实行聘用制是深化医院人事制度改革的一个重要内容。在实行聘用制度过程中，如何调整内部结构、精简人员、竞聘上岗，建立起有激励、有约束、有竞争、有活力的用人制度，笔者认为，应该把好“四关”。1加强宏观管理把好岗位设置关深化人事制度改革，应结合医院的实际情况，在 The implementation of the appointment system is an important part of the reform of the hospital personnel system. In the implementation of the employment system, how to adjust the internal structure, streamline personnel, compete for posts, establish an incentive system that has incentives, restrictions, competition, and dynamism. The author believes that the “four levels” should be improved. 1. To strengthen macro-management and deepen the reform of the personnel system in relation to the establishment of good positions. It should be combined with the actual conditions of the hospital.