What specialties are included in the clinical assistant qualification examination

The Physician Qualification Examination (also known as the Physician Licensing Examination and the Physician Licensing Examination) is a form of physician qualification recognition commonly used by countries around the world, and it is also one of the core contents of the law and physician management system related to physicians. On June 26, 1998, the Third Session of the Standing Committee of the Ninth National People's Congress passed the Law on Physicians, which finally confirmed the implementation of the qualification examination system for physicians in China in the form of law. The Physician Qualification Examination is divided into two parts: the Practical Skills Examination and the Comprehensive Medical Written Examination.

The practical skills examination is unified by the National Medical Examination Center and the Traditional Chinese Medicine Physician Qualification Certification Center of the State Administration of Traditional Chinese Medicine, and the provincial physician qualification examination leading group is responsible for organizing and implementing it; The comprehensive written examination part of medicine adopts the standardized examination method and implements the national unified examination, and the National Medical Examination Center and the Traditional Chinese Medicine Physician Qualification Certification Center of the State Administration of Traditional Chinese Medicine undertake the specific examination business work at the national level.

The examination is divided into two levels and four categories, namely licensed physicians and licensed assistant physicians, and each level is divided into four categories: clinical, traditional Chinese medicine, stomatology, and public health.

The comprehensive written examination for the medical qualification examination will be held in mid-September, and the specific time is subject to the announcement time of the Physician Qualification Examination Committee of the Ministry of Health. The medical practitioner examination lasts for 2 days and is divided into 4 units; The Licensed Physician Assistant exam lasts for 1 day and is divided into 2 units, each of which is two and a half hours.

Comprehensive written syllabus.

The comprehensive written examination syllabus breaks the original syllabus according to the traditional discipline division model, closely combines the actual work and work scenarios, and re-summarizes and integrates the assessment content and knowledge points into three parts: basic synthesis, professional synthesis and practical synthesis.

The plan and content of the clinical practice assistant physician examination of the comprehensive medical written examination are shown in the following table.

Account category. Assessment content.

Basic Synthesis. Physiology, Biochemistry, Pathology, Pharmacology, Health Regulations, Preventive Medicine, Medical Psychology, Medical Ethics.

Professional Synthesis. Symptoms and Signs, Diseases (Arranged by Human System): Respiratory System, Cardiovascular System, Digestive System, Urinary System (including Male Reproductive System), Female Reproductive System,

Blood System, Endocrine System, Psychiatric Nervous System, Motor System, Pediatrics, Infectious Diseases, Sexually Transmitted Diseases, Others.

Practice synthesis. Fever, chest pain, cough, sputum production, hemoptysis, dyspnea, choking (pain) after eating, difficulty eating, edema, abdominal pain, nausea, vomiting, diarrhea, swollen lymph nodes, headache

Disturbance of consciousness, convulsions, jaundice, cyanosis, purpura, pallor and fatigue, hepatosplenomegaly, palpitations, paralysis, mental disorders, neck and shoulder pain, low back (leg) pain, arthralgia, etc.

Basic Comprehensive: The assessment content mainly includes the basic theories, concepts, and principles of basic medicine, laws and regulations, ethics, psychology, and humanities that must be mastered by practicing physicians.

Professional Comprehensive: The assessment content is classified according to symptoms, signs and systemic diseases. It mainly assesses the professional theories and knowledge that physicians must master, and appropriately integrates the knowledge of basic disciplines and humanities.

Practical Comprehensive: The assessment content is the candidate's ability to comprehensively use basic theories and professional knowledge to deal with practical clinical problems, and the test questions are assessed in the form of simulated clinical scenarios. For example: emergency, outpatient (initial visit, follow-up visit), ward cases or cases, etc.

After obtaining the practice certificate of practicing assistant physician, he must have a medical degree from a secondary specialized school and have worked in a medical, preventive and health care institution for five years. Licensed physicians shall have good professional ethics and medical practice standards, carry forward the spirit of humanitarianism, and perform the sacred duties of preventing and curing diseases, saving lives and helping the wounded, and protecting people's health.

Candidates who apply for the examination for traditional Chinese medicine physicians who have studied traditional medicine for three years or have proven expertise after years of practice of medical skills may participate in the qualification examination for licensed physicians or licensed assistant physicians after passing the examination and being recommended by the traditional medicine professional organizations or medical, preventive and health care institutions determined by the people's ** health administrative department at or above the county level. The content and methods of the examination shall be formulated separately by the health administrative department.

According to Article 9, Paragraph 2 of the Law on Medical Practitioners, continuous working hours shall be counted according to the time of obtaining the practice certificate of a licensed assistant physician (the date of registration of the certificate of assistant physician).

The certificate of continuous work provided shall be issued on a unit-by-unit basis according to the practice change record. If the original certificate of inter-provincial change has been recovered or lost, the original registration approval unit shall issue a certificate or print the registration record and affix the official seal. (The specific requirements are subject to the notice issued by the local health bureau).

The subjects of the Clinical Assistant Physician Examination are as follows:

1. Clinical subjects: digestive system; female reproductive system; Pediatrics; cardiovascular system; Respiratory system; psychiatric, nervous system; locomotor system; urinary system; metabolic, endocrine system; blood system; Other; Infectious diseases, sexually transmitted diseases; rheumatological diseases; Practice synthesis.

2. Basic subjects: physiology; Pathology; Biochemistry; Pharmacology; health regulations; preventive medicine; Medical Psychology, Medical Ethics.

Exam Preparation Advice:

1. Starting from professional courses, closely combined with clinical practice, it is more in line with the needs of tight test time. Therefore, in the basic stage, we need to review the professional courses with a relatively high score, especially the professional courses that are easy to understand. It is recommended that you first review the professional courses of digestive system, pediatrics, female reproductive system, cardiovascular system and respiratory system, and listen to the basic courseware.

2. Biochemistry, preventive medicine statistics and other courses are difficult to understand, so they can be appropriately put for review at the end; Medical psychology, medical ethics, and health regulations are all memorized knowledge points, and the focus is on memorization before the exam.

3. Questions: There are chapter exercises after each chapter of the courseware, and students can self-check the review effect, so as to check and fill in the gaps and determine the focus of the review in the later stage. In the process of doing the question, there will be a situation where there is no **drug or **method in the options, and we need to choose the best solution according to the options given.

In recent years, there have been more second-class drug assessment items in the examination.

Those who meet the registration conditions stipulated in the "Interim Provisions on Clinical Medicine Professional and Technical Qualification Examinations" and the "Interim Provisions on Professional and Technical Qualification Examinations for Preventive Medicine, General Medicine, Pharmacy, Nursing, and Other Health Technology" can register.

1. Registration conditions for the primary qualification examination for health professional and technical skills.

1) Basic conditions.

1. Abide by the Constitution and laws of the People's Republic of China;

2. Have good medical ethics and professionalism;

3. Physicians from medical institutions that have implemented standardized training for residents must obtain the training certificate to participate in the intermediate qualification examination.

2) Applicants for primary qualifications in pharmacy, nursing, other health technologies and other majors, in addition to the basic conditions specified in (1), must also have the corresponding academic qualifications.

National Health Professional and Technical Qualification Examination.

Those who apply for the pharmacy (nursing, technician) examination must have a technical secondary school degree or above in the corresponding major.

Those who apply for the pharmacist (nurse, technician) examination must meet one of the following conditions:

1. Graduated from technical secondary school, engaged in pharmacy (nursing, technician) for 5 years;

2. College graduate, 1 year after the probationary period, engaged in professional and technical work for 2 years;

3. Bachelor's degree, 1-year apprenticeship expires;

4. Those who have completed a graduate program or obtained a master's degree.

The requirements for the application of clinical practice assistant physicians are as follows:

1. Those who have a medical college degree from a college or a secondary specialized school, and have completed a probationary period of one year in a medical, preventive, or health care institution under the guidance of a licensed physician, may take the qualification examination for practicing assistant physicians.

2. Those who have studied traditional medicine for three years or have proven expertise after years of practice of medical skills may participate in the qualification examination for practicing physicians or practicing assistant physicians after passing the examination and being recommended by the professional organizations of traditional medicine or medical, preventive and health care institutions determined by the people's health administrative departments at or above the county level.

Difference Between Physician Assistant and Licensed Physician:

1. Gold content.

Although it is a national unified examination and can be used nationwide, the gold content of the qualification of licensed physicians is higher than that of practicing assistant physicians.

To obtain the intermediate title of health qualification, you must first take the qualification of a licensed physician. Although they are both junior titles, the salary, benefits and subsidies of practicing assistant physicians are lower than those of licensed physicians, and assistant physicians do not have the right to prescribe.

2. Application threshold.

To apply for the qualification of licensed physicians, you must have a bachelor's degree or above in medicine from a university of higher learning, and have completed a probationary period (or internship) in a medical, preventive or health care institution under the guidance of a licensed physician for one year.

If you only have a college degree, you must first obtain the qualification of practicing assistant physician, and after obtaining the qualification of practitioner, you must also work in a formal medical, preventive and health care institution for a certain number of years before you can apply for the examination. Generally speaking, a college degree requires 2 years of experience, and a junior college degree requires 5 years.

3. Difficulty of the exam.

There may not be much difference between the practical skills test of the medical practitioner and the medical assistant qualification examination, but the difficulty of the medical assistant examination is lower than that of the medical practitioner in the comprehensive written examination.

In the same examination time, the total number of written test questions for practicing assistant physicians is only half of that of practicing physicians. In addition, the comprehensive medical written test is prepared in the form of multiple-choice questions, using type A and type B questions, with a total of five question types: A1 (single sentence type), A2 (medical record summary and solemnity), A3 (case group type), A4 (case string type), and B1 (standard compatibility type, that is, multiple questions share alternative answers).

4. Development prospects.

In formal medical, preventive and health care institutions, a person with a medical practitioner qualification can be hired as a physician and has independent prescribing authority, while a person with a licensed assistant physician qualification can only be hired as a medical practitioner and can only prescribe under the guidance of a physician.

Having a physician qualification is a necessary condition for doctors to independently run hospitals and clinics, while practicing assistant physicians cannot enjoy this right. The newly promulgated Administrative Measures for the Registration of Physicians stipulate that licensed physicians are qualified to apply for non-local and cross-provincial practice, but practicing assistant physicians can only practice within county-level administrative areas.

1. A1 type questions (single-sentence type best multiple-choice questions): Each test question consists of 1 question stem and 5 alternative answers. The question stem appears as a narrative single sentence, and only one of the alternative answers is the best choice, which is called the correct answer, and the remaining four are interference answers.

Interfere with the answer, which is either completely incorrect or partially correct.

2. A2 type questions (case summary type best choice questions): The test question structure is composed of 1 brief medical record as the question stem and 5 alternative answers, and only 1 of the alternative answers is the best choice.

3. B1 type questions (standard compatibility questions): The test questions start with 5 alternative answers, and at least 2 test questions are proposed after the alternative answers, and the test takers are required to choose an answer that is closely related to them for each test question. In a set of questions, each alternative answer can be selected once, or several, but it can also be left unused.

4. A3 type questions (case group type best choice questions): The test question structure is to start describing a patient-centered clinical scenario, and then ask 2 or 3 related questions, each question is related to the beginning of the clinical scenario, but the test points are different, and the questions are independent of each other.

5. A4 type questions (best multiple-choice questions of case string type): start by describing a clinical scenario centered on a single patient or family, and then ask 3 or 6 related questions. As the condition progresses, new information can be added gradually.

Sometimes secondary or presuppositional hypothetical information is stated, which is not necessarily related to the specific patient described in the case. The order in which the information is provided is very important to the problem. Each question is related to the initial clinical scenario and to subsequent changes.

Such questions must be based on the information provided by the questions.