In recent years, the so-called registered nurses, that is, the so-called "formal nurses", have not been directly recruited to hospitals as nurses. The concepts of local first-class hospitals and urban second-class and third-class hospitals are the same, except for private hospitals. The so-called establishment is the establishment of the health bureau, which is not directly related to the size of the hospital. Because there are more and more contract nurses in recent years, there are fewer and fewer nurses among the staff. Contract nurses are nurses who are not prepared. Generally, there are almost no formal fresh graduates, and it usually takes about four years to become formal. It is necessary to sum up your comprehensive quality and performance. At present, the difference between the contract system and the series system is not very big, but the salary is different, but it is not very big. There is also the difference between medical insurance and free medical care, such as bonuses. This is the present situation in Beijing.