If a physician regularly practices in two or more medical and health institutions, he should focus on one medical and health institution and go through relevant procedures in accordance with relevant national regulations. The state encourages physicians to regularly provide medical and health services to medical and health institutions below the county level, including township health centers, village clinics, community health service centers, etc., and the main practice institution should support and provide convenience.

Multi-site practice of physicians refers to practicing in more than two medical institutions. This provision is mentioned in the new medical reform document, and it is also a task of the new medical reform.

The reasons for promoting multi-site practice of doctors: promoting the rational allocation of medical resources and easing the difficulty of medical treatment for the grassroots.

In the process of advancing the new medical reform, multi-site practices are also being continuously promoted. Since 2009, the country has successively introduced a number of policies.

In September 2009, the former Ministry of Health issued a notice on issues related to the multi-site practice of doctors.

In July 2011, the former Ministry of Health issued another document proposing to expand the multi-point practice scope of doctors.

In 2014, five ministries and commissions jointly issued the "Several Opinions on Promoting and Standardizing the Multi-site Practice of Physicians", proposing to explore filing management and implement regional registration. Since then, relevant documents, including those from 2017, have also mentioned this.

After the "Measures for the Administration of Physician Practice Registration" was promulgated in February 2017, three stipulations were made. Physicians can register with the health administrative department and change their practice registration information online. This is a multi-point process. Practicing medicine provides a lot of convenience.

Shenzhen is at the forefront of allowing doctors to practice in multiple locations. As early as July 2015, Shenzhen fully liberalized the practice of doctors in multiple locations. Although the national policy level is gradually relaxing the practice of doctors in multiple locations, the implementation is not as easy as imagined. Why is it difficult to promote doctors’ multi-site practice? On the one hand, the directors of public medical institutions are reluctant, and on the other hand, it is related to the doctors themselves. The doctors are unwilling to practice more or have insufficient abilities. These are all influencing factors. The legalization of doctors' multi-site practice is itself a kind of progress. At least it is legally allowed. In the long run, there are still many places worth exploring.

How can doctors do a good job in multi-site practice?

The "Physician Law" brings benefits to multi-site practices, including consultation and medical alliances. There are three situations that need to be paid attention to when handling relevant change registration procedures.

1. The "Physician Law" stipulates: Physicians participate in standardized training, further education, counterpart support, consultation, emergency medical rescue, charity, or other public welfare medical care, free clinics, undertake national tasks or participate in government organizations Important activities must be practiced in medical institutions within the medical consortium. This provision actually opens another legal channel for the orderly flow of high-quality medical resources and multi-site practice. For example, in a medical consortium, clinics and private medical institutions can be included in a medical consortium formed by local public medical institutions. In this case, doctors from public medical institutions can practice at multiple locations in relevant medical institutions without going through the formalities. This is a Chance. It is permitted by law and encouraged by policies for doctors to practice at multiple locations at the grassroots level, but the actual implementation process will not be so smooth.

2. Sufficient attention must be paid to the regular assessment of doctors. Because doctors fail to pass regular assessments, problems may easily arise in their practice registration.

3. Regional registration and multi-agency practice of physicians. This is stipulated in the policy, but it is still an obstacle in the actual implementation process and in the provisions of this "Physician Law". What is regional registration? Regional registration follows policy regulations, which means that doctors can register on a province-by-province basis, but it is different from practicing in multiple institutions. The procedures to be completed are different, and the policies and regulations are also different.

It is imperative to implement multi-point practice policies to facilitate certification:

Article 64 of the Physician Law: The state takes measures to encourage personnel with medical qualifications from secondary vocational schools to participate in higher education Improve medical technical capabilities and levels through various levels of academic education and other methods.

Persons who have obtained relevant medical professional qualifications from secondary vocational schools before the implementation of this law and within a certain period after the implementation of this law may take the physician qualification examination. Specific measures will be formulated by the health authority of the State Council in conjunction with the education, traditional Chinese medicine and other relevant departments of the State Council.

With the development of my country's medical and health industry, the threshold requirements for doctor qualifications will continue to increase in the future. This also reminds students who have not yet obtained the qualifications of practicing doctors to seize the time to register, study, and strive for Obtain a medical certificate as soon as possible. Although the legal framework has been established, further exploration and efforts are still needed in the future regarding practice location, multi-agency practice, free practice and freelance work.

Legal basis:

"Physician Law of the People's Republic of China"

Article 15: Physicians practice regularly in two or more medical and health institutions , should be dominated by a medical and health institution, and relevant procedures should be completed in accordance with relevant national regulations. The state encourages physicians to regularly provide medical and health services to medical and health institutions below the county level, including township health centers, village clinics, community health service centers, etc., and the main practice institution should support and provide convenience.

Health authorities and medical and health institutions should strengthen the supervision and management of relevant doctors, standardize their professional behavior, and ensure the quality of medical and health services.

Article 64: The state takes measures to encourage personnel with medical qualifications from secondary vocational schools to improve their medical technical capabilities and levels by participating in higher-level academic education.

Persons who have obtained relevant medical professional qualifications from secondary vocational schools before the implementation of this law and within a certain period after the implementation of this law may take the physician qualification examination. Specific measures will be formulated by the health authority of the State Council in conjunction with the education, traditional Chinese medicine and other relevant departments of the State Council.