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白波:建议实习医生不承担医疗事故责任

2015-02-05 佚名 凤凰网

由于客观原因,医学生接触病人受到一些制度和法律的限制,山东省人大代表、济宁医学院院长白波在两会带来了关于加快医学临床实践教学工作立法的议案,建议以法律法规明确实习医生的身份、权利与义务和临床实践的范围及管理,医学生和试用期医学毕业生在教师指导下进行的医疗实践活动,不承担医疗事故和医疗纠纷的责任。临床医学专业的临床实践是最为重要的学习阶段,由于此阶段医学生不具备执业医师资格,指导和规范其临床实践的依

由于客观原因,医学生接触病人受到一些制度和法律的限制,山东省人大代表、济宁医学院院长白波在两会带来了关于加快医学临床实践教学工作立法的议案,建议以法律法规明确实习医生的身份、权利与义务和临床实践的范围及管理,医学生和试用期医学毕业生在教师指导下进行的医疗实践活动,不承担医疗事故和医疗纠纷的责任。


临床医学专业的临床实践是最为重要的学习阶段,由于此阶段医学生不具备执业医师资格,指导和规范其临床实践的依据为《医学教育临床实践管理暂行规定》,严重限制了实习生动手能力的培养。

虽然各院校和医院采取了以模具、模型为主的模拟医学教学用于补充临床实践的不足,然而模拟医学无法代替真正的医疗实践,导致医学生临床实际动手能力明显下降,白波说“尤其是在医疗条件好、管理规范的三级医院,实习生的操作更加受到多方面限制:病历不写、各类穿刺不能做、手术只是跟着老师拉钩,连缝皮的机会都没有。”

白波认为,医院生的实习和见习应当有有资质的合格的高等资格院校来统一规划。在实习的过程中,应当在高等资格院校的附属医院或者批复授权的教学医院中进行。此外,在实习过程中,应该是有资质的合格医生老师带领监督监控,这样就不会影响到病人的正常诊疗。

山东目前每年有一万两千余名医学类专业的学生走上实习医生的岗位,他表示,这次所提议案是从法律角度为医学生后期实习提供法律保护,即使以学生教育的需要也是法律要求。

医学生的培养时间会比较长,国家对医学本科生的培养是5年,其中两年是在医院里完成首先是医德其次是技能。欧洲北美的医学生他们的培养时间更长,他们是得到法律保护的,这为他们成为一名合格的医生提供了保护和条件。国外是有成功的和现实的经验可以借鉴。

对于患者的隐私保护和知情权问题,白波说,尊重和保护患者的隐私是医德的一部分,我们培养的学生应当是医德高尚医术精湛的医生。在教育实习的过程中,会教育学生去这样做。

此外,对于怎样缓解紧张的医患关系,白波说,从医生的角度,应该更多的去关心病人、爱护病人,努力为其解除痛苦。从患者角度,要清楚现在很多疾病在现有的科学水平下,是无法治愈的,医生尽自己最大努力之后希望患者能够予以理解。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=33891, encodeId=e81a33891f7, content=不错,只不过我又错过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150831/IMG55E3D52F183271575.jpg, createdBy=ff291636416, createdName=快乐晴天, createdTime=Thu Jul 30 19:09:00 CST 2015, time=2015-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=16059, encodeId=23ed1605967, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cce01615276, createdName=Johnny1989, createdTime=Mon Feb 16 15:34:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15890, encodeId=572915890d9, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c68e1614119, createdName=windmilL1989, createdTime=Mon Feb 16 14:38:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396210, encodeId=0f511396210d3, content=<a href='/topic/show?id=c59a34e79a4' target=_blank style='color:#2F92EE;'>#医疗事故#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34779, encryptionId=c59a34e79a4, topicName=医疗事故)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1527274, encodeId=5359152e2741b, content=<a href='/topic/show?id=94564600544' target=_blank style='color:#2F92EE;'>#实习医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46005, encryptionId=94564600544, topicName=实习医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e0111833321, createdName=zhmscau, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15195, encodeId=6272151958f, content=本该如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=222.244.65.**, createdTime=Thu Feb 05 22:51:00 CST 2015, time=2015-02-05, status=1, ipAttribution=)]
    2015-07-30 快乐晴天

    不错,只不过我又错过了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=33891, encodeId=e81a33891f7, content=不错,只不过我又错过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150831/IMG55E3D52F183271575.jpg, createdBy=ff291636416, createdName=快乐晴天, createdTime=Thu Jul 30 19:09:00 CST 2015, time=2015-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=16059, encodeId=23ed1605967, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cce01615276, createdName=Johnny1989, createdTime=Mon Feb 16 15:34:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15890, encodeId=572915890d9, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c68e1614119, createdName=windmilL1989, createdTime=Mon Feb 16 14:38:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396210, encodeId=0f511396210d3, content=<a href='/topic/show?id=c59a34e79a4' target=_blank style='color:#2F92EE;'>#医疗事故#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34779, encryptionId=c59a34e79a4, topicName=医疗事故)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1527274, encodeId=5359152e2741b, content=<a href='/topic/show?id=94564600544' target=_blank style='color:#2F92EE;'>#实习医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46005, encryptionId=94564600544, topicName=实习医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e0111833321, createdName=zhmscau, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15195, encodeId=6272151958f, content=本该如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=222.244.65.**, createdTime=Thu Feb 05 22:51:00 CST 2015, time=2015-02-05, status=1, ipAttribution=)]
    2015-02-16 Johnny1989

    已阅

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=33891, encodeId=e81a33891f7, content=不错,只不过我又错过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150831/IMG55E3D52F183271575.jpg, createdBy=ff291636416, createdName=快乐晴天, createdTime=Thu Jul 30 19:09:00 CST 2015, time=2015-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=16059, encodeId=23ed1605967, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cce01615276, createdName=Johnny1989, createdTime=Mon Feb 16 15:34:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15890, encodeId=572915890d9, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c68e1614119, createdName=windmilL1989, createdTime=Mon Feb 16 14:38:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396210, encodeId=0f511396210d3, content=<a href='/topic/show?id=c59a34e79a4' target=_blank style='color:#2F92EE;'>#医疗事故#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34779, encryptionId=c59a34e79a4, topicName=医疗事故)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1527274, encodeId=5359152e2741b, content=<a href='/topic/show?id=94564600544' target=_blank style='color:#2F92EE;'>#实习医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46005, encryptionId=94564600544, topicName=实习医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e0111833321, createdName=zhmscau, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15195, encodeId=6272151958f, content=本该如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=222.244.65.**, createdTime=Thu Feb 05 22:51:00 CST 2015, time=2015-02-05, status=1, ipAttribution=)]
    2015-02-16 windmilL1989

    已阅

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=33891, encodeId=e81a33891f7, content=不错,只不过我又错过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150831/IMG55E3D52F183271575.jpg, createdBy=ff291636416, createdName=快乐晴天, createdTime=Thu Jul 30 19:09:00 CST 2015, time=2015-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=16059, encodeId=23ed1605967, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cce01615276, createdName=Johnny1989, createdTime=Mon Feb 16 15:34:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15890, encodeId=572915890d9, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c68e1614119, createdName=windmilL1989, createdTime=Mon Feb 16 14:38:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396210, encodeId=0f511396210d3, content=<a href='/topic/show?id=c59a34e79a4' target=_blank style='color:#2F92EE;'>#医疗事故#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34779, encryptionId=c59a34e79a4, topicName=医疗事故)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1527274, encodeId=5359152e2741b, content=<a href='/topic/show?id=94564600544' target=_blank style='color:#2F92EE;'>#实习医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46005, encryptionId=94564600544, topicName=实习医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e0111833321, createdName=zhmscau, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15195, encodeId=6272151958f, content=本该如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=222.244.65.**, createdTime=Thu Feb 05 22:51:00 CST 2015, time=2015-02-05, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=33891, encodeId=e81a33891f7, content=不错,只不过我又错过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150831/IMG55E3D52F183271575.jpg, createdBy=ff291636416, createdName=快乐晴天, createdTime=Thu Jul 30 19:09:00 CST 2015, time=2015-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=16059, encodeId=23ed1605967, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cce01615276, createdName=Johnny1989, createdTime=Mon Feb 16 15:34:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15890, encodeId=572915890d9, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c68e1614119, createdName=windmilL1989, createdTime=Mon Feb 16 14:38:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396210, encodeId=0f511396210d3, content=<a href='/topic/show?id=c59a34e79a4' target=_blank style='color:#2F92EE;'>#医疗事故#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34779, encryptionId=c59a34e79a4, topicName=医疗事故)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1527274, encodeId=5359152e2741b, content=<a href='/topic/show?id=94564600544' target=_blank style='color:#2F92EE;'>#实习医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46005, encryptionId=94564600544, topicName=实习医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e0111833321, createdName=zhmscau, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15195, encodeId=6272151958f, content=本该如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=222.244.65.**, createdTime=Thu Feb 05 22:51:00 CST 2015, time=2015-02-05, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=33891, encodeId=e81a33891f7, content=不错,只不过我又错过了, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150831/IMG55E3D52F183271575.jpg, createdBy=ff291636416, createdName=快乐晴天, createdTime=Thu Jul 30 19:09:00 CST 2015, time=2015-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=16059, encodeId=23ed1605967, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cce01615276, createdName=Johnny1989, createdTime=Mon Feb 16 15:34:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15890, encodeId=572915890d9, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c68e1614119, createdName=windmilL1989, createdTime=Mon Feb 16 14:38:00 CST 2015, time=2015-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1396210, encodeId=0f511396210d3, content=<a href='/topic/show?id=c59a34e79a4' target=_blank style='color:#2F92EE;'>#医疗事故#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34779, encryptionId=c59a34e79a4, topicName=医疗事故)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1527274, encodeId=5359152e2741b, content=<a href='/topic/show?id=94564600544' target=_blank style='color:#2F92EE;'>#实习医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46005, encryptionId=94564600544, topicName=实习医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e0111833321, createdName=zhmscau, createdTime=Sat Feb 07 08:19:00 CST 2015, time=2015-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=15195, encodeId=6272151958f, content=本该如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=222.244.65.**, createdTime=Thu Feb 05 22:51:00 CST 2015, time=2015-02-05, status=1, ipAttribution=)]
    2015-02-05 222.244.65.**

    本该如此

    0

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