社区正高职称评审确实通常是需要论文的，特别是在医学领域。大多数省份都有明确的论文发表要求，比如至少发表3篇以上的国家级或省级期刊文章。像在山西省，正高职称要求省级机构要有3篇以上的论文发表，市级机构至少2篇[国务院：医师职称评将大改革（附：目前最全各省高级职称论文要求）|国务院|职称|医师|论文|各省|期刊|医学|-健康界](https://www.cn-healthcare.com/articlewm/20200912/content-1145122.html#:~:text=5%E5%B1%B1%E8%A5%BF%E7%9C%81%E5%8C%BB%E5%AD%A6%E8%81%8C%E7%A7%B0%E8%AE%BA%E6%96%87%E5%8F%91%E8%A1%A8%E8%A6%81%E6%B1%82%20%0A%0A%E5%B1%B1%E8%A5%BF%E7%9C%81%E6%99%8B%E5%8D%87%E6%AD%A3%E9%AB%98%EF%BC%9A%E7%9C%81%E7%BA%A7%E5%8C%BB%E7%96%97%E6%9C%BA%E6%9E%84%E5%8F%91%E8%A1%A8%E8%AE%BA%E6%96%873%E7%AF%87%E4%BB%A5%E4%B8%8A%3B%E5%B8%82%E7%BA%A7%E4%BB%A5%E4%B8%8B%E5%8C%BB%E7%96%97%E6%9C%BA%E6%9E%84%EF%BC%9A%E5%8F%91%E8%A1%A8%E8%AE%BA%E6%96%872%E7%AF%87%E4%BB%A5%E4%B8%8A%3B%E4%B8%AA%E4%BA%BA%E8%91%97%E4%BD%9C%E4%B8%80%E9%83%A8%EF%BC%8C%E4%B8%AA%E4%BA%BA%E6%89%BF%E6%8B%85%E4%B8%8D%E5%B0%91%E4%BA%8E10%E4%B8%87%E5%AD%97%E3%80%82%0A%0A%E5%B1%B1%E8%A5%BF%E7%9C%81%E6%99%8B%E5%8D%87%E5%89%AF%E9%AB%98%EF%BC%9A%E7%9C%81%E7%BA%A7%E5%8C%BB%E7%96%97%E6%9C%BA%E6%9E%84%E5%8F%91%E8%A1%A8%E8%AE%BA%E6%96%872%E7%AF%87%E4%BB%A5%E4%B8%8A%3B%E5%87%BA%E4%B9%A6%EF%BC%8C%E4%B8%AA%E4%BA%BA%E4%B8%8D%E5%B0%91%E4%BA%8E3%E4%B8%87%E5%AD%97%EF%BC%8C%E5%8F%91%E8%A1%A81%E7%AF%87%E8%AE%BA%E6%96%87%E3%80%82%E8%AE%BA%E6%96%87%E5%BF%85%E9%A1%BB%E5%9C%A8%E2%80%9C%E4%B8%AD%E5%9B%BD%E7%9F%A5%E7%BD%91%E2%80%9D%E4%B8%8A%E6%A3%80%E7%B4%A2%E5%BE%97%E5%88%B0%20%0A%0A%E6%8A%A5%E6%9D%90%E6%96%99%E6%97%B6%E9%97%B4%EF%BC%9A6%E6%9C%88%E5%BA%95,14%E9%87%8D%E5%BA%86%E5%B8%82%E5%8C%BB%E5%AD%A6%E8%81%8C%E7%A7%B0%E8%AE%BA%E6%96%87%E5%8F%91%E8%A1%A8%E8%A6%81%E6%B1%82%20%0A%0A%E5%89%AF%E9%AB%98%E3%80%81%E6%AD%A3%E9%AB%98%E5%8F%91%E8%AE%BA%E6%96%87%E3%80%81%E9%80%89%E6%9C%9F%E5%88%8A%E5%9D%87%E5%BA%94%E6%98%AF%E7%A7%91%E6%8A%80%E6%A0%B8%E5%BF%83%E6%9C%9F%E5%88%8A%E4%BB%A5%E4%B8%8A%E7%9A%84%E6%9D%82%E5%BF%97%EF%BC%8C%E5%9B%BD%E5%AE%B6%E7%BA%A7%E6%9C%9F%E5%88%8A%E3%80%81%E7%9C%81%E7%BA%A7%E6%9C%9F%E5%88%8A%E5%8F%AA%E8%83%BD%E5%81%9A%E4%B8%BA%E5%8A%A0%E5%88%86%E7%94%A8%EF%BC%8C%E7%89%88%E9%9D%A2%E6%97%A0%E8%A6%81%E6%B1%82%E3%80%82%0A%0A%E6%8A%A5%E6%9D%90%E6%96%99%E7%9A%84%E6%97%B6%E9%97%B4%EF%BC%9A%E3%80%96%E5%B8%82%E7%BA%A7%E3%80%977%E6%9C%88%E5%BA%95%E4%B9%8B%E5%89%8D%EF%BC%8C%E3%80%96%E5%8E%BF%E7%BA%A7%E3%80%978%E6%9C%88%E4%B8%AD%E6%97%AC%E4%B9%8B%E5%89%8D%E3%80%82%0A%0A15%E6%B1%9F%E8%8B%8F%E7%9C%81%E5%8C%BB%E5%AD%A6%E8%81%8C%E7%A7%B0%E8%AE%BA%E6%96%87%E5%8F%91%E8%A1%A8%E8%A6%81%E6%B1%82%20%0A%0A%E6%B1%9F%E8%8B%8F%E7%9C%81%E5%89%AF%E9%AB%98%EF%BC%9A%E8%87%B3%E5%B0%91%E5%8F%91%E8%A1%A82%E7%AF%87%E7%9C%81%E7%BA%A7%E4%BB%A5%E4%B8%8A%E7%9A%84%E8%AE%BA%E6%96%87%20%0A%0A%E6%B1%9F%E8%8B%8F%E7%9C%81%E6%AD%A3%E9%AB%98%EF%BC%9A%E8%87%B3%E5%B0%913%E7%AF%87%E4%BB%A5%E4%B8%8A%E7%9C%81%E7%BA%A7%E4%BB%A5%E4%B8%8A%E7%9A%84%E7%9A%84%E8%AE%BA%E6%96%87%20%E6%B3%A8%EF%BC%9A%E6%B1%9F%E8%8B%8F%E7%9C%81%E6%89%80%E5%8F%91%E8%A1%A8%E8%AE%BA%E6%96%87%E7%9A%84%E6%9D%82%E5%BF%97%E5%BF%85%E9%A1%BB%E5%9C%A8%E6%96%B0%E9%97%BB%E5%87%BA%E7%89%88%E6%80%BB%E7%BD%B2%E8%83%BD%E5%A4%9F%E6%9F%A5%E5%BE%97%E5%88%B0%EF%BC%8C%E5%90%8C%E6%97%B6%E6%B1%9F%E8%8B%8F%E7%9C%81%E5%9C%A8%E7%BD%91%E7%AB%99%E4%B8%8A%E9%9D%A2%E6%9F%A5%E5%88%B0%E7%9A%84%E5%88%8A)。不过，也有部分省份针对基层的职称评审做了改革，减少了对论文的严格要求。例如，部分地区正开始探索淡化论文在评审中的权重，特别注重临床实际表现[涉及8000万人的职称评审迎来大变化：打破“天花板”、不唯学历不唯奖项、论文不做“硬杠杠”……_滚动新闻_中国政府网](https://www.gov.cn/xinwen/2021-09/22/content_5638718.htm#:~:text=%E6%AD%A4%E6%AC%A1%E6%94%B9%E9%9D%A9%E4%BB%A4%E8%81%8C%E7%A7%B0%E8%AF%84%E4%BB%B7%E6%A0%87%E5%87%86%E5%9B%9E%E5%BD%92%E5%B2%97%E4%BD%8D%E9%9C%80%E6%B1%82%E5%92%8C%E5%AE%9E%E9%99%85%E8%B4%A1%E7%8C%AE%E3%80%82%E6%AF%94%E5%A6%82%EF%BC%8C%E5%AF%B9%E9%AB%98%E6%A0%A1%E6%95%99%E5%B8%88%E4%B8%8D%E5%86%8D%E4%BB%A5SCI%E3%80%81SSCI%E7%AD%89%E8%AE%BA%E6%96%87%E6%8C%87%E6%A0%87%E4%BD%9C%E4%B8%BA%E5%8F%82%E8%AF%84%E5%89%8D%E7%BD%AE%E6%9D%A1%E4%BB%B6%E5%92%8C%E5%88%A4%E6%96%AD%E7%9A%84%E7%9B%B4%E6%8E%A5%E4%BE%9D%E6%8D%AE%EF%BC%9B%E5%AF%B9%E5%8C%BB%E6%8A%A4%E4%BA%BA%E5%91%98%E5%8A%A0%E5%BC%BA%E5%8C%BB%E5%BE%B7%E5%8C%BB%E9%A3%8E%E5%92%8C%E4%BB%8E%E4%B8%9A%E8%A1%8C%E4%B8%BA%E8%AF%84%E4%BB%B7%EF%BC%8C%E6%B7%A1%E5%8C%96%E8%AE%BA%E6%96%87%E8%A6%81%E6%B1%82%EF%BC%9B%E5%AF%B9%E7%BF%BB%E8%AF%91%E3%80%81%E6%BC%94%E5%91%98%E3%80%81%E8%AE%A1%E7%AE%97%E6%9C%BA%E7%AD%89%E8%A1%8C%E4%B8%9A%E4%B8%8D%E5%86%8D%E5%81%9A%E5%AD%A6%E5%8E%86%E8%A6%81%E6%B1%82%E7%AD%89%E7%AD%89%E3%80%82%0A%0A%E8%BF%91%E6%97%A5%EF%BC%8C%E5%B1%B1%E8%A5%BF%E7%9C%81%E5%8F%91%E5%B8%832021%E5%B9%B4%E5%85%A8%E7%9C%81%E4%B8%AD%E5%B0%8F%E5%AD%A6%E6%A0%A1%E6%95%99%E5%B8%88%E9%AB%98%E7%BA%A7%E8%81%8C%E7%A7%B0%E8%AF%84%E5%AE%A1%E9%80%9A%E7%9F%A5%EF%BC%8C%E8%A6%81%E6%B1%82%E6%A0%A1%E9%95%BF%E3%80%81%E5%9B%AD%E9%95%BF%E5%92%8C%E5%90%84%E7%BA%A7%E6%95%99%E7%A0%94%E5%AE%A4%E6%95%99%E7%A0%94%E5%91%98%E5%A6%82%E6%9E%9C%E4%B8%8D%E4%BB%8E%E4%BA%8B%E5%AD%A6%E7%A7%91%E6%95%99%E8%82%B2%E6%95%99%E5%AD%A6%EF%BC%8C%E4%B8%8D%E5%BE%97%E7%94%B3%E6%8A%A5%E6%AD%A3%E9%AB%98%E7%BA%A7%E6%95%99%E5%B8%88%EF%BC%8C%E5%90%8C%E6%97%B6%E5%8F%96%E6%B6%88%E4%BA%86%E7%94%B3%E6%8A%A5%E6%AD%A3%E9%AB%98%E7%BA%A7%E6%95%99%E5%B8%88%E7%9A%84%E5%A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