In my country's medical dictionary, "specialist admission" seems to be a new word, because graduates from medical schools will be naturally assigned to hospitals after a short "rotation" in the hospital. To each department, the allocation may be based on the needs of the department or some personal "privilege". However, this situation may soon change. In order to strengthen physician management, build a high-quality, high-level physician team, and establish a medical technology access and medical industry talent training mechanism that conforms to international practices, the Department of Science and Education of the Ministry of Health organized relevant departments to carry out the "Establishment of my country's Specialist Physician Training and Research work on the subject "Access System". The purpose is to make theoretical preparations for accelerating the internationalization process of my country's medical education, guiding the healthy development of medical education and the standardized training of talents in the health industry, and implementing the specialist physician admission system in the future. The prelude to the establishment of a specialist physician training and admission system in our country has begun.

my country currently has 33 specialties and 109 subspecialties in clinical departments, but the subject classification only includes 19 second-level disciplines and 72 third-level disciplines. The total number of specialty classifications is greater than the total number of subject classifications, and the total number of subject classifications is greater than the total number of resident physician training classifications. Among the specialty classifications, those at home and abroad are basically the same: internal medicine, surgery, obstetrics and gynecology, pediatrics, neurology, emergency department, anesthesiology, ophthalmology, otolaryngology, dermatology, pathology, imaging, rehabilitation, and general practice. , Department of Occupational Diseases; those with Chinese characteristics include: Department of Integrated Traditional Chinese and Western Medicine, Department of Family Planning, Department of Maternal and Child Health Care, Department of Medical Cosmetology, Department of Medical Laboratory Medicine, and Department of Blood Transfusion; Departments with confusing classifications include: Oncology Department, various ICUs, Plastic Surgery, Psychiatry, genetics-related departments, special medicine, geriatrics, palliative care, and critical care; those who have “everything but one” include: specialist nurses, family physicians, perinatology, hand surgery, etc.

At present, the establishment of clinical departments in my country is mainly based on needs, often proposing specific solutions to specific problems, and there is a lack of cross-departmental, overall, standardized, and guiding system design for the establishment of specialties. In addition, the lack of a high-standard physician training system has led to the phenomenon of too many departments but not enough precision, doctors' business scope is too narrow, and their professional knowledge and skills are incomplete and unspecialized, thus affecting the quality of medical services in our country (especially primary hospitals).

Based on international practice and my country’s national conditions, in order to best connect with the current medical education and resident training system, it is recommended to divide the training of specialist doctors into three stages, as follows: Stage 1: Medical students Education, including undergraduate and postgraduate education, among which undergraduate education is positioned in the first-level subject category. The second stage: Residency training. All medical undergraduates and graduate students who want to engage in clinical work must enter the residency training. The training time and content of graduate students can be adjusted appropriately according to the situation. The training scope is positioned as the second-level discipline under the first-level discipline of clinical medicine, namely internal medicine, surgery, obstetrics and gynecology, pediatrics, etc. The third stage: specialist training. Only residents who have completed the residency training and passed the examination can apply to continue to participate in specialist training. The training content includes tertiary disciplines/specialties under each secondary discipline, such as cardiology, cardiac surgery, etc. Specialty training can also be divided into junior (tertiary disciplines/specialties, such as orthopedics), intermediate (subspecialties, such as hand surgery), and senior (specialty diseases, such as spinal injuries) specialists based on technical difficulty and training conditions.

For our country, undergraduate education is the foundation for the training of residents and specialists. Therefore, the subject setting requirements are broader and more systematic, and pay more attention to all-round development to adapt to the scientific research, teaching and clinical needs of medical students after graduation. Basic requirements for diversion in three major directions. After entering the training stage of doctors, in order to integrate with international standards and avoid confusion, the principles that must be followed are: the three-stage training process is indispensable and must pass strict assessment. The occupation must be that of a clinician. Determine the number of trainees, training bases, teachers and standards based on the market demand and training conditions of specific majors. Only in this way can the training and qualifications of specialist doctors be determined, the responsibilities and remuneration of specialist doctors can be guaranteed, and can it be in line with international standards. Yang Jing, vice president of the Chinese Medical Doctor Association, pointed out that medicine is a highly professional and technical job.

Due to the special service objects, the medical process is characterized by high risk, high technology, and high intelligence; it is determined that the qualifications of medical service practitioners should be more standardized than other service industries. According to statistics in 2001, there were 2.1 million doctors in the country. Establish a standardized admission system for specialist doctors, select and train doctors who are needed by the medical service market, improve the professional quality, professional ethics and ability to participate in market competition of the majority of doctors, promote the reform of the management system of the medical industry, standardize the order of the medical market, and promote the development of doctors in our country The management system is in line with international standards and has far-reaching significance.