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People's demand for health care is increasing, health - medicine is also becoming a hot industry, causing many training institutions to open majors or specialize in medical training.
However, the current ratio of doctors per 10,000 people in Vietnam is still much lower than in the world.
Public opinion was stirred up when in early April, the Ministry of Education and Training allowed Hoa Binh University to offer undergraduate medical training. Previously, public opinion was worried when the University of Business and Technology also offered this training. On social networks, some people worried that this would "popularize doctors".
According to the Ministry of Health's report, the current number of doctors per 10,000 people is 12.5. The health network planning for the period 2021 - 2030, with a vision to 2050, aims for Vietnam to have 15 doctors per 10,000 people by 2025.
Because of the increasing demand for health care, the field of health and medical training has also become a hot industry, causing many training institutions to open medical training programs. However, many opinions say that the proliferation of medical training will not ensure the quality of training.
In 2023, the benchmark scores for medical majors at universities across the country will have a clear difference. The benchmark score difference between the highest and lowest groups is more than 5 points. In particular, mainly public schools such as Hanoi Medical University, Ho Chi Minh City University of Medicine and Pharmacy, Hanoi National University will have a benchmark score of 27 - 28 points. Meanwhile, non-public schools will have lower scores, fluctuating around only 22 points.
Some schools use the results of the 2024 high school graduation exam or simply use high school academic results (transcripts). According to information published on the website, a new university opening a medical training program in 2024 has announced that the admission requirements for medical majors (except traditional medicine and pharmacy) require good 12th grade academic performance or a high school graduation score of 8 or higher.
Having just graduated from Hanoi Medical University, majoring in general medicine, Mr. Giang A Chinh (25 years old), working at Chuong My District General Hospital (Hanoi), believes that the quality of university entrance is very important, especially for medical training. Mr. Chinh shared that when he took the entrance exam to Hanoi Medical University, the major he studied had an entrance score of 29.5 points.
"The pressure of studying in the medical field probably doesn't need to be discussed. However, studying hard is not enough to study well because without good thinking, you won't be able to absorb medical knowledge. The medical field requires continuous, thorough study and logical thinking when diagnosing and treating diseases," said Mr. Chinh.
In addition to input, Mr. Chinh believes that the training environment is also very important. The medical profession requires exposure to the medical environment, an environment for clinical practice, and practical learning to be able to train and study well. Mr. Chinh also believes that compared to private schools, the public environment, especially training schools with affiliated hospitals, will help students study better.
Currently studying 6th year general medicine at a non-public university in Ho Chi Minh City, TL said that he is currently practicing at a hospital. Depending on the specialty, the school will arrange a different hospital for practice such as Hung Vuong Hospital, Binh Dan Hospital, Thong Nhat Hospital, etc.
However, most doctors who have taught at schools with interns will give priority to students from that school. Patients will have a distinction, looking at the logo of each school to evaluate the students.
"Usually, if a doctor examines, students will be allowed to follow, divide the room to ask questions, make medical records, and stay overnight. Many days, patients complain of fatigue, and if students ask questions about their condition, many patients will feel uncomfortable. Choosing a large hospital according to their practice wishes is very difficult, students have few options," L. confided.
Speaking to reporters, Dr. Nguyen Huu Tung - Chairman of the Board of Directors of Phan Chau Trinh University - commented that the current ratio of doctors and nurses per 10,000 people in Vietnam is still much lower than in other countries in the world. Many schools open majors or schools specialize in training in the health sector, but the training quality is not high.
The consequences of lack of quality lead to doctors lacking capacity in medical examination and treatment, nurses lacking skills in patient care, leading to confusion and anxiety among the people.
"When the training program is too easy and training resources are not high, people lose confidence in young doctors. We lack many doctors and nurses but the quality of training is not high," Dr. Tung emphasized.
Dr. Tung suggested that in order to improve quality, we must invest in medical training. Currently, training schools lack many things such as lack of hospitals for students to practice, lack of internship mechanisms, lack of practice facilities, etc.
In reality, although hospitals are crowded with patients, students do not have enough capacity to practice. On the contrary, doctors in hospitals do not have time to guide students, leading to students almost only reading theory and graduating.
Many students have never seen an ultrasound machine and have not been able to diagnose diseases. It is necessary to set a standard that one teacher can only guide five students, and that they must be independently evaluated so that doctors can be qualified when they graduate. This will reduce enrollment. In fact, if the enrollment is low, the school will not have enough money to operate and pay for supplies.
"Countries around the world invest heavily in training medical personnel, and must have simulation centers for students to practice and evaluate before approaching patients. Currently, most schools take interns, but there are not enough interns due to the large number of students," Dr. Tung added.
Mr. Nguyen Hoang Long, Director of the Department of Science, Technology and Training (Ministry of Health), said that there are currently three ministries managing training in the health sector. College and intermediate training is managed by the Ministry of Labor, War Invalids and Social Affairs and the General Department of Vocational Education; university training with all university majors, including the health sector, is managed by the Ministry of Education and Training; specialized and specific training such as resident doctors, specialists I, specialists II is managed by the Ministry of Health.
"According to management regulations, when schools open university training programs, the Ministry of Education and Training primarily manages them. However, before applying to open a training program in the health sector, units will have to ask for opinions on whether the industry has a training need or not.
The second is whether the practical conditions for developing the project are guaranteed or not. The Ministry of Health will answer these two questions, the rest is managed by the Ministry of Education and Training from facilities, lecturers...", Mr. Long clearly stated.
Mr. Long added that the Ministry of Health is also very concerned about the quality of medical human resource training. Currently, public and non-public training institutions open many faculties and training majors in the medical field.
When opening a course, hospitals create a project with criteria to ensure all requirements are met, including lecturers and training facilities. However, how schools actually implement it is not easy to manage.
TB (according to Tuoi Tre)