Rural doctors are the guardians of rural residents'health.The development of rural health services is directly related to the availa-bility of rural doctors.By comparing the data before and after medical reform, we found that the number of rural doctors increased by 22.49%and the number of medical practitioners or assistant medical practitioners increased by 143.56%from 2008 to 2013.The six predicaments what the team of rural doctors faced were mismatching of income and labor, slow professional qualification conversion, medical risk increasing, rural doc-tors being temporary shortage, unsound mechanism of old-age security, continuing education becoming a mere formality.The paper put forward some proposals such as increasing and optimizing governments'investment, adjusting the medical licensing examination requirements, implemen-ting a mechanism of medical risk sharing , introducing medical talents in multi-channel, carrying out different old-age security and conducting the continuing education based on the actual situation of rural doctors.%乡村医生是农村居民健康的守护者，乡村医生队伍的状况直接关系着我国农村卫生事业的发展。比较医改前后的数据发现，2008－2013年乡村医生数量增长22．49％，其中执业（助理）医师数量增长143．56％。乡村医生队伍面临的困境是收入与付出不相符、执业化进程缓慢、执业风险增大、人才队伍补充相对不足、养老保障机制不健全、继续教育流于形式等。建议加大政府投入并提高资金使用效率，调整执业资格考试要求，建立医疗风险互助机制，构建多种人才补充渠道，实施不同的养老保险政策，开展基于乡村医生特点的继续教育。
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