有醫學背景的人都聽說過《柳恭弘=叶 恭弘刀》雜誌，如果能在《柳恭弘=叶 恭弘刀》上發表一篇論文，可以說是此生無憾了。然而如此權威的的雜誌，卻一直用專欄的方式關注和報道着中國的醫改，以往的專刊中曾經關注過中國醫療暴力、科研腐敗、醫務人員待遇差等問題。去年的同一時間，《柳恭弘=叶 恭弘刀》第一時間的刊登了對於中國住院醫師規培和專培的文章。《柳恭弘=叶 恭弘刀》，不會隨意刊登文章，他們刊登的文章代表了全世界的關注和態度!
下面是文章全文，和翻譯：
The National Health and Family Planning Commission of China introduced an important change on specialist standardisation training on Jan 11， 2016， requiring Chinese doctors to do an additional 2–4 years of specialist training after completing 3 years of resident standardisation training.The announcement has caused disappointment， even aversion， among some young Chinese doctors and medical students.
2016年1月11日中國國家衛生和計劃生育委員會對專科醫生規範化培訓提出了一項重要的改革措施：要求中國醫生在完成3年住院醫師培訓后再接受2-4年的專科培訓。此通告一出立即招來許多中國年輕醫生和醫學生的失望甚至是反感的情緒。
Medical resident and specialist training in China is similar to the resident and fellowship training in the USA. The Chinese Government intended to improve the professional skills of health-care providers with these training programmes， turning Chinese medical graduates into qualified and world leading practitioners. However， the training programmes in China face substantial challenges.
中國的住院醫師和專業醫師培訓類似於美國的住院醫師和專科醫師培訓。中國政府試圖通過這些培訓來提高醫生的專業技能，使中國的醫學畢業生轉變為合格的甚至是世界領先的專業醫務人員。但是，中國的這些培訓方面面臨着巨大的挑戰。
Firstly， in comparison with young doctors in the USA， the residents and young specialists in China are extremely unsatisfied with their salaries. The median salary of Chinese doctors working in the secondary and tertiary hospitals of big cities is about 5000 RMB (US$780) per month.The income is even lower for young doctors on the training programme.
首先，與美國的年輕醫生相比，中國的住院醫師和年輕專業醫師對其薪酬極度不滿意。在中國，大城市的二級和三級醫院醫生的平均工資是每月5000元人民幣(US$780)，而對於正在接受培訓的年輕醫生其收入更低。(美國住院醫師待遇請見今日“2015全美住院醫師薪資報告”)
Secondly， the working environments for doctors have severely deteriorated in the past 20 years. Violence against doctors has been reported repeatedly. Additionally， their workloads will continue to increase dramatically with China’s ageing demography and the new two-child policy. A Chinese specialist usually sees at least 50 patients per day in the outpatient clinic. Several young doctors have died tragically in relation to being overworked.
其次，在過去的20年裡，中國醫生的工作環境不斷惡化。據報道，暴力傷醫事件不斷髮生。此外，隨着中國老齡化的到來以及二胎政策的出現，使得醫生的工作負擔不斷大大增加。在中國，一位專家通常每天在門診至少要接待50名患者。悲慘的是，一些年輕醫生因過度勞累而不幸去世。
As a result of the relatively poor income and working environments， some young Chinese doctors and medical students have lost their enthusiasm for pursing the career and regret choosing to study medicine.Many are considering dropping out of the training programme. A survey was performed on Ding Xiang Yuan， the most popular biomedical website in China， which found that 91% of doctors believed that China’s health-system reforms could not be successful without also reforming the social and economic status of doctors. We sincerely hope that this Correspondence will get the attention of our government. We appeal again that measures are taken to improve the salary and working environment of Chinese medical doctors; the outflow of talented young doctors from China should be halted. Otherwise the health-care system in China will be compromised greatly in the near future.
由於較低的收入和較差的工作環境，一些中國年輕醫生和醫學生已經失去對其專業的熱情，後悔選擇了醫學這條道路。目前很多人正在考慮退出規陪計劃。據《丁香園》的一項調查显示，91%的醫生認為中國的醫療改革不可能成功，也不可能改善醫生的社會地位和經濟收入。我們真誠的希望這篇文章能得到政府的重視。我們再次呼籲政府應採取措施改善中國醫生的工資待遇和工作環境，停止中國優秀年輕醫生的流失。否則，在不久的將來，中國的醫療保健系統將遭受重創!
衛計委對以上全文是如何評價的呢?
“許多經歷過規培的人都感受到規培帶來前所未有的益處!”衛計委如是說，然後默默的關閉了評論。
現在衛計委最大的託詞就是強調專培的自願，但是看看原來自願的規培，現在變成了必修。大學里，不算學分的選修課，有人選么?如果不和其他東西掛鈎，還會有人去專培么?如果花2-4年跑到專培基地去當廉價勞動力，回來待遇和晉陞都是一樣，是不是傻?
91%的調查反對!成千上萬人的罵娘!很少看到一個政策受到如此強大的抵制。我們都是真正熱愛醫療事業的人，我們都是想要為醫療事業奮鬥終生的人，才會如此的關注。只要有一個能反應民意的地方，瞬間就會被醫學生刷爆。如果醫師協會，沒有為醫生的切身利益而存在的話，要它何用?
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