This doctor has a system

Chapter 361 432.Promotion of professional title

Gao Feng looked at the patient carefully and felt that the old man was in a relatively carefree state. He did not feel any obvious discomfort while inhaling oxygen, but he just said he was a little tired than usual.

"Have you done a chest CT?" Gao Feng asked.

"It's done." The bedside doctor quickly turned on the computer and pulled up the image. "It's said to be a bit of inflammation, but it doesn't look very extensive. Logically speaking, it won't cause obvious hypoxemia."

After looking at the patient's chest CT, Gao Feng fell into thinking.

Fainting, hypoxia, and no problems were found in the skull examination, which is a bit strange.

"What about the electrocardiogram? Why can't I see it?"

"I did it in the emergency room." The doctor in charge of the bed came over with the medical records. "The system there cannot be connected with the ward. They are all paper reports."

The patient's electrocardiogram report showed: sinus rhythm, complete right bundle branch block, T wave inversion (III, AVF, V1V2V3) and prolonged QT interval.

The moment he saw the electrocardiogram report, a flash of lightning flashed in Gao Feng's mind.

"It should be pulmonary embolism!" He said to the doctor in charge of the bedside. "Urgently check for D-2 polymer and do a pulmonary artery CTA to confirm the diagnosis."

"Ah?" The doctor in charge was stunned. Pulmonary embolism? No way?

However, because of Gao Feng's reputation, he did not dare to express his inner doubts. Instead, he sat down and prescribed medical advice.

"How could it be pulmonary embolism?" Someone on the side questioned, "I think it should be a transient ischemic attack."

The person who spoke out was Director Wang Ailing of the Department of Neurology. She was not very fond of Gao Feng.

There is a type of people in the world who just have some brain problems and refuse to admit defeat to anyone. I don't care how awesome you are, I just don't like you anyway.

Director Wang Ailing just looked down on Gao Feng. She couldn't explain why. Maybe it was because she had been working as a team doctor for decades, while he was the director of the department just a year after he came here.

The doctor in charge of the bed was a little embarrassed. He felt that something was wrong with Director Wang. He was a patient in our group and it was none of your business. He had been silent just now, but now that I have asked someone to come over for consultation, he started to beep.

Hey, I tui!

"Director Gao, I'll ask the nurse to draw his blood first." The doctor in charge of the bed smiled at Gao Feng.

Gao Feng was self-righteous, and he didn't pay attention to Director Wang. The other party was obviously hostile to him, and he didn't want to quarrel with such a person.

But Li Youliang on the side was a little unhappy.

"Director Wang, I'm afraid that transient ischemic attack cannot explain the patient's condition, right?" He said aloud, "Director Gao is the professional when it comes to pulmonary embolism. Please don't express your opinion for the time being, lest you have to talk to the patient later. It’s hard to explain.”

Director Wang was very angry. Li Youliang usually smiled when he saw her, but he didn't expect to speak so harshly now. It must have been Gao Feng who caused the bad situation. It was simply disgusting!

"What if it's not a pulmonary embolism? Do you dare to make a bet with me?"

"Bet?" Li Youliang looked shocked, "How can you bet with the patient's life and health? Director Wang, you don't have enough ideological consciousness!"

"How can you, an old doctor, say such a thing? I think you are an old fool."

"Youliang, please stop saying a few words." Gao Feng said with a smile, "Director Wang is so angry that his face is pale."

"Director Wang has good skin and her face has always been white." Li Youliang said, "She is so big-hearted, how can she be the same as me?"

"Really, Director Wang?"

Wang Ailing's teeth are about to break. She is a veteran in neurology. She is used to relying on her elders and giving in to her. Even the director of the department gave her three points. Today, these two young boys are singing together, which is simply too much!

"Anyway, I feel it's definitely not a pulmonary embolism." She said harshly, "Just mess around. Don't blame me for not warning you if it delays the patient's condition."

At this time, Director Xu from the Department of Neurology also came to the ward, and she admitted this patient.

"Pulmonary embolism?" Director Xu also looked confused. Shouldn't pulmonary embolism cause difficulty in breathing, chest pain and hemoptysis?

In fact, this is completely a misunderstanding. The symptoms of pulmonary embolism are diverse and there are no specific identifying symptoms. Some patients have mild embolism and may be asymptomatic, while some may experience symptoms such as shortness of breath, chest pain, or coughing up blood, and some may have syncope as the first symptom.

However, for neurology doctors, this obviously touches on a blind spot in their knowledge.

Seeing the certainty on Gao Feng's face, Director Xu quickly contacted the imaging department and asked to jump in line for an emergency CTPA examination.

CTPA is clinically a CT angiography examination of the pulmonary artery. During the examination, contrast agent is generally used, and rapid scanning and three-dimensional reconstruction are performed, which can reveal the patient's entire pulmonary artery.

Generally, this examination method is used to diagnose pulmonary embolism. It is not invasive to the body and the examination speed is relatively fast. It is currently the first choice method for diagnosing pulmonary embolism.

The results came out quickly, indicating: bilateral pulmonary artery branch embolism.

"Director Wang, come and see." Li Youliang came over to pull Wang Ailing, "Look at what's written here, it seems to be a pulmonary embolism."

"Director, you should come and take a look." Li Youliang said reluctantly, "I didn't wear glasses today. There are too many words written in this report, which made my eyesight dazzled."

Director Wang Ailing just felt like she was shaking with breath and cold.

This patient needs to be transferred to the general medical department for continued treatment. The patient's condition is not serious, the embolism area is not large, and there are no hemodynamic obstacles. Currently, he only needs anticoagulation treatment and observation.

"Look, you are so angry with Director Wang." Gao Feng said, "Your face is distorted."

"You obviously don't respect old comrades."

"This old woman is used to relying on her old age. Last time you went to the consultation, she also made sarcastic remarks." Li Youliang said, "I have long wanted to disgust her."

Did you make a sarcastic comment last time? Gao Feng laughed dumbly, so she deserved it today.

The two returned to the ward and found that the department was very lively.

"What about the meeting?"

"What kind of meeting are you having?" the head nurse said with a smile, "Isn't it time for a promotion? We are just talking about this."

In hospitals, the promotion path of doctors' professional titles is generally resident physician - attending physician - deputy chief physician - chief physician.

Nurses are nurses-nurses-supervising nurses-deputy chief nurses-chief nurses.

In large hospitals, promotion to professional titles is very difficult. Not to mention the ward workload, there are also papers, projects, surgical operations, going to the countryside, and aiding Xinjiang. Of course there are still exams.

Do you think it’s enough to meet the above requirements? You think too much.

Just passing all the qualifications does not necessarily mean you are stable. In the end, the hospital will hire you. The key is that this recruitment quota has a certain number every year.

I still have to say whether it's your turn or not.

Bu Zhengyang should have been promoted to deputy chief physician last year, but he was pushed down. There were too many people and he couldn't get his turn.

Since the provincial medical department hired some senior doctors, deputy senior doctors and attending physicians the year before last, the recruitment work has basically stopped. There are only a few places each year for three consecutive years. Therefore, this year, there are a lot of medical staff to be hired.

Bu Zhengyang passed the defense of chief physician last year and obtained the qualification certificate of deputy chief physician in May. He does not have high hopes for promotion to the title this year.

Because in the past two years alone, there have been more than thirty doctors who have obtained senior and deputy qualifications, and there were still many chief physicians who needed to be hired the year before last. With only a dozen limited places, there are more wolves than meat, so competition is naturally abnormal. It was so intense that Bu Zhengyang basically had no chance.

Today, the hospital announced the evaluation criteria for professional title promotion, including scoring indicators in basic information + planning and training + information department + medical department + medical insurance department.

Bu Zhengyang didn't even bother to do the math, it was definitely not his fault.

The head nurse should also be promoted to chief nurse this year. She obtained the qualification of chief nurse the year before last. As one of the best head nurses in the hospital, the head nurse has superb professional skills and outstanding leadership skills. She is eloquent and eloquent every morning when she comes to work. She is full of lofty ideas and has trained all the nurses to be healthy and healthy. The training is also extremely strict, creating a strong nursing team.

The head nurse is a perfect personality. He can give 100 points but never 99 points. At that time, everyone felt that the head nurse's promotion was almost a certainty.

But when the list came out last year, her name was not on it.

The head nurse went to the boss, who asked her to do her job well and not to take this job title so seriously.

"You need to carry forward the spirit of self-sacrifice for others."

"Do a better job and you will definitely have hope next year."

The head nurse knows this matter well, so there is definitely hope, but not much.

Gao Feng kept this in mind. He felt that the head nurse could wait, but Bu Zhengyang, the deputy chief physician, still needed to be promoted as soon as possible.

There are currently only two senior professional titles in the Department of General Medicine. One is Director Fan Ruhou. He used to be a professional in the field of medicine. He is now on a mission to aid Xinjiang and only came back in June this year.

The other one is Director Chen Yunyan. He is an old comrade. He used to practice geriatric medicine and his professional skills are very good. However, he is about to retire now. He usually only carries out ward rounds and outpatient visits. He is a little exhausted.

The department now needs one or two more senior professional titles.

Bu Zhengyang is a doctor, his professional skills are pretty good, and he usually works hard in the department. Gao Feng feels that he should give someone an explanation for his feelings and reasons.

"Youliang, what's the situation with this professional title in our hospital?" Gao Feng asked, "Why didn't we follow the normal procedures in the past few years?"

Li Youliang really knew this, and Gao Feng learned the whole story from his mouth.

In the past, it was actually very simple. As long as the qualification certificates of deputy senior and senior senior staff were obtained, the hospital would hire them. There were not so many scoring criteria.

Even if there is no official recruitment quota, the hospital can still hire internally first.

The so-called internal recruitment means that although there is no formal quota, the hospital can hire you first and increase your salary in advance. However, this will definitely be a disadvantage compared to formal employment. Pension, medical insurance, and other benefits are still the same as before.

But this situation was stopped by the hospital leaders the year before last.

"At that time, there were 16 people to be hired in the internal medicine system," Li Youliang said, "but the official quota was only 10."

The deputy dean in charge of this area waved his hand and asked everyone to sort them by age. The ten older people stood together. These were the people to be hired. The other six younger people were excluded from the scope and were considered unsuccessful. team members.

The vice president said: We will hire ten of you this year based on years. The six of you will show your style and hire internally first. If there is a formal quota next year, you will be hired first.

The first ten people had vested interests, so they naturally remained silent. Among the six unsuccessful people, four female doctors and one male doctor also remained silent. Everything was fine at first, and the leaders had made arrangements, but something went wrong at this time.

A "Cheng Yaojin" came out halfway.

The person who stood up was Dr. Zhou from the Department of Gastroenterology. He neither had the indigo face and red eyebrows like Cheng Yaojin, nor was he eight feet tall, broad-shouldered and round-waisted like others. But Dr. Zhou

He was definitely a "good guy" among the junior students. He directly faced the dean and said, "They can hire him, why can't I hire him? I don't agree!"

The scene was very embarrassing for a time. The absolute authority of the leader was greatly challenged. The young doctor dared to challenge the power. The leader's heart was also churning.

Just when everyone was at a loss, the leader made a remorseful move: "Okay, since some people disagree, then everyone should not be promoted!" Then, the leader walked away.

As a result, these 16 people were delayed in getting hired, and several of them have not been hired this year.

At that time, the eleven surgeons who were promoted to associate professor with them were also faced with the same situation. There were eight places, and three of them had to be eliminated. The dean also selected them based on age. The three brave surgeons took the overall situation into consideration and gave up their "promotion". Taking righteousness finally fulfilled everyone.

The Eight King Kongs were quickly hired that year, and the other three were successfully promoted after half a year. It can be said that everyone was happy.

"This is what caused the trouble." Li Youliang said, "It became more and more troublesome later on."

Nowadays, there is no regard for seniority at all. It is based on points every year. If you don’t have high points, you will not be able to get your turn in the rankings for the rest of your life.

"Is there no chance for Bu Zhengyang?"

"There will definitely be no chance of success this year." Li Youliang simply calculated the points. "He has no articles and has not gone to the countryside. He is just like a naked monkey."

"But there is a strong need for a senior professional title in the department, and now the second line is a bit overwhelmed." Gao Feng said worriedly.

"Okay, I'll combine it with him again." Li Youliang said, "Anyway, the date ends in May. I'll see if I can operate it reasonably within the framework."

In fact, there are still many places where it can be operated.

For example, in terms of scoring, Gao Feng, as the head of the department, can give Bu Zhengyang full marks. You can also focus on teaching, since other people in the department don't need this for the time being anyway.

This part of the article can also be manipulated. It is just a matter of name anyway. With a stroke of his pen, Gao Feng added Bu Zhengyang's name to the fourth article submitted to Nature magazine.

"It's easy for this kid." Li Youliang said with a smile, "Everyone is busy begging grandpa to sue grandma. It's good for him. Without knowing it, I made things difficult for him."

(End of this chapter)