第五百七十七章：舒畅的改革之策（上）
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“你先说说吧，我就不看了。”秦风笑道。
舒畅哈哈一笑：“考我了吧，好，那就听我来给你瓣扯瓣扯。”
“洗耳恭听。”
“按照你的想法，那以后的太医局，可就不仅仅是只管看病了，还要集管理，医疗与教育于一身，所以太医局的规格不免就小了一些，所以我准备把新设立的这个衙门叫做太医署，月瑶儿不是哪商业署吗，我这就叫太医署，很般配是不是？”舒畅道。
卟的一声，正在喝茶的秦风一口茶全喷了出来，将正当面的舒畅喷了一脸，看着狼狈不堪的舒畅，他简直是哭笑不得，这家伙，现在能将什么事儿都与王月瑶联系起来。
“很吃惊吗？”抹去一脸的茶水，舒畅却是不以为意，接着道：“我准备把医药行政与医药业务完全分离开来。设太医局，专管医疗，医术教授外，另外还设立医官院，掌管医药之政令以及管理医药事宜。”
听到这里，秦风倒是真的感兴趣起来，“详细说说。”
“比方说太医局负责的医疗教授一事。我们需要一个统一的培养医官的体系，现在的医官也好，郎中也罢，大都是口口相传，一个师傅一辈子了不起带那么几个徒弟，而且有时候还秘芨自珍，不肯教会了徒弟饿死了师傅，不但不能大量培养我们需要的人才，反而会让一些秘技失传，所以，我准备在县，郡，中央，都要设立专门的医学院，选拔有经验的大夫去专门从事教授之职，大量培养合格的医师出来。”舒畅道。
秦风微微点头。“这的确是一个办法。”
“我准备将医师分级，最高的一级是御医，第二级太医，第三级大夫，第四级郎中。太医署里培养出来的医师，必须要从郎中做起，这些郎中最开始之时，必须要在最底层去工作，不仅要在县乡之中坐诊，更是要去走乡窜户，替百姓治疗疾病。每三年一考核，考核绩优者则升为大夫，而大夫则主要是坐馆诊病了。大夫五年一考核，绩优者升为太医，太医十年一考核，考核绩优者则升为御医。这些人，应当纳入到国家官员体系中来，至于如何划定品级，那就是吏部的事情了。你觉得这怎么样？”
“很好。”秦风连连点头，“如此一来，便给了所有的从事这个职业的人有了向上的希望和阶梯。但是你要在每个郡县都办医学院，教授学生的师父从哪里来呢？”
“现在光是越京城的太医局，便有好几十个太医，要这么多人干什么？一个个天天在太医局里喝茶聊天晒太阳么，自然都要打发到各郡去做实事。”舒畅翻了一个白眼道。
“他们要是不愿意去呢？”秦风笑道：“这些人可一直是养尊处优的，平素让他们给百姓看个病，都觉得掉了价，你现在把他们赶出京城去，岂不是比杀了他们还难受？”
舒畅冷笑：“要么老老实实的去郡县做事，要么卷起铺盖滚蛋，不服老子指挥，老子有的是办法让他在这一行混不下去。秦风，改革后的太医署还有一个医官院么？以后所有在大明从事这一行的，都必须有医官院颁发的准许从事这一行的证书，否则，就是非法行医，抓起来，关他丫的。”
啪啪的拍着掌：“好，釜底抽薪，断了他们的后路，要是不肯去任职，你自然是不会给他们颁证书的，那他们就要失业了。”
“就算是颁了的，要是他们不认认真真做事，那也是能收回来的。”舒畅得意的看着秦风：“我们需要的是老老实实做事的人，可不是一群大爷。他们去到各郡里，那就是各郡在这一行里的老大，也不算亏待了他们。必竟混到了太医局当上了太医，人人还都是有几把刷子的吧，不会完全是吃干饭的，当然，比起我，他们就只能算是吃干饭的。”
面对着这个空前自恋骄傲的家伙，秦风无话可说，必竟人家舒畅有这个骄狂的资本。
“这事儿不错，算是为民做了一件实事，以后老百姓看病，也有了着落。但那些民间的郎中呢，你这样一来，他们可就没了饭碗。”秦风沉吟道。
“民间的医师，必须要通过医官院的考试拿到行医证，否则也不行，而且他们之中的确有真本事的，我们便是直接聘请他们成为太医，御医也是可以的，当然，必须考核。这虽然会误杀一批人，但也是我们不得不付出的代价。”
“的确如此。”
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