Chapter 205 Tuya's Reform, Cardiac Disorder Treatment
Zhou Can wondered secretly, isn't Du Leng working with Wu Baihe in the Department of Neurosurgery?
Why did you end up in the general surgery department?
"I believe that many people have recognized the young and promising doctor next to me without my introduction. His name is Du Leng, and he graduated from Johns Hopkins University and has obtained a doctorate degree. After a year of training in the neurosurgery department of our hospital, he is now preparing to develop in the general surgery department. Let us welcome Dr. Du with the warmest applause."
Xia Huaian, the department director, led the applause.
The audience immediately burst into warm applause.
Zhou Can secretly wondered, although the growth cycle of neurosurgery is a little longer, but in terms of prospects, it is much better than general surgery. Is Du Leng crazy, or what's going on?
"Please take care of me in the future, colleagues! Thank you all!"
After the applause died down, Du Leng bowed to everyone.
He behaved politely, which greatly increased everyone's liking for him.
"I have called you all to this morning meeting today. First, I welcome Dr. Du, a super talent, to join our general surgery department. Second, I want to announce to you that from now on, the hospital will integrate general surgery, digestive surgery, and hepatobiliary surgery for strategic development considerations. These departments will be divided into multiple medical teams to carry out diagnosis and treatment competitions. The teams with outstanding performance will have the opportunity to obtain the qualification to establish a sub-department."
When the news came out, the doctors in the general surgery department were greatly encouraged.
In the past decade or so, Tuya has been working hard to reform the hospital's internal departments, management systems, and talent introduction.
To put it simply, digestive surgery is the gastrointestinal surgery that was separated from general surgery.
Hepatobiliary surgery is also a sub-department.
At present, the development of these two separated departments is not very good.
The structure of general surgery also needs to be optimized urgently.
That's why there is this reintegration and sub-department establishment.
In order to enhance the competitiveness of the department.
This truly makes Tuya Hospital a top hospital with top comprehensive strength.
Instead of being like it is now, neither going up nor down, and weak in all aspects.
The current president of Tuya, Zhu, has great ambitions and is determined to fulfill the great dream of the previous presidents, and to build Tuya Hospital into a leading super tertiary hospital in China.
The reform of the talent structure has begun to show results. Many departments have been replaced with fresh blood, most of whom have postgraduate degrees or above.
Those old comrades with low education and mediocre medical skills have either retired.
Or it has already been obtained to the second or third appendix.
Tuya General Hospital has achieved younger and more highly educated talents.
With this foundation in place, the next step is to optimize the department.
For safety reasons, the weighted departments will maintain their status quo, and the general surgery department, which has performed poorly, will become the first experimental department for reform.
This reform actually started seven years ago.
A digestive surgery department was separated from general surgery to treat gastrointestinal surgical diseases. Then three years ago, a hepatobiliary surgery department was separated from general surgery.
The experimental results were somewhat disappointing.
That means this operation is not advisable.
Not only did the reform fail to create a strong department, but it also seriously weakened the strength of general surgery.
The reform plan formulated by the hospital this time should have learned from the valuable experience of the previous two attempts at reform.
Du Leng must have smelled something, and at this juncture, he chose to join the general surgery department and participate in the competition among the various groups. He wanted to take advantage of this department reform opportunity to climb up in one fell swoop.
Under normal circumstances, even if he is a returned overseas PhD, it would be difficult for him to succeed in becoming a leader in a certain discipline in the department without seven or eight years.
Because there are quite a few doctoral students in Tuya Hospital.
Even though many of those people are only doctoral students trained in China, their academic qualifications are no different from those of foreign doctoral students.
Even if there is a difference, it is caused by the employers' worship of foreign things.
At the national policy level, there is no difference between the two.
"Doctor Du, you can choose from all the medical teams in our department, as well as all the medical teams in the digestive surgery department and the hepatobiliary surgery department. Here are the introductions to the leaders of all the teams, as well as the members of this team."
There are about 130 doctors in the entire general surgery department, including the digestive surgery and hepatobiliary surgery departments that have been separated.
Regular training and internships are not included.
There are nearly thirty chief physicians, twenty-nine associate chief physicians, and the rest are attending physicians and residents.
From this we can see that chief physicians and deputy chief physicians account for nearly half.
It is not that it is easy to get the title of senior or associate senior, but those who can stay are all senior or associate senior. Attending doctors, residents, trainees, interns, and advanced students are the main force of the work.
If these people cannot be promoted for a long time or feel that their future is bleak, they may jump to other units.
There are also many people who change their careers or engage in administrative work.
Being a doctor is not something that everyone can handle.
The pressure is high, the work and rest schedule is irregular, and the risk is extremely high. Even if I am making a baby with my wife at night, if I receive a call from the hospital about rescuing a patient, I have to put on my clothes and rush over immediately, not even a minute late.
Because every second counts in rescuing patients.
There are countless invisible risks in the process of surgery, diagnosis and treatment, and a single misstep could lead to eternal regret.
For example, Dr. Xu is the best example.
A surgical error directly demoted him from a top surgeon to an unknown attending physician in the emergency department.
If it weren't for his strong heart, he would have given up the profession of doctor long ago.
That kind of psychological gap is really not something that ordinary people can bear.
"I'll choose Director Yang Qing's group!"
Du Leng did not ask Director Yang, the team leader, whether he would agree.
After directly choosing this group, he was full of confidence, without asking Yang Qing's opinion. Not only would the other party accept him, but he should also be particularly happy.
Zhou Can has been in general surgery training for more than a month and has a basic understanding of the various groups within the department.
Director Yang Qing is extremely powerful among the many chief physicians in general surgery, and ranks among the top three in both academic and surgical abilities.
In terms of comprehensive strength, Yang Qing's team is the strongest team in general surgery.
Du Leng just glanced at the team list casually and chose to join Yang Qing's team. This means that before he came, he already had some understanding of the strength of each team in the general surgery department.
"Welcome Dr. Du to join our team! Welcome!"
Yang Qing is a 'young chief' physician in his early fifties.
For most doctors in Tuya, being promoted to chief physician at the age of 45 is a great honor. Being promoted to chief physician before the age of 55 is still a very lucky thing.
If you are over 55 and still haven't been selected, the pressure is huge.
Because most male doctors retire at the age of 60, a few experts and professors can delay retirement to 65.
Director Yang Qing is only in his fifties but he has such strong abilities. He has great hope of competing for the position of department leader in the future.
In his personal profile, Director Yang Qing specializes in the two major surgical fields of pancreas and breast.
He is one of the few chief physicians who specializes in two major fields at the same time.
Du Leng walked over quickly and shook hands with Yang Qing.
At this critical juncture when the department is about to undergo reform, Yang Qing and other team members are very happy to have such an outstanding talent join the team.
Not to mention anything else, the fact that Du Leng can produce four or five SCI-level papers a year is enough to make him popular.
Tuya General Surgery published 38 SCI papers last year.
With so many chief and deputy chief physicians, they have only published 38 SCI papers in total, which shows how difficult it is.
Many chief physicians may not be able to produce a single SCI-level medical paper in a year.
Du Leng was able to publish several SCI papers in his first year of work. His academic strength makes him stand out in the entire Tuya.
This is also his greatest advantage and highlight.
"Everyone will compete in treatment groups for about a month. They will be scored on multiple comprehensive dimensions, including the accuracy of outpatient and emergency diagnosis, the length of stay of inpatients in the group, cure rate, satisfaction rate, accident rate, mortality rate, etc. Those who rank higher will have the opportunity to form a sub-department."
Department director Xia Huaian announced the competition rules.
The length of hospital stay is an important criterion for judging the medical team's diagnostic and treatment capabilities. Only by quickly and accurately identifying the cause of the disease, arranging surgery quickly, and ensuring the success of the surgery, as well as providing adequate postoperative care and medication, can the patient be discharged from the hospital in a very short time.
On the contrary, a poorly performed surgery, inaccurate medication, or even misdiagnosis may result in a prolonged hospital stay for the patient.
"Director Xia, the number and types of patients seen are determined by the doctors in the group. Some groups see more patients and a single type of patient, which gives them a great advantage. This is definitely unfair to the competition."
Some people protested.
Even a fool knows that as long as the group has a famous doctor, it will have a great advantage.
Because many patients register to see famous doctors.
For example, Yang Qing is good at treating pancreatic and breast diseases, and most of the people who come to him for treatment are from these two categories.
"There's nothing unfair about it. This competition is to identify which areas of diagnosis and treatment each group excels in. Then we will select the strongest group to build a corresponding sub-department. In the future, the doctors in that group only need to focus all their energy on studying the diagnosis and treatment of diseases in this field, which will make the department more competitive."
The cases in general surgery are inherently complicated.
The purpose of comprehensively building multiple sub-departments proposed this time seems to dismember the entire general surgery department.
In fact, it is proposing a new purpose, that is, to leave professional matters to professionals.
Subdividing departments not only helps patients register and seek medical treatment accurately, but also helps doctors treat diseases in their areas of expertise.
"Don't worry about unfair competition. Even if one of your teams only sees one patient this month, as long as you cure that patient, you still have a chance to win. This time, the evaluation not only looks at quantity, but also quality."
After Xia Huaian said this, everyone felt much more at ease.
Each treatment group has its own characteristics, and everyone is confident in their own strength.
"Also, if you feel that your group is not strong enough, you can also take the initiative to apply to join other strong groups. In short, the purpose of competition is to eliminate the weak and make the strong stronger. It also encourages weak doctors and doctors who are just idling around to improve. If they don't improve, they may be eliminated."
The sword is pointed directly at those doctors who are just wasting their time.
Including some chief physicians and deputy chief physicians, there are many people who just want to get by.
Many doctors feel that their lives are complete after being promoted to associate senior or senior positions, and they don’t want to work so hard anymore.
Start lying down in various positions.
The hospital's diagnosis and treatment efficiency has also plummeted.
This reform is to make those who are just idling away their time have nowhere to hide.
This will undoubtedly affect the interests of some people. Therefore, the hospital management is very cautious about this trial reform, and will only pilot it in general surgery. If successful, it will be promoted to other departments.
This is equivalent to boiling a frog in warm water, which eliminates those clinicians who are just slacking off.
If we start by targeting all the doctors who are just slacking off, and they unite to protest, it will be difficult to implement the reform.
The hospital is not a hospital belonging to a particular individual, but a relatively democratic unit.
"The meeting is adjourned!"
After Xia Huaian announced the competition rules, he was the first to leave the meeting room.
The other doctors were not in a hurry to leave, but instead were discussing the matter. Those who needed to form a group formed a group, and those who needed to seek support sought support.
"Director Liu, there are only a few of us in our group. Should we find a stronger group to join?"
Song Ze asked worriedly.
Everyone knew that if they won the competition this time, they would have a chance to become the head of the sub-department, and the other doctors in the team would also be able to rise to prominence.
Director Jia is 59 years old and is about to retire.
He has been striving for a senior professional title in recent years, but his hope is slim, which inevitably makes the doctors who follow him worry about their future.
"I'm already old, and even if I change my ways, I can't be the first wife. There's no need for me to be inferior to others and have to look at their faces. You're all still young, and if you don't have confidence in this group, you can try to join other groups."
Director Jia has two attending physicians and three resident physicians under him.
Including him, there were only six people in total.
If we count interns and trainees, the number will be quite large.
"I'm used to following Director Jia. I'll take this opportunity to give it a try. Maybe I can build up some momentum for the associate senior professional title. Even if our group ranks really low in the competition, the hospital won't fire us."
He Hansheng's position is quite firm.
This means he is prepared to follow Deputy Director Liu until the end.
Song Ze proposed to join other groups at this time because he was actually afraid of losing the initiative.
If he joins in advance and the group wins, he will be the hero. If he joins after the sub-department is built, he will be very passive.
"I was brought up by Dr. He and Director Liu, so I'm not going anywhere."
A resident doctor followed suit.
Song Ze and the other two residents remained silent.
When faced with major decisions of interest, human nature becomes extremely realistic.
"Again, as long as there is a suitable group willing to accept you, you can join other groups at any time. I won't have any objection."
After Deputy Director Liu finished speaking, he left.
Song Ze's eyes darted around, obviously ready to find another way out.
Zhou Can was originally just a resident intern and didn't care about the reform of general surgery. He wanted to return to the emergency department after completing his resident intern.
No matter how noisy it is here, it has nothing to do with him.
Back in the doctor's office, he continued to review the unfinished cases, and then followed the attending physician He Hansheng to make rounds.
At 9 a.m., Deputy Director Liu will start the first operation.
Zhou Can and an intern took the patient who needed cardioplasty surgery into the operating room.
This patient had severe dysphagia and food regurgitation and was diagnosed with achalasia.
The patient received treatment in the internal medicine department, but the effect was not good.
Then, under the doctor's advice, he went to the surgery department for surgery. However, he was unwilling to undergo esophageal dilation surgery, so Deputy Director Liu prescribed a cardiaplasty surgery to treat his condition.
This type of surgery is rarely performed anymore.
Because most of them are treated by esophageal myotomy.
Cardioplasty is generally used for achalasia, poor response to medical treatment, obvious esophageal dilatation and flexion, or combined with other pathological changes, such as supradiaphragmatic diverticulum, hiatal hernia, or suspected cancer.
It was Zhou Can’s first time to participate in this kind of operation, and he was quite looking forward to it.
Learn it, it will definitely come in handy in the future.
