Gou in the operating room to add some upgrades

Chapter 228 The situation in the county hospital

Zhou Fuyong is the name of Dean Zhou. He is not tall and slightly fat, but he is very shrewd: "Dr. Fang came to the department in advance?"

This is not the first time that Zhou Fuyong has received and politely invited the corresponding supporting doctors from the Shonan University Affiliated Hospital to the department with the highest standards, but it is rare for him to be recognized by many people in advance.

And Fang Xian doesn't look very old.

"Dean Zhou, when I first came here yesterday, I met with Director Huang and Director Qin. Maybe the two directors were too flattering and introduced them to the people in the department."

"After all, before I came here, I heard that Ci County is a very hospitable place." Fang Xian praised a little.

After officially working, a certain amount of worldliness will make things smoother for you, not just to please.

Zhou Fuyong felt very comfortable after hearing this: "Doctor Fang must also be of outstanding ability. Dr. Fang, our hospital is located in a remote area and the conditions are simple. If there is any lack of hospitality, please forgive me."

"I sincerely hope that Dr. Fang can pay more attention to the development of orthopedics in our hospital. I shamelessly call myself Lao Zhou and thank you." Zhou Fuyong actually bowed slightly, sincerely.

Fang Xian's heart moved slightly when he heard the sound.

If Zhou Fuyong was just for show, he could do it openly in front of more people when he was in the medical department. Now that there are no outsiders, being so polite makes Fang Xian even more aware that Zhou Fuyong is not tall, but he also has good intentions. man of.

"Dean Zhou, you are too polite."

"I will definitely try my best. But maybe my level is average and my ability is limited." Fang Xian is not overly confident.

Zhou Fuyong then brought Fang Xian into the shift room and solemnly introduced Fang Xian's identity.

Zhou Fuyong didn't bring any manuscripts, they were all memories, and he also clearly explained some of Fang Xian's advantages.This process is not long, about three to four minutes.

After speaking, he said: "Director Huang, Dr. Fang is an expert at the Shonan University Affiliated Hospital. If I hear him say that you are uncooperative or anything else, I will only hold you accountable."

"That's definitely not the case, Dean Zhou, don't worry." Huang Bohang respected Zhou Fuyong and gave him the honorific title.

"Then I will go back to the department to do some work first." Zhou Fuyong nodded and left the shift room.

Fang Xian was still standing and receiving the attention of everyone in the department.

Huang Bohang was also very considerate and said: "Now, let me formally introduce to everyone, Fang Xian, Doctor Fang. He is only 27 years old now, but he is a Level 2 physician certified by the Real Medical Association."

"The level is high, there is no doubt about it."

"Dr. Fang's return this time is in response to the national policy and specifically supports the orthopedics department of our hospital. This is a sentiment and a favor to our Cixian County, so we must cherish and seize this opportunity. Do your best to do more practical things for the patients who come to our hospital."

When Huang Bohang said this, he knocked on the table in advance: "Let me tell you in advance that Dr. Fang's gastrointestinal condition is not very good. If there is a banquet, dinner or the like in the future, everyone should be aware of it and don't I just became bored and made others lose face."

"Alcohol should be consumed in moderation. Excessive consumption can be harmful to the body."

"Doctor Fang, do you mind?" After Huang Bohang finished speaking, he specifically asked Fang Xian for his opinion, as if he was afraid that he was causing trouble and that Fang Xian was a drunkard.

"It's best if you don't drink. Teachers, please give me your advice in the future." Fang Xian bowed slightly and sat down.

……

Although during the subsequent shift handover, Huang Bohang searched for difficult and complicated diseases in several departments and asked Fang Xian to perform, Fang Xian did not say much and simply said that he was not familiar with the situation at the moment and would discuss it later during the ward rounds. Think carefully, discuss together, and prevaricate.

Fang Xian came here not to enjoy and accept flattery.

If you have to listen to such praise, once you are in the operating room of the trauma center, during every operation, a professional professor can tell you that Xiaofang's basic skills are solid.

But what Fang Xian needs now is not praise for his solid basic skills.

Rather, they need to improve their professional abilities and professional titles, break away from the era of focusing on basic skills, and formally penetrate into routine medical diagnosis and treatment.

Therefore, adhering to this principle, even when Fang Xian was doing ward rounds, Huang Bohang once again gave Fang Xian face to talk, but Fang Xian did not start talking immediately, but chose to listen first.

First, assess the professional level of the doctors in the group from the side.

Speaking of which, the orthopedics department is not large, and the number of doctors is not particularly large.

There are only four people in the team headed by Huang Bohang.In addition to Director Huang Bohang, there are two other people in charge, Chen Fangzhong and Du Lixiao, and another recent graduate of the regular training, resident doctor Ning Han.

Naturally, 32-year-old Chen Fangzhong and 31-year-old Du Lixiao have not yet passed the first-level physician assessment in the medical association.

It was only because he was in a remote rural area and had policy support that he was recognized as an attending physician by the Medical Association and enjoyed benefits.

There is no way, Cixian County is not wealthy to begin with, and the county's economic development level is average. If everything is treated according to the absolute top hospital standards, whoever wants to come will change their career if they should, and that is not possible.

And if, at the age of 31 or two, you can pass the Level 1 physician certification of the Medical Association, then go to a prefecture-level city hospital, such as Zhang Municipal People's Hospital, and others will be waiting.

The 30-year-old is certified as a first-level specialist. The benchmark is the entry standard of a top teaching hospital such as Shonan University Hospital. The 1-year-old is two years old. Although he is a year or two late, he still has to go to a prefecture-level city hospital, so he will not be unable to get into it. go.

The 35-year-old Level 2 Physician Specialist Level Certification is another one that benchmarks against the entry standards of top teaching hospitals.

That is to say, if you can pass the Level 2 specialist physician certification at this age, you can also try your hand at Shonan University Affiliated Hospital. However, the opportunities and quotas will be fewer than those of young doctors, but it is not impossible.

……

After checking the room, Huang Bohang invited Fang Xian to his director's office. When he returned to his old place, he instinctively wanted to light a cigarette, but considering that Fang Xian didn't smoke, he stuffed it back.

"Dr. Fang, I'm sorry to make you laugh."

"The orthopedics department in our hospital actually only has two or three kittens, big and small, and I just barely passed the level 2 physician certification." Huang Bohang said with a guilty conscience.

Today’s level 2 physician level assessment and certification is too difficult.

The assessment standard is based on the average level of the best [-] specialist attending physicians within five years.

The physician level certification of the Medical Association is to facilitate the advancement of geniuses and is an assessment for climbing the ladder to heaven.For ordinary doctors, it is really a shackles and burden.

Let people see at a glance that you are not worthy of your reputation.

A level 2 doctor holds the title of deputy chief physician, and even a level 1 doctor holds the title of attending physician. Is that not embarrassing?

Fang Xian was actually a little shocked, but after thinking about it carefully, he felt that it was okay.

He said: "Director Huang, the main purpose of being a doctor is to do things and provide medical services to patients, not to take exams. These are all false names. I think the atmosphere here is good."

"We will do the surgeries that we can do. If we can't do them, we will recommend them to higher-level hospitals. It's good to have a solid understanding of the specialties and diseases we can perform."

It’s different from a trauma center where professors walk all over the place and associate professors are worse than dogs.

It's different with professors leading the team, associate professors following the team, attending doctors following behind, and specialties with PhDs and master's degrees all in one place.Why?
Generally, who with a doctorate or master's degree would consider going to a county hospital?

Although it was rumored 20 years ago that county hospitals only require a master's degree, but the so-called county hospital depends on which county it is.How different are the first and second hospitals in the top [-] counties from hospitals in prefecture-level cities?

In a county hospital located in a remote area, you only need a master's degree?

Even now in the 21st century, the 40s, it can make you doubt life.

Because after studying for a master's degree and a doctoral degree, others will definitely want to go outside and develop in big hospitals. Even if you can survive in a private hospital in a developed area, your future and money will be better than in a county hospital.

Huang Bohang pursed his lips and said, "Dr. Fang, let me tell you a little bit about the predicament our hospital and our county are facing now. Even if it's just a rant, please don't take it personally, okay?"

Huang Bohang is in his 40s, has a kind face, and his voice has long had the calmness of an adult man.

Fang Xian nodded quickly: "This is better, Director Huang."

Huang Bohang started first: "Dr. Fang, I definitely did not mean that the physician hierarchy of the Medical Association and the hierarchy of medical skills are bad. I have no such idea at all."

"But in fact, such a system will make it even more difficult for a small hospital like ours to retain people. Do you know why?"

Fang Xian thought for a moment: "Because the strength is concrete? Is it clear at a glance?"

"No!~"

"It's the hierarchy of the medical association and the various skills and abilities on an individual's physician card, which is almost equivalent to a clear price tag!"

"For example, in our hospital, if a new resident physician comes to our hospital, we have an idea of ​​what he can do. So after he joins the staff, his annual salary will be just this little. It will be paid by the state and not much will be allocated based on performance."

"But if you go to Kyoto, Shanghai, or developed prefecture-level cities in Guangdong Province, don't worry about which hospital it is. This number is indispensable."

"I just said that after graduating from the formal training, I will go there." Huang Boyang raised two fingers, representing [-].

"That's the number for a master's degree." Huang Bohang added another one.

Huang Bohang then said: "Someone else clearly marked the price for me like this. If it were me choosing again, would I also go out?"

"To put it bluntly, where are you not working in disguise for a hospital, providing medical-related diagnosis and treatment services to patients?"

"The Medical Association has already arranged the strength. When hospitals recruit, they almost don't need to conduct ability assessments. It's clear at a glance."

Fang Xian was speechless after hearing this.

Because although what Huang Bohang said is cruel, it is a fact.

For example, from the moment he entered the Shonan University Affiliated Hospital to become a regular trainee, all he could think about was how to become a master and how to stay in the hospital.

I have never thought about returning to my hometown of Long County to build my hometown, nor have I ever thought about returning to Chang City to build my second hometown.

Water flows to lower place, man goes to higher position.

If that doesn't work, Fang Xian's first choice is to go to those super big cities, make money and then come back...

"Of course, the advantage of this is that there is almost no possibility of skip surgery."

"With the digitization of strength, the medical association's management of surgical authority will be clearer and more transparent. If you want to do such an operation, then you must go to the medical association to prove that you can do it. If no one in your hospital can perform such an operation."

"Whenever such charges appear in your hospital, it is a big problem. Just get to the bottom of it."

"For patients, this can at least ensure the reliability of medical treatment. There will not be a situation where a small doctor performs a major operation or forces an operation that cannot be performed. This is very good."

"It's this brain drain problem..."

Huang Bohang smiled and shook his head: "Actually speaking, if it is really based on ability, I probably can't be the director. But those capable brothers have all left."

"Those who have jumped to the prefecture-level city hospital, and those who can't, have gone out to make money, but we are the only ones left, as if we are guarding the house. Moreover, this seems to be a cycle."

"If I could make more money, I'd probably leave too..."

Huang Bohang said this without any concealment.

When Fang Xian heard this, he hissed and asked, "Director Huang, can I ask a more sensitive question?"

"What is the normal salary in our department now?"

"Resident doctors are paid 10 lump sums a year, and they have all five insurances and one housing fund. They are definitely not bad in the county. But it is difficult to be rich."

"The attending physician is a bit higher, and can get 12, and the deputy chief physician, for example, me, has almost [-]." Huang Bohang knew that Fang Xian would definitely get a higher salary than him.

Now is the era of the annual salary system, and performance distribution is very small. It is a reward for performance. You can check it if you like. Anyway, it is all allocated by the government and the medical association. Even if there is stolen money, it is paid by you.

Fang Xian frowned again when he heard this.

Compared to TM's eight or nine thousand a month and twenty thousand a month, that's more than double the difference.

It's like staying here depends entirely on feelings.

Moreover, after the digitization of abilities, how much you are worth in hospitals outside may have been clearly marked when others apply for the job.

This is indeed a more difficult problem.

"Director Huang, I think you are all unsung heroes. To be honest." Fang Xian sighed, feeling inexplicably bitter.

Before coming to the county hospital, Fang Xian thought that this system was actually a good thing.But indeed, the dilemma it will face is even greater.

Talent mobility is greater and stronger.

If it is too restrictive, it will tie up a person's future, and no one will want to move up or learn.This is actually a drawback.

If a person can see the end all his life and I can just dawdle, why do I have to work hard for half my life to get this job? I still have to continue to study hard to improve my business capabilities. Don’t I know how to play?

It is certainly impossible for a simple horizontal displacement system to completely make up for the current situation.

Huang Bohang said: "Anyway, just hold on for now, do what you can do, and push out what you can't do. Learn slowly, and run away after you master the skills."

"It's been so many years, it seems like I'm used to it."

(End of this chapter)