelligence requirements are very high, while the clinical front-line IQ requirements are higher. Because the clinical medical personnel, although the emotional intelligence is not high, but the technology is first-class, the hands of a masterpiece, as usual, very popular. But the functional departments of the personnel, if not good at dealing with interpersonal relations, work is often difficult to carry out, or carried out very poorly. Therefore, for medical personnel with low emotional intelligence, functional departments are not a good choice.

3. There is a risk that academic status and prestige among the public will decline.

At present, the hospital functional department leadership position is able to up and down, relative change may be too some, while the hospital clinical department leadership position is relatively stable. Whether in the large affiliated hospitals, or in small grass-roots hospitals, once you serve in the functional department, no longer serve as the director of the clinical department of the post, a long time, with their own technology outdated, naturally, your academic status in the peer group slowly down. In case you come down from the functional department leadership positions, clinical department positions are also difficult to arrange, the situation will be more difficult, and long-term not engaged in clinical work, the reputation of the surrounding masses will gradually decline.

4. Income is relatively low.

In most hospitals these days, revenues are skewed towards clinical frontline staff. Naturally, when it comes to the functional departments, the income will drop. For example, when I used to be the director of a clinical department, because of my strong management skills, the department operates well, plus it is still a regional key discipline, the income has always been in the top two in the hospital. However, after arriving at the functional departments, the income has been greatly reduced. Even, many people clinical first-line department staff, but also often cold words that the functional department staff, is that they earn money to support it, listen to, the heart to hold back hard right.

5. When hospitals are restructured, the staff of functional departments are the most victimized.

When hospitals are restructured and public hospitals are converted to non-public health care, the clinical department staff are the ones who have to be retained by all means because in the eyes of the capitalists, they are the ones who can make money, whereas the functional department staff become dispensable and are often the ones who are diverted, transferred or dismissed the most. They also tend to become the victims with the greatest interests when hospitals are restructured.

Anyway, after I have said so much, I believe that we have a better understanding of the current situation of the functional departments of the hospital, and I guess we will not say that many medical staff want to transfer to the functional departments.

Which is appropriate, to govern or to be governed, to have a high status or a low status? People are not stupid. A hospital has a doorway to go to the administrative department, title as usual, salary and performance as usual. Also not subject to workload and complaints constraints, from the leadership and close to the water tower first get the moon ah! Bitter on the bitter clinical front-line doctors and nurses.

Operations are tiring, require on-call duties, and in departments where you're not the head of department and head nurse or a senior doctor you have to do a lot of menial work and it doesn't always pay very well.

Hospital administration take policy bonus than clinical often coefficient is much higher (because the leadership of the centralized place is impossible to adjust the bonus coefficient downward), the work is easy and stress-free, almost no night shifts, the money you need to earn hard, out of the matter, the shit pot anyway to the clinical staff brain shell buckle is it.

A position is very tired, day and night shifts in a row, and the face of medical trouble, there is personal danger. One job is free, with a normal commute and two days off. Why do you think?

No night shifts, no contact with patients and their families, no worry about writing medical records and being fined by the medical department, no fear of being awakened by the ringing of the cell phone ...... It's not that I don't want to go, I can't go.

Hospital functional departments: President's Office, Party Committee Office, Trade Unions, Civilization Office, Medical Department, Doctor-Patient Relationship Coordination Office, Science and Education Department, Information Department and Computer Management Center, Nursing Department, Outpatient Department, Hospital Sense Section, Personnel Department, Finance Department, Audit Department, Health Economics and Management Department, Health Insurance and Agricultural Cooperation Department, Security Department, Logistics Management Center, Material Procurement and Management Center, etc., as for the Clinical Departments, auxiliary inspection departments, Training Center, Pharmacy Section, etc., all belong to the operational departments.

The Health Commission (Bureau), for hospitals is a functional department, because they are in charge of the hospitals they belong to.

It is not easy to go to the functional departments, the level of medical skills does not seem to be so important, good medical skills even in the department only as a medical team leader, that is also working with a technical team. Generally speaking, high-level doctors in large hospitals basically do not choose to go to work in the functional departments, and their normal development path is the director of the clinical department, assistant dean, vice president, dean.

Often, people who can talk, write, calculate, react quickly, get things done, and sometimes have some background, may be able to go to the functional departments, including the health administration. No leader likes that kind of two does not hang five does not tune in front of the people hanging around all day.

Tell me about the situation seen in the local over the years, pinch your fingers, there are three peers used to be the township or community health service center of the general practitioner, step by step to the dean of the unit, the director of the position, and then participate in the public recruitment or transferred to the Municipal Health Commission from the deputy section chief position first on probation, and so on when the deputy director of the, that went directly to the tertiary hospitals as a president, from the section chief position, then go to the tertiary hospitals as a vice president of the, right? That is all another level up.

Think of ways to go to the three hospitals, not as good as a different way, strive to work for the Health Commission, hard work for a few years, to develop their own vision, improve the breadth of the problem, the depth of the exercise of their ability to solve intricate and complex problems, the documents and materials to see more, deal with more, writing materials, write a report will become more and more level, all aspects of the relationship between the four flat, the water to the channel, it should be on the.

So many years to establish a network is not narrower than when the doctor, will only be higher, to get a senior title is not very difficult thing, you can promote the health management profession ah, have to promote the clinical title why? When the hospital leadership, business lost so many years, but also to see what the disease it, the hospital is capable of even greater doctors, that is also your subordinates.

How difficult it should be to become a doctor at the grassroots level and then go to a tertiary hospital to become a hospital leader? The above example does not seem to be that difficult, things are what they seem to be.

Tailor it to your situation, if there is not much room for business development and you want to progress faster, then striving for a functional role is a good option.

Hospitals, doctors prefer to serve in the business sector, in fact, in the knowledge of doctors also serve in the functional departments, business work, that is, once a week on the specialist clinic on the line, the main work is, after all, functional work, it is not possible to spend too much time to engage in the medical business, personal income will not be less. In some ways, the authority is certainly greater than the section chief. Generally will not put the high title personnel arranged to go to the functional departments as a general clerk, that would have been relegated to the side of the meaning of the word.

As for the nurse, in the hospital peer competition, can sit in the nursing department director, or head nurse position is quite good. To say that other development space where, health administration ah, these years, the local more than one nurse when the city and the jurisdiction of the county and district health director, deputy director, now the city health commission has a nurse from the deputy director.

Retired, not as good as a doctor to find a place to play? There is no need to worry about this, as long as you will be the dean, reputation, there are still people to hire you, the income will not be lower than those who were hired, you used to be the subordinate doctors. Recognize the local several tertiary hospital director retired, hired to large-scale private hospitals, annual salary are very high.

In short, medical staff want to work in functions, depending on how big the hospital is and what position they are working in. What I know is that nurses are more keen. Many are just not suited to functional roles for various reasons and are more suited to specific operational roles instead.

I'm Dr. Kang. Thank you, friends, for your attention!


Image from the web

Thanks for the invitation.

1. First of all, understand the function of the department, I think it is those administrative departments, that is, those who are not the front-line medical staff. For example, calculate the payroll of the financial, administrative personnel, and other logistics, etc..

Compared with front-line health care workers, the advantages of people in these departments can be summarized in four "relative." First, the work is relatively easy and simple (do not have to face the complexity and suddenness of the first line); Second, the office hours are relatively stable (no need to day and night, several shifts); Third, the salary will not be poor (may not be as good as a small number of business departments, but not much worse than a lot of bonuses and performance, after all, the leadership in the functional departments, where can it be less); Fourth, the risk is relatively small (the front line of the infection of the chances of a large number of people to look at the outbreak of this (I know.) Fifth, the face of the work situation is relatively stable (do not have to face the complexity of the doctor-patient relationship). To summarize, health care workers want to go to functional departments. Just as civil servants do not want to work at the grassroots level, they want to work in the organization for the same reason.

2. There are reasons for this phenomenon. A social development is not balanced, values are not unified. The work of front-line medical and nursing staff is not generally recognized by society, the sense of social gain of medical and nursing staff is low, and society has misunderstanding of medical and nursing staff. Secondly, the income distribution is unfair. Struggle in the front-line medical and nursing personnel's wages and salaries in the office of the administrative staff is similar to or less than the administrative staff, motivation is frustrated. Third, the system is not perfect, can not solve the real problem for health care workers. Do you remember the nurses who asked the leaders for staffing during the epidemic?

Some time ago, a friend asked me why some doctors nowadays are chipping away at functional constituencies. Couldn't they honestly work as doctors? At that time, I also felt very curious after listening to this question. Yes, why do doctors have to run to the functional sector? They just go to be doctors for 10, 20 or 30 years.

When the doctor after 40 years, that can be said to be the existence of the company's living treasure, in short, any company if there are 3 ~ 5 old doctors, then the company's gold will be unlimited upward. It can be said that the doctor industry and other industries have obvious differences, you like it industry, eat is the youth meal. Flight attendants or hospitality staff in banks also eat youthful rice.

If you have a bit of a problem with your looks, and you can almost throw up when you stand there and people don't say a word, then you're clearly not a front office recruiter. By the same token, if your brain doesn't work well, or if you're getting too lazy to use your brain as you get older, the IT department won't want you.

But doctors are a special case. The older the doctor is in relative terms, the more salary he can earn, so why do some doctors cut their heads to run to the functional sector? Not willing to go to their own work?

Older doctors aren't worth more as they get older

We must go through this misunderstanding, it is not that the older the doctor is, the more valuable he is. Take a simple example, this doctor is 50 years old, that doctor is 90 years old, and there is another doctor who is 110 years old, according to this reasoning, the doctor who is 110 years old is very valuable?

It is not like that. We can only say that doctors accumulate a lot of cases as they grow up, and this part of knowledge is the most valuable. If you have not accumulated this part of knowledge in the course of growing up on the path of a doctor, then I am very sorry, you are not worth anything at all, and your position is not worth anything at all, you are just mixing up a seniority in a place, and it cannot be your golden rice bowl.

The real meaning of the doctor can become a golden rice bowl is in some hospitals engaged in the attending physician, and has a super high level of medical standards, in the medical field has enough power of speech, that is the older the more popular.For general practitioners it is difficult to reach this level, we can't say that it is an absolute sense of proportion stratification, but for some general practitioners whose expertise is not that strong relatively speaking, they are more inclined to choose the better part if they can have a better choice.

Doctors' work is relatively exhausting

Some people may think that the job of a doctor is very easy, just sit on their bench and listen, read, look and prescribe a medicine. This is just the surface of the work, doctors relatively speaking they learn a lot of things, need to learn a lot of professional things.

When you prescribe medicine to people, the least you can do is to know what the medicinal properties of this medicine are, so do you only prescribe this one medicine for the rest of your life? Definitely not. There are all kinds of medicines, these medicines you have to understand what the properties of these medicines are, you have to understand what this medicine is for, what that medicine is for, and what the effect of these medicines will be when they are combined together.

And you also need to take on a lot of responsibility, which leads to a lot of pressure on the doctor, we go to the hospital to see some doctors, found that the older those big doctors do not have too much hair, there is no sense of ridicule, in fact, the doctor is precisely because of so much hard work to be able to gain the respect of others.

By the same token, relatively speaking, functional physicians may they have it a little easier.On top of that I can't ignore the fact that some of the doctors or some of the professions are doctors, and that's really exhausting work, as someone said earlier in the day:

Orthopedic surgeons and carpenters are almost the same to eat big strength, if an orthopedic surgeon does not go to be an orthopedic surgeon, he ran to the construction site is definitely a very good qualified workers. We should not think that this sentence is a joke, in fact, the orthopedic surgeon suffers from the pain, the crime, every day need to pay the great strength is no less than running back and forth on the dozens of miles.

Comparatively speaking, if there can be such a department as a functional constituency that opens a green channel for doctors, there are still some doctors who are willing to go there.

Workplace Revelations

Of course, the 360 trades and professions have their own specialties. We cannot say that some of the doctors want to go to the functional sector and then use this as a means to negate all the functional sectors, or use this as a means to negate part of the professional conduct of doctors, which is not necessary. Every person has different choices, and we can only respect their choices.

But relatively speaking, a good doctor is really the older the more popular, the first few years as a doctor or the dozen years inside more or less will suffer some pain, but later on the previous sufferings will be turned into sweet honey.

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