The doctor involved is Hu, director of psychiatry department of Tianyou Hospital affiliated to Wuhan University of Science and Technology. 38-year-old, entered the psychiatric department of the hospital in 2008, and began to be the head of the department six years ago. However, with the issuance of a red-headed document in the hospital on March 9, although the title of "director" is still printed on the publicity column of the hospital, Hu is just an ordinary doctor.
The electronic version of this document has been widely spread on the Internet through WeChat recently. Chutian Metropolis Daily reporter saw that the document was issued by the Tianyou Hospital Committee. It said that Hu took advantage of the brand and influence of the hospital, reported to the competent department without the permission of the hospital, and went to a private hospital for consultation every week. In violation of the relevant regulations of the hospital, he decided to remove him from the post of director of psychiatry, and the whole hospital was in informed criticism.
Hu said that at the end of last year, at the invitation of a friend in a private hospital, he went to the hospital for guidance, but he didn't get paid and the two sides didn't sign any agreement. On the afternoon of the dismissal decision document, he submitted his resignation report to Tianyou Hospital.
Hu was dissatisfied with what happened to him, but the leaders of Tianyou Hospital insisted that the decision was reasonable and legal. The president of the hospital said in 13 that he received a report in early March this year that Hu was working part-time in other hospitals, so he arranged for the staff to make an unannounced visit and successfully obtained evidence on March 3.
In the video and photos of unannounced visits provided, Hu's "Expert Profile" was made into a publicity board by a private hospital, which was placed in a conspicuous place, and it was indicated that he would make a house call every Saturday morning at 8:30- 12:00. Hu ranked second in the column of "Expert Team" on the official WeChat of the private hospital.
It is said that doctors should report to the hospital in advance according to the prescribed procedures, but Hu did not abide by it. Without permission, he used the reputation of Tianyou Hospital to make profits for other private hospitals, which violated the hospital management regulations. In addition to dismissing Hu, the hospital also asked the private hospital involved to immediately remove the publicity materials involving Hu and Tianyou Hospital, otherwise it would sue the other party for infringement.
The doctor involved thinks he is a normal "multi-point practice", but the hospital manager thinks it is an illegal part-time job. Because this contradiction is one of the factors that the multi-point practice policy has always been "applauding and not calling for seats", this is right or wrong, which has attracted a lot of discussion in the domestic medical circle these days.
Multi-point practice of doctors means that doctors practice in more than two medical institutions regularly during the effective registration period. Generally speaking, qualified doctors can not only sit in their own hospitals, but also sign contracts to sit in other hospitals, aiming at promoting the flow of high-quality experts and balancing medical resources, thus alleviating the problem of patients' difficulty in seeing a doctor.
The president of Tianyou Hospital believes that according to the relevant documents of the Provincial Health Planning Commission, doctors should declare their "multi-point practice" first, but Hu did not do so, which was procedurally wrong.
In this regard, it is admitted that Hu did not perform the reporting procedure. He said that at that time, he thought he was only going to private hospitals to guide management, not to sit in the clinic or engage in medical activities, so he didn't say hello to the hospital leaders.
In addition, whether going out to work part-time affects the normal work of our hospital is also one of the focuses of debate between the two sides.
Several Opinions on Promoting and Standardizing Doctors' Multi-practice stipulates: "Multi-practice doctors should reasonably arrange the practice time of medical institutions in various practice places according to contracts or agreements, ensure the performance of contracts and agreements, and ensure the medical quality and safety of each practice place. "
"The hospital and the doctor signed a full-time contract. Doctors who use working hours to work in other hospitals should be part-time and need to re-sign a part-time contract with the hospital. " He said that at present, the hospital is in a critical stage to meet the top three re-evaluation, and there are still many hardware and software in Hu's department that are not up to standard. It is inappropriate for him to go to other hospitals at this time.
However, nonsense, he never delayed his normal work, but arranged his work first before going to other hospitals. To this end, he provided the appointment notice issued by the hospital on February 28 this year, saying that he passed the examination and was officially appointed as the director from the deputy director (the actual person in charge of the department).
Nonsense, God Blessed Hospital stipulates that doctors must obtain the approval of the hospital to practice more, otherwise it is illegal. There have been many cases in which the practice was forcibly banned by the hospital before. Finally, the doctor was forced to compromise with the hospital.
To prove his statement, Hu provided a copy of the "Relevant Regulations on Prohibiting Employees from Going Out to Work Part-time" issued by Tianyou Hospital on May 3, 20 16. According to the document, employees are prohibited from going out to work part-time without the approval of the hospital, and relevant medical work may not be carried out in the name of the hospital.
"I personally support and agree that doctors should practice more, but the details of relevant laws and regulations need to be improved." Wang Xiaonan said that public hospitals have spent a lot of money and time to train a department director, and also created conditions for doctors' scientific research, teaching and promotion. If our doctors go out to practice privately, it will affect the operation of their own hospitals.
The dismissal of Hu also attracted the attention of Jiangcheng Hospital and doctors. On June 5438+05, some people in the medical field also expressed their views.
Luo Guangwei, a member of the Wuhan Municipal Political Consultative Conference and chief physician of the Department of Respiratory Medicine of Wuhan First Hospital, said that doctors can try to practice more when their energy permits, but at this stage, the registration procedures for doctors in the "mother's family" hospital must be in place. If they go to other hospitals to practice more without saying hello, it will not only disrupt the work arrangement of the "mother's family" hospital department, but also be irresponsible to patients.
The chief doctor of a 3A hospital in Wuhan also expressed a similar view. He believes that medical behavior is very special, and sometimes a slight mistake is related to human life. Completing the filing procedures of multi-point practice is also the protection of doctors themselves. However, it is the general trend of medical reform for doctors to practice more. It is a bit too heavy for hospitals to dismiss doctors because they have not fulfilled the procedures.