| BackgroundIn recent years, much more opportunities have emerged for the development and diffusion of traditional Chinese medicine due to economic growth in China. However, the working environment and career perspective of traditional medicine doctors, the most important resources of traditional medicine, are still in poor condition. This problem is drawing more and more attentions from traditional medicine doctors. On the other hand, few researches were dedicated to the career development of traditional medicine doctors, which reflects that researchers haven’t paid adequate attentions on this area.ObjectivesThis paper aims at the following objectives:optimizing the concept of professional risk and searching for new methods of professional risk study; forming a list of possible potential professional risks of traditional Chinese medicine doctors based on full understanding of each risk; demonstrating and identifying the risks through an investigation on hospital D, based on which distribution of career goals and career risks, and influences of career goals and demographic factors on the risks would be revealed; providing advices on the control of professional risks of traditional Chinese medicine.Methods1. Identifying the professional risks of traditional Chinese medicine doctors and the ways to research it.2. Forming the list of possible potential professional risks of traditional Chinese medicine doctors through document researches, semi-structured interviews and expert grading.3. A credible and effective questionnaire, Questionnaire on the Identification of Career Risks of Traditional Chinese Medicine Doctors, is devised based on previous works. The survey is conducted in hospital D.100 informants with different ranks are selected through step sampling. The informants are requested to provide their personal information, career goals and the severity of each risks. Statistical methods such as descriptive statistics analysis, Wilcox rank sum test etc., are performed with Microsoft Excel 2013 and SPSS 17.0 to profile the situation of career risks of traditional Chinese medicine doctors in hospital D.Results1. The interviews with the 27 doctors indicate that:career motivations includes parental expectations, personal interests and coincidences; career goals includes technical promotion, higher management position, higher rank, independent management. security and stability. The resulting hypothetical list of risks from the interviews consists of 33 risks in 4 aspects, i.e. occupational environment, occupational activity, professional quality and treatment. The occupational environment is further divided into 6 aspects, i.e. doctor-patient relationship, challenges from Western medicine, practice management, medical accident identification, market of Chinese medicine and restricting policies.2. By consulting the 7 experts, the list of risks is optimized to include 30 risks (6 deletions and 3 additions). The aspects of occupational environment are modified to be: doctor-patient relationship, challenges from Western medicine, theory development, education, medical accident identification, market of Chinese medicine and restricting policies.3. The questionnaire survey indicates that:technical promotion, security and stability, higher rank, independent management, higher management position are goals of 69.5 percent, 46.3 percent,26.2 percent,16.8 percent and 14.5 percent of the informants, respectively; every listed risks are considered as equal or greater than medium risk. Risks considered as most severe are non-objective media reports (4.15 points), distrustful patients (4.11 points) and overemphasizing publishing papers rather than clinical experiences (4.03 points). As for the risk aspects, doctor-patient relationship gains the highest points (4.02 points), and the secondarily risky aspect is treatment (3.74 points). Education (3.35 points) and theory development (3.31) are considered as the most insignificant risks. Gender seems to have little impact on the results while doctors with different ranks significantly vary in concerning doctor-patient relationship, education and medical accident identification. Only slight differences are found between doctors with different career goals.Conclusions1. Optimized the concept of professional risk to be:impacts caused by casualties on career goals during working experiences.2. List of risks of traditional Chinese medicine doctors including 30 risks in 4 major aspects are determined (see Table 12).3. Career goals and career risks in hospital D are fully analyzed. The majority of the traditional Chinese medicine doctors in hospital D desire technical promotion in a secure and stable working condition. All of the 30 listed risks undermine the career goals, especially occupational environment and treatment. Doctors with different ranks have significantly different concerns about career risks. Doctors with different career goals have slightly different concerns about career risks which merely reflected on the aspects of risks.4. Advices are provided in social level, hospital level, academic level, and personal level. In social level, suggestions can be drawn as stricter supervision on traditional Chinese medicine industry, positively guiding the society to treat traditional medicine, encouraging various jobs for traditional medicine doctors, gradually perfect the medical reform policy, searching for more reasonable evaluation system. In hospital level, special diagnosis and treatment should be encouraged, besides, improving treatment, Innovating personnel training mode for hospital management and taking advantage of propaganda are also important. In academic level, strengthening education of professional risks and exploring professional direction are suggested. In personal level, doctors are suggested to improve their professional qualities, theory confidence and technical skills with a modest attitude.
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