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JOURNAL OF SCIENCE OF HNUE DOI 10 1817 V2354 1075 2016 0014 EducationalSci , 2016, Vol 61 No l pp 121 128 This paper is available online al http //stdb,hnuc edu vn T U T U O N G H O C H I IVIINH V E Y[.]
JOURNAL OF SCIENCE OF HNUE DOI 10.1817.V2354-1075.2016-0014 EducationalSci., 2016, Vol 61.No l p p 121-128 This paper is available online al http://stdb,hnuc edu.vn T U T U O N G H O C H I IVIINH V E Y DUfC VA Y N G H I A D O I V l V I E C GIAO D U C Y D C C C H O CAN BO Y T E TRONG TINH HINH HIEN NAY N g u y e n Diic Dien Khaa Li ludn chinh tri Tnfimg Dai hoc Y Hd Hoi Tom tat Biii viet tap trung liim rd cd sd hinh thiinh vii vi tri van dl y dffc, dmh hudng chien ltfdc cho nganh y va quan diem chi dao van de y dffc ltf ttfcfng Ho Chi Mmh, ttf dd phan lich y nghTa ciia van dt, d l xuil giai phap niing cao chit Itfdng hieu qua giao due y dffc cho can boi y tl bdi canh cd che thi trtfbng, toim cau hda hien Tit khda: Ttf ttfdng Ho Chi Minh, y dffc giao due y dffc, can bd y tl Md dau Ttf ttfdng H o Chi Minh ve dao dffc la ndi dung trgng lam toan bo he ihdng ttf tffdng cua NgUbi T u tudng dd xuat phdt tff nhu c i u d i u ttanh each mang gidi phdng cho giai cap cdng nhan va loan the nhan dan lao ddng thoai khdi dp bffc bit edng, ngheo nan, lac hau, xay dtfng xa hdi dan giau, ntfdc m a n h , dan chfl, edng bang, van mmh, ngtfbi dtfde sdng ttf va hanh phuc tinh yeu thtfdng Trtfdc stf nghiep each mang khd khan va phffc tap, Hd Chf Minh da neu cao van de dao dflc each m a n g va yeu eau can bd ren luyen dao dffc de phuc vii cbo ldi fch cdch mang Tfl yeu cau chung dd, vdi moi nganh nghe, mdi ddi iffdng khac nhtf giao vien, bd dgi, cdng a n , Ngffbi cd nhffng yeu e i u ve pham chat dao dfle eu the, gan vdi dae thu nghe nghiep Trong dd, tfl viec quan tam tdi sfle khde efla nhiin dan, Ngtfdi dae biel quan tam idi viec gido due y dflc cho can bd nganh y tren tinh thin "LtfOng y nhtf tfl mau" Ngay nay, irong stf phat trien cua n i n kinh te thj trtfbng, luan thtfdng d a o If va dao dflc nghe nghiep cd thieu htfdng suy Ihoai Mdt bg phan khdng nhd y bac sT thb d, vd cam trtfdc ndi dau cua benh nhan, hanh ddng ngtfdc vdi y dffc, lam hoen d hinh anh cao quy eua ngtfdi thay thudc Irong truyen thdng dan tdc Thtfc hien viec hge tap va Iam theo t i m gtfdng dao dflc Hd Chf Minh, mdi can bd nganh y can phai tu dtfdng, ren luyen dao dffc n g h l nghiep, d a p flng yeu c i u cang cao cua xa hgi hien dai D a CO mgt sd bai viet ve y dfle nhfl' Gdp phin bim ve nhffng viin de dao dffc eua ngffdi thiy thudc Viet N a m (Tran Van Thuy, Tap chf Nghien cffu Y hge, sd 2/1997) [8]; Mau thuan giffa mat trai cua cd che thj trffdng vd\ ban chat nhan dao eua nganh y t l Vie! Nam hien (Pham Cdng Nhat, Tap chf G i a o due If luan sd 6/1999) [7]; Y dfle vii nang eao y dffc (Pham Manh Hflng, Tap chi C d n g san, sd 7/2002) [2] Ben canh dd, cung ed mdt sd bai viet de cap tdi iff ttfting H o Chf Minh ve y dflc nhff- Quan diem Hd Chf Minh ve dao dffc vdi viec nang cao y dffc thiy ihudc hien cua Hoimg Anh T u i n (http://bqllang.govvn, Trang tin dien tff Ban Quan If Iang Chu tjch Hd Chl M i n h , 28/02/2013) [9] trinh bay ngin gon Iff tffdng H d Chf Minh v l vi trf, vai trd cua y dffc Ngay nhan bin 10/11/2015 Ngay nhan dang- I5/2/20I6 Lien he: Nguyfin Dtfc Dien, e-mail' ducdien_nguyen@yahot Nguyen Dffc Dicn xa hdi; vin de viin dung ttf ttfdng Ho Chi Minh vao viec nang cuo y dfle thay thudc hien mb nhat; bai viet Van de y dffc ngtfbi thiy thudt Viet Nam ihcti ltf itftlng Hd Chf Minh ciia Hai Dilm (bttp://www.soetrang.gov.vn, Cdng Thdng tin dien lii linh Sdc Trang, 22/02/2011) [1] tap trung Iam ro nhffng quan die'm cua Hd Chf Mmh vl xiiy dffng nganh y va can bd nhan vieny te; Nguyin Thanh Tjnh vdi bai viel Ttf ttfdng Hd Chf Minh vl y le va dao dffc ngtfdi ihay ihuoc (hIlp://www.xaydungdang.org.vn, Tap chf Xay dtfng Dang, 29/7/2014) [10], Nguyen Hien Lirong vdi bai Giao due vii ren luyen dao dffc ngtfdi can bdy letheo tff tuong Hd Chf Mmh (Tap chf Cong san, sd 1/2013) [3] tap trung lam rd nhffng ndi dung cd ban ltf itfifng Hd Chf Minh vey dftc each mang xa hdi chff nghia, Vfl Hoai Nam vdi bai Mot so yeu tiiu nhain niing cao chal ItfOng giao due y dflc dao tao bdc sT d Hge vien Quan y hien (Tup chi Khoa hoc sd l/''OI5) [6} phan lfch eae yeu ciu vl xay dtfng chtfdng trinh, ddi mdi ndi dung, phtfting phiip va hinh ihtfc giao due y dtfc cho hge vien, sinh vien y khoa Ben canh dd, cdn cii indl sd Iuan viin, luiin in nghien cffu ve mdt sd khfa canb khac irong Itf ttfdng dao dffc Hd Cbi Minh, ve y dffc Tuy nhien cho tdi nay, chtfa cd cdng trinh kboa hgc nao nghien ctiu mdt edeh toim then lien cd sd li luiin iriet hoc nhffng quan diem cua Hd Chf Mmh vl y dffc va y nghTa tua nd ddi vdi viec giao due y dtfc cho can bo y te linh hinh hien Noi dung nghien ctJ"u 2.1 Tu ttfdng Ho Chi [Minh ve y diic 2.1.1 Cd sd hinh va vi tri van de y dii'e ttf ttfdng Hd Chi Minh Xual phal die'm van de y dffc ttf Ufdng Hd Chf Minh lii ur uuyen ihdng y tlu tua dan tdc va nhan loai Van de y dtfc hinh vii phat Irien cung vdi lich stf nganh y Y dfle h nhUng lieu chuan, quy tac nham dieu chinh hanh vi ffng xfl cua ngtfdi ihiiy ihuoc ITnh vtft > te Do la thtfde Itfdng tam, trdch nhiem va bdn pban efla ngtfbi thiy ihutic Bdi vay, du d bai ki ihdi dai nao, nhan Ioai eflng ludn de cao y dflc, coi y dfle quan khdng kem gi y thuat So vdi nhiln^ nganh nghe khac, nghe thay thude cd nhffng net dac thu Dot Itfdng ma hg liep xuc han^ n^ay la nhffng ngtfbi dau ddn ve the xdc va Iinh thin, mong mdi stf giup dd eua thiy tbuoc Vi \a> nhifng pham chat dao dffc eua eon ngtfbi d nhflng nganh nghe khae cd the dii cho ho ihtfc hien loi cone viee cfla minh thi van la chtfa du ddi vdi ngtfbi thay thude Vdi bai ki nganh nghe ndo sai lam iron nghe n'ghiep deu de Iai nhflng hau qua xau, song vdi nghe y sai l.ini tlii nho cung cd the de lai hau qua rit Idn vi nd lien quan inTc tiep tdi sinh menh eon ngtfbi Bdi viiy, yeu ciui dao tltfc nght n hiep cang dae biet quan trgng vdi nghl y Danh y Hai Thffdng Liin Ong Le Hffu Trac da itfn ltf bach "Suy nghi that sau xa tdi hieu rang thay thudc la bao ve sinh mang cho ton ngtfdi sdn^ thel mol tay minh nim, htia phuc mot lay minh gifl Thi tbi dau cd the kiln ihflt khdng day dii dtfc hanh khdng trgn ven, Iam hdn khdng rong Idn, hanh vi khdng than iiong niii dam lieu hnh h le ttoi cai nghe tao quy dd chiing" (Y huin each ngdn) Ke thfla truyin thdng y dflc cua dan toe, tiep thu tmh hoa y dtft tua nhan loai ltf tUtfng vi ngtfbi dflng diu dat ntfdc, Hd Chi Mmh da danh stf quan tam dat hici idi ndn y il dai ntfdt dac biet la dao dflt ngUdi thay Ihudc, Ttf itfdng ve y dffc ciia Ho Chi Mmh tdn xual phat ltf yeu cau cfla stf nghiep each mang xa hdi ehu nghia cua Viel Nam va tff linb yeu ihtfdng sau sic vdi ngtfbi - van dl can ban, xuyen sudt ttf tudng Hd Chf Mmh Con ngtfdi la nhan id quan iron co > nghia quyet dinh stf thing Idi cua each mang Yeu Ihtfting eon ngtfbi la phai quan lam ldi ton nj^ftOi toan dien ve the chat va tinh than, vl kinh te, chfnh tri, van hda vii dao dffc Lf itfdng nhan van cao dep cua Ho Chf Minh lii lam each mang giai phdng ngtfbi loiin dien, ii let de khdi dp btfc bai cdng, ngheo nan lac hau, phdl ti ien ngtfbi toiin dien, dii cti vin de sffc khde N Udi ni i 122 T| •'"'""-' "^ '^''''Jl^' „, Tu ludng He') Chi Minh ve y ddc vd y nghia did vc'ti viec gido due y due clw edn bd y le "Moi mot ngtfbi dan yeu dt, tfle la ca ntfdc yeu dt, mdi mdt ngtfdi dan manh khde hic la ea nffdc manh khoe Dan ctfdng thi qudc thjnh" [9] Bdi vay, ben canh viec quan tam idi dbi sdng kinh te, van boa, giao due , Ngtfdi eflng rat quan tam tdi sfle khde eua nhan dan Ngtfbi ndi: "Gifl gin dan chfl, xay dtfng ntfdc nha, gay dtfng dbi sdng mdi, viec gi cung cin ed sfle khde mdi Iam cong" [9] Nam 1953, Hd Chf Minh da vilt Tbtf gffi Hoi nghi can bd Y tl loan qudc nam 1953: "Sflc khoe tua tan bd va nban dan dtfde dam bao Ihl tinh thin tang hang hdi Tinh than va sfle khoe diy du thi khdng chien cang nhieu thang ldi, kien qude eiing mau thiinh edng" [5, lr.88-89] De bao ve sffc khde cua nhan dan, can quan tam tdi y tl, dac biet la vin dl y dffc Nlu chfl Dan dtfde xuat hien nhilu nhat irong Itf Itfdng Ho Chi Minh Ihl ddi itfdng can phai dtfdt quan tam nbieu nhat Dan lii nhflng ngtfdi chju thiel thdi, dau khd vi dm dau, benh tai Bdi vay, sau dao dffc cua ngflbi ciin bd each mang ndi chung, dao dfle nganh y dflde Hd Chi Mmh ban tdi nhieu nhat Ho Chf Minh da nhieu lan gfli thff hoac trtfe tilp tham ede ed sd y te, bay td quan diem ve pham chat ngtfbi thiy thudc Ngay 27/2/1955, Hgi nghi can bd y te to chffc tai Hii Ndi, Chu ljeh Hd Chi Mmh da gffi thtf cho hdi nghi Ngi dung bfft thtf mang tfnh dinb htfdng thien Itfdc sau sic cho nganh y te Bdi vay, 27/2 da trd Ngay Thiy thudc Viet Nam - truyin thdng ciia nganh Y te Trong thtf, Ngtfdi viet: "Chinh pbu phd thdc cho cac cd, cae ehu viee chffa benh tat va gifl gin sfle khde cho ddng biio Dd la mdt nhiem vu rat ve vang" [5, tr.476] Ngffdi vf, thay thudc la "nhflng chien sT danh giac dm, de bdd ve stf khang kien cua gidng ndi" [4, tr.l036] Ngtfbi khang djnh: "Chu nghia xa hoi la lam cho dan dff an, du mae, ngiiy cang sung sUdng, dtfde hgc hanh, dm dau cd thude, gia khdng lao ddng thi dtfde nghi, nhffng phong luc tap quan khdng tot thi dan dan xda bd" [9] Trong che dd xa hdi chu nghTa ffu viel, nhan van nhtf the, nganh y te can thay dtfde vj tri, vai tro dae biet quan trgng eua minh de tff dd xac djnh nhiem vu, trgng trach phu hdp, Ngffbi da tang cdn bg, nhan vien nganh y danh hieu eao quy: "Thay thudc nhtf me hien" Day eflng la yeu cau Hd Chf Minh dat ve phtfdng cham xff the, phtfdng cham hanh ddng ddi vdi can bd, nhan vien nganh y moi quan he vdi benh nban 2.1.2 Dinh hu'dng chien luoc cho nganh y tu tUdng Ho Chi Minh Quan diem chi tJao mang tfnh djnh hffdng cua Hd Chf Minh cho nen y hge Viet Nam lii: "Xay dung mgt nen y bgc cua ta - Trong nhffng nam nUde ta bi nd le, ihi y hoc cung nhtf cdc nganh khac diu bi kim ham Nay chung ta da dgc lap, ttf do, can bg can giup ddng bao, giup ehinh phu xay dtfng mgt nen y tl thfch hdp vdi nhu cau cua nban dan ta Y hdC eang phai dtfa tren nguyen tae: khoa hgc, dan tdc va dai chflng" [5, tr.476] Khoa htic, dan toe va dai chflng, dd la nguyen tac eiia nen y hgc Viet Nam Theo Ngfldi, dng eha ta trtfdc td nhilu kmh nghiem quy bau vl each chffa benh bang ihutic ta, thudc bac Vi vay, de md rting pham vi y hgc, can bd y te nen chfl nghien cflu va phdi hdp thude Ddng va IbuCie Tay Ngtfdi ndi: "Thut'ic lay chffa dtfde nhieu benh, nhtfng cung cd benh chfla khdng dUdc ma thudc ta chfla dtfde; thudt ta chffa dtfdt nhieu benh, nhtfng cung cd benh chffa khdng dtfde ma Ihudc lay chffa dtfde Ben nao cung cd cdi tfu diem, hai cdi tfu diem cgng lai ihl chtfa dtfde benh tdt eho dong bao, eho nhan dan, phuc vu tho xay dtfng chu nghTa xa hdi Tbay thudc tay phai hgc Dting y, ihay thudc ta cung phai hoc Tay y Thiy thudc Ea va thiy thudc tay diu phuc vu nhan dan, nhtf ngtfdi cd hai cdi lay, hai ban lay cung lam viec thi Iam viee dffdc lot, cho nen phai ddan kit Iff Iren xudng dtfdi Iff dtfdi len, ddan kit thudc ta va thudc lay mdt khdi de chfla benh cho ddng bati" [4] Dd chfnh ia stf ket hdp giffa y hgc hien dai va y hgc dan tde Trong Thtf gfli Hgi nghi Y tl Lien khu, Ngtfbi phat ddng mdt phong trao thi dua nganh y: "D Nay nhflng Ihfl thude ta quen dflng, eang ngiiy cang hiem, vl vay anh em y te nen thi dua tim nhflng thff thudc ma ntfdc ta siin ed nguyen lieu; 2) Cflng nhffng thff *tbudc ta cd, anh em nen thi dua eung tim each chffa chong khdi mil tdn ft thudc; ) Anh em nen thi dua nbau Ilm nhffng Ihfl thuoc dl sim nhit va hieu nghiem nhil Ngoai ra, each id chflc Iam viec, tuyen truyin ve sinh, sd benh nhan dtfde chffa khdi; giup dd dan chflng, viin van, 123 Nguyen Dffc Dien deu la nhffng diem ein dffa viio cugc Ihi dua" [4, lr.548] Trong bai viet "Y tl d Lien Xd" (Bao Nhan dan, sd 444, 7/12/1955) [5], Hd Chf Minh d.i vill vc nhffng dac diem cua nen y tl kieu mdi d ntfdt nay: Hdp If, phat trie'n viee nghien cflli, du thay thudt, nhan dao, ltf dd Ngtfdi cung co mong muon nhtf bac sT Guilang la cin phai hgc tap nen y te kieu mdi niiy de eai lao y te ntfdc nha Dd cung la djnh htfdng chiln Itfdc dffng dan ehd sff phat trien y te dit ntfi'le Quan diem khong chi the hien tim trf tue eao ma cdn the hien tam dflc cua mdi ngtfdi vT dai, sudi cut)c ddi vi nude vi dan 2.1.3 Quan diem chi dao ve y dii'e ttf tirdng Ho Chf Minh Kl thfla truyin thdng y dffc cua dan tde va th^ gidi Hd Chi Minh dii neu Ien nhflng quan diem eu the vl y dffc Nhffng quan diem da trd thinh phtfdng chiim chi dati tho can bd, nhan vien y tl va loan bd nganh y tl cua dit ntfdc Trong Thtf gffi Hdi nghi can bd Y le toan qudc nam 1953, Ho Chi Minh vilt: "Sflc khoe tua can bd va nhan dan dtfde ddm bdo thi linh than cang hiing hdi Tinh thin va sfle khoe diy du thi khdng chien ciing nhieu ihang ldi, kien qut'ic cang mau ihanh edng Nhiem vu iy cd bai phan: Phdng benh cung can ihiet nhtf li i benb de liim irdn nhiem vu ay can bd y te (bae sT, y ta, nhffng ngtfbi giflp viec) can phiu Thtfiing yeu ngtfbi benh nhtf anh em ruoi thit; can phai tan tam tan Itfc phung stf nhan dan "Ltfdng y phai kiem iff mau" Cdn hd y il nen co gang thtfc hien may diem niiy: Ve ehuyen mdn Can luon ludn hot tap nghien tffu de ludn luon lien bo, nhtfng phai chfl cai gi thilt thtfc va thfch hdp vdi boan cdnh khdng ehien cua ia hien nay; Ve ehfnh tri' Can trau ddi ttf ttfdng va dao dflc cua ngtfbi tan bd irong the dd diin chu yeu ntfdc, yeu dan, yeu nghe, doan kit ndi bd, thi dua hot tap, thi dua cdng tac Ve id chffc: Can chinh don va kien loan bg mdy Iff tren xudng dtfdi lam tho nd ggn gang, hdp !i, il idn ngtfbi ttm ciia ma lam dtfde nbieu viet fch ldi cho nhan dan; Ve tan bd: Can Itfa chon va dat> lao nhilu cdn bd mdt so Ihanh nien nam nff, day cho ho nhffng cdng tac can thiet uong nbiin dim, trting dan ctmg d viing tam ehiem va vung rflng nfli" [5, tr.88-89] Trong Idi can dan ciia Ngtfdi, ndi len tmh thin chu dao vl y dflc vdi ndi dung cdt Ioi: Mdt ciin bd ed pham chit duo dffc lot phai doan kel vdi ddng nghiep vit thtfong yeu, tan tam tan ltfc vdi ngtfbi benh Ho Chf Minh nhan manh yeu cau ve tinh thin doiin kel inmg can bd nganh y ll, Tinh than "doan ket, doan ket, dai doiin ket" la nhan td liim nen sffc manh quiii ttfdng ciia tian u')c Viet Nam, tao nen nhflng tbanh cdng vang ddi trting cdch mang Bdi vay, tiong nganh y, Hd Chi Mmh cung dat vin dl doan kit len hang dau Trong thtf gffi edn bd ngiinh y nam 1955, Ngtfbi nban manh: 'Trtfdc hit la phai that tha doan kit - Doan kit la sffc manb cua ehung ta Doiin ket thi vtfdt dtftfc rngi khd khan, gianh duge nhilu tfch Doan ket giffa can bd cu va can bd mdi Doan kel gitfa tat ca nhffng ngUdi nganh y tl, tff eac Bd trtfdng, Thff tiUdng, biic sT, dtftlc si tho den ck anh chi em giup viec Bdi vl edng viee va dia vj my ed khat nhuu, nhtfng ngtfdi nao tiing la mtil bg phan ein thilt nganh y te, viec phuc vii nhan dan" [5, lr476]- Tmh thin doan kil cua Ngtfbi ham chffa dd ca sff blnh ding, dan chu, khdng phun biet dia vi tao thap, hdp tac de vffdl qua moi gian nan, thff thdth, htfdng tdi muc dich cuo ca chung: phuc vu nhan dan, Trong nganh y, mdt benh nhan la ddi ttfdng cua nhilu thiy thude Cdc thiy thutfc phai hdp tac vdi Uen tinh thin ddng dgi, ddng nghiep de cflU ehfla ngtfbi benh Thanh cdng hay that bai irong cdng viec diu Iii kit qua efla sfl hdp tae tap the Neu khong cd stf dtian kel thi khd cd the hoan nhiem vu va neu hoiin dUdc nhiem vu Ihl hieu qua tiing khdng cao Khac vdi nhflng ngiinh nghe khdc, ddi ttfdng cua nganh y lii benh nhiin - nhflng ngtfdi om dau, benh lat, chiu dau ddn vl the Xiic va linh Ihin Bt'ti v;iy, nlu yeu ihtfdng ngtfdi la pham chat dao dtfc can phai co Itfdng tarn, trach nhiem eua mdi ngtftli ibi ddi vdi cdn bd nganh y, tlnh yen thuong ay cang cin phai Idn lao, cao ea lidn Ho Chi Minh diin dd ciin bd ngiinh y bing nhflng ldi tam huyet, cban tlnh: "Ngtfdi benh phd that tinh menh tiia hn mfi tat td, eae thii Chfnh Tu tudng Hd Chi Minh vi y ddc vd y nghia deu vdi viee gido due y due cho cdn be) y le phu phd thac cho cae eo, cac chu viee chfla benh va gifl gin sfle khde cho dong biio Dd la mgt nhiem vu rat ve vang Vi vay, can bd can ihtfdng yeu, chiim stit ngtfbi benb nhtf anh em rugt thit cua minh, coi ho dau ddn nhtf minh dau ddn "Ltfdng y phai nhtf tfl mau", cau ndi iy rit dffng" [5, 476-477] Trong tfl ttfdng Hd Chf Minh vl y dffc, ngtfdi thiy thudc phai cd Itfdng tam va trach nhiem nhtf ngtfbi me ddi vdi dfla cua minh, nhu ngUdi than ddi vdi nhffng ngUdi than Lfldng tam va nghTa vu, trach nhiem la hai mat thong nhil bien chffng y dfle cua ngUdi thiy thudc Ban than tfl "lUdng y" cung ham chfla dd y nghTa ve Itfdng tam, trach nhiem dao dffc cua ngtfbi thiy thudc Ltfdng tam efla ngffbi thay thudc the hien d tinh cam dao dffc va hanh vi dao dffc Tinh cam dao dffc la sff cam thdng sau sac Idi mflc trd ndi xtil thtfdng, stf ddng cam vdi ndi dau cfla benh nhan Tmh cam ay phfl hdp nhflng yeu cau va ehuan mtfc dao dtfc cua xa hdi, Ird thimh dgng ed ben thue day ngtfdi thay Ihuoc hanh dong vi benh nhan mdt each ttf nguyen, ttf gidc dem lai ket qua eao nhat qua trinh chtfa benh Ltfdng tam cd ehfle nang tfl danh gid hanh vi dao dffc nen nd cung ddng thbi ham chfla ca Iri tue, stf hieu bilt cua eon ngtfbi Ltfdng tam nghe nghiep la cd sd de hinh thai flng xfl an can, dju dang, kien nhan, tan tam tan ltfc eua thiy thude vdi benh nhan Trong IhU gfli Hdi nghi Quan y thang nam 1948, Hd Chi Minh da can tian: "Ngtfbi thiy thudc ehang nhflng ed nhiem vu eflu ehfla benh tat, ma cdn phai nang dd tinh than nhflng ngUbi dm yeu Khi gap nhflng ea anh em thUdng binh thieu trin tinh, ngtfbi thay thudc nen lay long nhan dao va tinh than ma cam hda hg " [4, tr.864] Ltfdng tam nhac nhd ngtfbi Ihay thudc phai lay Iao dgng chinh dang bang tai nang, trf me cua minb lam le sdng, lay viec phuc vu bet ldng cho ngtfbi benh liim muc dfch cho hanh ddng, biet hdi ban, day dflt trtfdc viec Iam chtfa dung, biet ti'ch ctft hoc tap de nang eao trinh dd ehuyen mdn, nghiep vu Ngtfdi thay thudc phai thtfc bien nghTa vu phap li efla minh, dd la viec phai phuc tflng nhiem vu dtfde phan cdng tren ctfdng vj cua ngtfdi thiy Ihudc Song neu chf cd ihl thdi van chUa du Chl nao ngtfbi thay thude thtfc hien hanh ddng cua minh tff gdc dd nghia vu dao dffc, xuil phdt tfl stf ttf giac ben trong, stf thdi thuc cua Itfdng tam thi dd hg mdi that stf trd thiinh Itfdng y, tff man ddi vdi benh nhan Khi hanh ddng xuit phat Iff stf thdi thflc ndi tam, ngtfbi thay thudc se phin dau de vffa cd dflc vfla cd tai Dffc the hien d tinh yeu thtfdng vdi benh nhan, tan tam tan Itfc vdi ngffbi benh va stf tan tam tan ltfc ay the hien nhffng nd ltfc cd ging cdU chfla ngtfbi benh bing tai nang, sffc life, bang tam va Irf efla minh Bdi vay, phai cd stf Ihdng nhil giffa y dflc va y nghiep Y dfle la thtfde Iffdng tam, nghia vu cua ngtfdi thay thudc Y nghiep phai the bien nang life cbuyen mon, tai nang efla ngtfbi thiy thudc, tfnh hieu qua viec chfla benh ciiu ngtfbi Dffc va tai phai gin bd chat che vdi nhau, nhtf mdi quan he gifla hdng va chuyen Trong dd, dflc phai la gdc, la cd sd, dgng ltfc cho tai Tai lam cho dffc cang ldn, cang sang hdn Neu thiy thudc ehi cd tai ma khdng cd dffc thi tai nang iy se bi Iam dung, gay tdn hai cho ngtfbi benh Thim nhuin tff tffdng Hd Chi Minh ve y dfle, hai cuoc khdng ehiln ehdng Phap va ehdng My, nhieu can bg y tl da quen minh de cfln chffa thtfdng benh binh Bac sT Trin Huu Ttfde, Hd Die Dl, Pham Nggc Thach, Dang Van Ngfl, Tdn That Tung, Dang Thuy Tram , la nhffng tim gfldng sang ngbi vl y dffc Tiep ndi truyen thdng hao iy, irong thbi kl hoa binh, cac can bo y te tiep tuc nghien cffu, ffng dung nhffng ttfu y hge hien dai, sflc eflu ehfla ngtfdi benh, dem lai sffc khoe, hanh phuc cho nhan dan Nguyen Dffc Dien 2.2 Y nghia cua ttf ttfcing H6 Chi Minh v6i viec giao diJc y dii'e cho can bo nganh y hien 2.2.1 Boi canh lich siJr va thtfc trang y due xa hgi Viet Nam bien Trong thbi dai loan ciu hda, Viet Nam xay dffng nen kinh ll thi irtfdng dinh htfdng xa hoi chu nghTa, md cffa, hoi nhap giao ltfu vdi thi gidi Boi canh licb sff dd ddt nhflng yeu ciu mdi ddi vdi ITnh vtfc y le ca tren binh dien quy md sd Itftlng cac dith vu y le, ea uen blnh dien chal Itfbng chan tri va cham sdc sflc khde cho nhan dan De xay dtfng nen y le lien tien, hien dai, phai phdt trien ca sd Itfdng va thil Itfdng ddi ngu cdn bd y tl, dd gido due y dtfc la mdt ndi dung tam Trong bdi cdnh hgi nhap qudc tl, ngiinh y te Viet Nam cd nhieu dilu kien de phat trien, ddi ngu can bg y tl da cd nhffng lien bg dang ke ve Irinh chuyen int'in, nghiep vu Hien nay, doi ngu can bd y te nffde ta van giff dtfde y dffc va cd y thuat cao, ngiiy dem tan luy vi sffc khoe cOa nhiin dan Cd nhflng y bac sT tfl chdi phong bl thu lao cua ngtftfi benb, tham chf cdn guip dd tien cho benh nhan ngheo chfla benh, kham benh va cap thude mien phi cho ngtfbi ngheo Co nhftng y bac sT tinh nguyen hien mdu eihi ngtfdi Ben canh dd, tac ddng ttf mat Irdi cua cd chl thi trtfdng tdi nganh y tl cflng dang dat nhflng yeu cau ma cdng tac gido tiuc y dflc can phai quan lam giai quylt Dd la ldi sdng thtfc dung, qua de cao gia tri vat chat, ct)i nhe gia irj tinb than, de cao ldi ich ca nhan, coi nhe ldi fch xa hoi Dd la nhu cau kham ehfla benh cua nhan dan cang tang nang ltfc dap ffng nhu ciu dd cua nganh y te edn han che Ben canh dd, viet quan li qud uinh xii hdi hda y te va viec giao due dao dffc eho ngtfdi thay thudc d cac irtfdng y, cac cd sd y te., nhieu ban chl Dd la nhflng nguyen nhan cd ban dan din sU xudng cap ve mat dao dffc d mtii bo phan khdng nhd can bg y tl Thai vd trach nhiem khdm thffa benh, mat lich stf, hach dich, cfla quyln ddi vdi benh nhan, gay sffc ep ddi le phf tieu etfc irting kham chfla benh., da gay bftc xue cho benh nhan va xa hgi, anh htfdng tieu ctfe den cdng tat bdo ve, cham sde stfc khde cho nhan dan Thtfc trang niiy ddi hdi phai tang ctfdng cdng tac giao due y dffc cho can bd y te Ttf itfdng Ho Chi Minh ve y dtfc cd vai Ird quan djnh htfdng cho cdng lac niiy khdng phai thi irong qua khff ma ca hien tai va ttfdng Iai 2.2.2 Giao due y dii'e cho can bo y te tinh hinh hien theo tu tudng Hd Chf Minh TrUde thtfc trang hien nay, tham nhuan ttf ttfdng y dffc cua Hd Chf Mmh, quan trie! quan diem giao due dao dffc cua Dang va Nha ntfdc, nganh y tl da tieh etfc nhay ben, chu dong de Dinh htfdng chien ltfdc cong tac cham sdc va bao ve sflc khoe nhan dan tfl nam 2010 den nam 2020 va de eae quy dinh ve y dfle, tieu ehuan nang eao y dffc ddi vdi ngtfdi hanh nghe y, yeu eau can bd y tl phai thtfc hien tdt 12 dilu y dflc mdi ngtfdi thiy thudc phai luon lay y dffc liim muc dieh, li ttfdng cho hanh dgng cfla minh, lay lao dong chfnh ddng tin nung vii trf tue cua minh lam le sdng, phai ren luyen pham chit dao dffc eua ngflbi thiy thudt phii hdp vdi stf phiit trien ciia xa hoi Trdng phong triio "Hot tap va lam theo tim gtfdng dao dffc Hd Chi Minh", tieu chu&i dao ' "Ltfdng y nhtf tff miu" dtfde nganh y dac biet quan lam Trtfdc nhflng cam dd efla ddng tien, ngUcti thiy thude phai liy tff ttfdng y dffc tua Hd Chf Minh lam dinh hffdng cbo banh dgng chfla benh ctfu ngtfbi, khdng phan biet benh nhan sang hay hen, giau hay ngheo ma phai ed stf quan tam nhif nhau, tranh mac phai nhflng sal lim, gay nen noi dau eho ngflbi benh De giao due y dffc, can cd sit tham gia cua loan xa hgi, bit dau bdng viec giao due luyen Iruyen, bdi dffdng y dffc cbo sinh vien cac trtfdng y, coi giao due y dflc la mdt nhffng ntii dung giao due cd ban eac trudng y Hien nay, lit ca cae IrUbng thugc nganh y Irong tii ntftfc da dtfa mon gido due y dflc vao chtfdng trinh giang day cho sinh vien trtfdng Dai hgc Y Hii Ntii, CO 16 tiet cho ngi dung giao due dao dflc nghe nghiep Ti-ffbng Cao ding Y tl Ha Ddng dimh 30 tiel eho mdn y dfle,, Ben canh viee irang bi nhffng khdi niem, pbam tru, ebuan mtfc dao tlffc cc! Tu tudng Ho Chi Minh vi v ddc vd v nghia de'n ve'U viec gido due \ dui cho cdn hd \ le ban, mdn hge y dflc edn trang bj cho sinh vien eac khai niem, cdc nguyen ly tua dao dflc y bgc; cung cap nhffng thdng tin can thiet de thtfc hanh y dffc nhtf Tuyen ngdn eua hdi y hge Ihl gidi vl quyen cua benh nhan; cac nguyen tic Irong giao tilp, ffng xff vdi benh nhiin; cac lieu chuan cua viee thtfc hanh cham sdc sffc khoe cd ehat Iffdng; cdc nguyen tac Iam viec cflng ddng nghiep, Ibi the Hyppocrate; Tuyen ngon Geneve; 12 dilu y dfle; eae quy dinh eua Bo Y tl vl dao dfle ngflbi thay thuoc Tuy nhien, can hoan Ihien htln nffa chtfdng trinh, giao trinh gido due y dffc de eac trtfbng y ca ntfdc cd bd giao trinh y dfle thdng nhat; tang Ihdi Itfdng mdn hgc y dffc; ddi mdi ngi dung, phffdng phdp de tang ehit Itfdng, hieu qua efla viec gido due y dfle Ddi vdi can bg y tl, cin tuyen liuyen sau rong vl y dfle qua cac Idp hoc, cae cuge hgi thdo, eac cudc thi va cac phtfdng tien thdng tin dai ehung, qua phong trao Hoc tap va Iam theo tam gtfdng dao dflc Hd Chf Minh Cin thtfbng xuyen bieu dtfdng tim gtfdng ngtfbi ldl viec tdt nganh y, dong thbi phe phan nhffng banh dgng sai trai, vi pham y dffc, giff ngbiem ki luat lao ddng de ban che Idl da viec vi pham y dffc Dae biet, can bd y te can ddi mdi thai do, phong each phuc vu htfdng den stf hai long cua ngtfdi benh Trong truyen thdng, quan he giffa thay thudc va benh nhan thtfdng la quan he quyln Iffc, ban dn thay thudc nim tay tfnh menh eua benh nhan, co the mang lai stf sdng, sffc khde, niem vui, hanh phuc eho benh nhan Bdi vay, thai thay thudc rat quan Irgng ddi vdi ngtfbi benh Neu dUde thay thudc nhiet tlnh, cdi md, quan tam thi benh nhan se cam thay dtfbng nhtf benh tinh eung thuyen giam Ngay nay, thay thuoc phdi doi mdi, ren luyen kT nang giao tiep vdi benh nhan va ngtfbi nha benh nhan Lbi chao hoi, cdm dn, xin ldi la van hda giao tiep can phai trd nen nep mdi quan he thay thudc - benh nhan Day la quan he song phang, cdng bang eua mdi quan he thj trtfbng: cung cap djeh vu - sff dung dieh vu NgUbi tra tien djeh vu cd quyen dbi hdi de dUdc nhan dich vu dflng vdi mong mudn vit phai dtfde tdn trgng Can cung co, tiing ctfdng hdm thtf gdp y dtfbng day ndng de tiep thu, xff If eac y kiln ddng gdp cua ngudi dan ve chat Itfdng dich vu y te va thai flng xff efla can bo y tl vdi benh nhan Trong cd che thj trtfbng, sffc Iao dgng Ird hang hda Ihi viec tra Itfdng dffng gid tri hiing hda sflc lao dgng la mgt dilu tit ylu Neu thu nhap cfla can bg y ll qud thip, khdng njfdng xffng vdi cdng sffc cfla hg Ihi khd cd the gifl gin va phat trien bin vffng y dflc dtfde Bdi vay, ben eanh viec tang ctfbng gidd due y dffc, Nba ntfdc can quan tam eai thien dieu kien Iam viee, tang thu nhap cho can bd y te qua chl Iffdng, ihtfdng hdp If de khuyin khfch can bd y le tfch ctfe Iam viec vdi hieu qua cao nhat Ket luan Y dffc la mgt bg phan cua dao dflc xa hgi Viee quan tam giao due, bdi dfldng, ren luyen y dffc khdng chl la nhiem vu cua rieng nganh y ma la efla loan xa hgi Tff ttnh thtfdng yeu vd han vdi Td qudc, nban dan, Hd Chi Minh da danh sfl quanlam sau sac Idi vin de y dffc vdi nhffng chi din mang tfnh dinh htfdng cbo nganh y Nhffng chi din ay da gdp phan bdi dtfdng cho dit ntfdc mgt dgi ngfl can bd y tl tam huylt vdi nghe, cdng hien lai nang, sflc Iffc cua minh de bao ve sflc khde nhan dan Ngay nay, tinh than "Lffdng y nhtf tfl mau" cua Hd Cbf Minh van ed y nghTa quy bau Irong viec bdi dtfdng, nang cao y dffc cho can bd nganh y TAI LIEU THAM KHAO [1] Hai Diem, 2011 Van di y ddc ngudi thdy thudc Viet Nam theo lu tifdng Ho Chi Minh [2] Pham Manh Hung, 2002 Y ddc vd ndng cao y diic Tap chi Cgng san, so htlp://www.soctrang.gov.vn, Cdng Thong tin dien iff tinh Sdc Trang Nguyen Dffc Dien [3] Nguyen Hien Ltfdng, 2013 Gido due vd ren luyen ttao due ngudi cdn hp y ti theo tutu Hd Chi Minh Tap chf Cong sdn, sd I [4] Ho Chi Minh Todn lap Tdp Nxb Chinh trj qudc gia Ha Ndi 2000 [5] HS Chi Minh Todn tap Tap Nxb Chfnh Iri qudc gia Ha Ngi 2000 [6] Vu Hoai Nam, 2015 Mpt so yeu cdu nham ndng cao chdt lugng gido due y ddc dao tgo bdc si d Hoc viin Qudn y hiin Tap chf Khoa hgc, Sd 60( 1) [7] Pham Cdng Nhit, 1999 Mdu thudn giffa mdt trdi ciia ca chi thi truimg vdi hdn chdi nhan dgo cua ngdnh y li Viet Nam hien Tap chf Giao due If luan, sd [8] Trin Van Thuy, 1997 Gdp phdn bdn ve nhiTng vdn di dgo dtic cua ngifdi thdy thuoc Viel Nam Tap chi Nghien euU Y hge, sd [9] Hoiing Anh Tuin, 2013 Quan diem Ho Chi Minh ve dgo ddc vdi viic ndng cao y diic ihay thuoc hien http //bqll ang.gov.vn [10] Nguyin Thanh Tjnh 2014, Tif tudng Ha Chi Minh ve y ti vd dga diic ngudi thdy thuoc htlp'//www.xaydungdang.org Tap ehi Xay dtfng Dang, 29/7/2014 ABSTRACT Ho Chi Minh Ideology, medical ethics and its significance for the medical ethics of medical personnel This article concentrates on clarifying the original basis and imptirlanee of medical ethics, the strategic orientation in the medical area and viewpoints about medical ethics in Ho Chi Minh Ideology The author analyzes the significance of these issues and proposes ways to improve the quality and efficiency of medical ethics education for medical personnel in the current stage of market economy and globalization Keywords: Ho Chi Minh Ideology, medical ethics, educating medical ethics, medical personnel ... cho nganh y tu tUdng Ho Chi Minh Quan diem chi tJao mang tfnh djnh hffdng cua Hd Chf Minh cho nen y hge Viet Nam lii: "Xay dung mgt nen y bgc cua ta - Trong nhffng nam nUde ta bi nd le, ihi y. .. phai hgc Dting y, ihay thudc ta cung phai hoc Tay y Thiy thudc Ea va thiy thudc tay diu phuc vu nhan dan, nhtf ngtfdi cd hai cdi lay, hai ban lay cung lam viec thi Iam viee dffdc lot, cho nen phai... vdi ngtfdi hanh nghe y, yeu eau can bd y tl phai thtfc hien tdt 12 dilu y dflc mdi ngtfdi thiy thudc phai luon lay y dffc liim muc dieh, li ttfdng cho hanh dgng cfla minh, lay lao dong chfnh ddng