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[医生从临床实践中退休:方式与时间]

[Physician retirement from clinical practice: how and when].

作者信息

Wolpert Barraza Enrique

机构信息

Comité Normativo Nacional de Consejos de Especialidades Médicas, México, D.F.

出版信息

Gac Med Mex. 2011 May-Jun;147(3):262-5.

PMID:21743596
Abstract

In Mexico there is no legislation as to when a physician should retire from active practice as it is the case in other countries. The Mexican Social Security for instance, in its global working contract between the authorities and the employees, for the period 2009-2011 clearly stated that after 30 years of service for men and 27 for women the employee may retire but the physician can still work in another institution or in private practice for as long as he or she wants. In this article, the experience of distinguished Mexican surgeons who had written in the past in relation to this topic is acknowledged. A brief description of the retirement of physicians in Spain where the National Health System retire physicians from practice at age 65 and in some cases at age 70 is discussed. The author analyzes what happens in other activities of human mankind such as in the arts, painting, architecture, music, physics and philosophy, where there are plenty of outstanding examples of men and women doing their best work well over the age of 65. The names of some distinguished Mexican physicians past presidents of the Academy of Medicine are mentioned, all of them legends in the field of medicine who worked or continue to work many, many years after the age of 65. The author recognizes the process of accreditation and certification of medical specialists in Mexico that is carried out by the 47 specialty councils that have the recognition of the National Committee for Medical Specialties: CONACEM. Finally he offers his personal thoughts about what a physician may do when he or she is thinking of retiring and urges them not to throw away their personal experiences of many years in medical practice but instead to utilize the social networks such as Twitter or Facebook in order to continue to provide their expertise to young physicians who may benefit greatly.

摘要

在墨西哥,对于医生何时应从临床工作中退休,并没有像其他国家那样的立法规定。例如,墨西哥社会保障局在其2009年至2011年期间当局与雇员之间的全球工作合同中明确规定,男性工作30年、女性工作27年后,雇员可以退休,但医生仍可在其他机构或私人诊所继续工作,时长不限。在本文中,承认了过去曾就该主题撰文的杰出墨西哥外科医生的经验。文中讨论了西班牙医生退休的情况,在西班牙,国家卫生系统规定医生65岁退休,某些情况下为70岁退休。作者分析了人类其他活动领域的情况,比如艺术、绘画、建筑、音乐、物理和哲学领域,在这些领域有很多杰出的男女在65岁之后仍能出色地完成工作。文中提到了墨西哥医学科学院历任院长中一些杰出医生的名字,他们都是医学领域的传奇人物,在65岁之后仍工作了很多年,有些至今仍在工作。作者认可墨西哥医学专家的认证过程,该过程由47个专业委员会负责,这些委员会得到了国家医学专业委员会(CONACEM)的认可。最后,作者就医生考虑退休时可以做些什么给出了个人想法,并敦促他们不要丢弃多年医疗实践的个人经验,而是利用推特或脸书等社交网络,继续为可能会从中受益匪浅的年轻医生提供专业知识。

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Med 2 0. 2013 Jul 18;2(2):e2. doi: 10.2196/med20.2269. eCollection 2013 Jul-Dec.
2
Aging village doctors in five counties in rural China: situation and implications.中国农村五县乡村医生老龄化:现状与影响
Hum Resour Health. 2014 Jun 28;12:36. doi: 10.1186/1478-4491-12-36.