Great Power

If you want to be a doctor in the United States, you need to complete your university education, and you must also study pre-medical courses well, and use good academic and academic graduation scores, medical school entrance exam scores, social work experience, and letters of recommendation from teachers and professors. It is possible to pass the admission to the medical school.

And if all goes well, that is, with good academic performance and sufficient tuition support, then after being admitted to the medical school, a college student will have to take two years of basic medical courses before he can enter the hospital at the beginning of the third academic year. The teachers learn clinical knowledge and formally become trainees like Bernard in the fourth year, rotating in various departments in the hospital according to the length of time.

Of course, at this time, the hospital will arrange which department these people should start with according to the requirements of the interns, that is, like Bernard's request to start with the emergency room, the school will regard his request as the first condition. .

Only during the internship, Bernard still has a long way to go. He has to prepare for the STEP2 exam of the USMLE, which is the MD degree exam for the Doctor of Medicine, while consuming all his energy every day.

And this is only the first step to become a doctor. The subsequent residency program is like a college student studying for medical school. The MD who gets the doctor of medicine also needs to go to all the medical doctors in the United States-that is, to include All MDs, including the past and recent years, compete for the number of residency training.

Similar to the previous medical school facing college students, the residency training program is also a two-way choice. The major hospitals across the United States refer to the applicant’s academic qualifications (university) and work experience (the admissions of medical schools in the United States are not the same as the previous ones. A bachelor's degree certificate is all right. Many college students who are not satisfied with the status quo after graduation can continue to apply for the exam) and research experience (the results of the university stage) for admission.

It’s just that even such a strict residency training program has three directions of MD residency and PhD residency, and a combined MD and PhD joint training program. Simply put, it is clinical and scientific research and clinical research that combines the two. Type-the doctor and scientist training program that Zheng Jianguo is now participating in.

A training program that only enrolls about 500 people worldwide each year.

Therefore, when Bernard followed Bertha to participate in the 24-hour and 36-hour shift training programs every day, Zheng Jianguo was able to enjoy a leisurely journey from eight to five in the morning, living a more comfortable learning experience than Wall Street financiers.

Of course, even if Zheng Jianguo can participate in this training program, he still has to follow the mandatory learning process. He has been in the emergency room for more than two months. In addition to performing debridement and suture operations on the patient, he also has the door to the operating room. I haven't been in yet, and I'm just attending the meeting as an observer at the morning meeting every Monday.

It’s only after so long that Zheng Jianguo has a personal understanding of this requirement. The first year of inpatients is mainly to learn how to manage patients, that is, to track the course of the disease and confirm the doctor’s order in the face of patients who have been admitted to the hospital. This is in English. There is also a special word to describe it-Intern.

Intern does not have the right to accept patients. It needs to be a senior inpatient, that is, at least under the leadership of a Resident in the second year of training to start the diagnosis and treatment of patients.

Resident doctors at this time already have greater rights. In addition to managing patients, they can also participate in the morning meeting every Monday to summarize and learn about intractable diseases or medical problems that occurred in the previous week, and can be used when nothing is wrong. Go to the operating room to help, that is, only then will you have the opportunity to come into contact with surgery.

However, this is not absolute. If the attending doctor allows it, that is, with authorization, for example, after Zheng Jianguo entered the emergency room, director Nathan Beckson gave him the right to participate in the Monday morning meeting.

It is a pity that until this time, the two attending doctors in the emergency room, Nathan Beckson and Oliver Agas, had never let Zheng Jianguo into the operating room. Although his performance was still extremely dazzling, it was only in In the Resident stage, Pliny's permission was sutured.

Like the first two, residents in the third year have greater rights. Chief Resident, represented by Bertha, is also the chief resident—this is not the recognition that can be obtained with the increase in training years, only Very few Residents are good enough to become chief residents.

Bertha's rights in the emergency room are second only to the two attending doctors. In addition to managing inpatients, he also manages the low-age Resident and Intern, and organizes teaching rounds and discussions on deaths and difficult cases at Monday morning meetings. , You can also arrange surgery, consultation, schedule, and you can participate in any surgery.

In addition to allowing Intern to enter the operating room and access to scientific research work-

This is also the reason why Zheng Jianguo approached Bertha. She is now an excellent chief resident. The next step is to wait for another two years until the training is completed, so that she can obtain the qualifications of independent practice and become a real doctor.

It’s just that doctors who have reached this stage are really just doctors. This position is only on the second level of the pyramid of the medical care system, and the level that wants to climb to the upper level is the highest attending doctor in this system. It also needs to be trained by specialist doctors of different lengths.

The reason for the different lengths is based on the scope of the department. The lowest physician needs three years of training, while the longest neurosurgery requires seven years. This is why most of the attending doctors are over 40 years old. .

Because it is calculated according to the normal age of 18 to enter the university, 4 years of university, 4 years of medical school, 5 years of residency, and 3 years of internal medicine specialists. This is all 35 years old. If you delay in the meantime, what They are all around 40 years old.

Even if Zheng Jianguo became a resident at the age of 18, it would take 8 years to conservatively estimate his graduation time based on the shortest internal medicine training. This is why he chose the emergency room as a resident training.

As 23 medicines that were only recognized by the American Medical Institutions last year, everything about emergency medicine is still being consolidated in the groping. Just looking at the dignified Massachusetts General Hospital emergency room without an ICU, you know that the construction of this medicine is still There is a long way to go.

Of course, as a brand-new emerging discipline, emergency medicine's resident and specialist training system is not yet mature. There is no rigid plan made by medical management agencies like internal medicine and neurosurgery. The hospitals in various places have explored themselves.

Putting it on Zheng Jianguo, it’s like he saw the postgraduate enrollment method before entering Qi Province Medical College, because the goal of specialist training is to focus on the research results of scientific research, that is, the need to obtain specialist training After the plan, you need to go to the laboratory to do scientific research.

So here comes the key point. Zheng Jianguo is now accepting the MD joint PhD training program. Although the PhD content is not the Helicobacter pylori program in the emergency room, even the HIV virus laboratory that has not been established is not in this category.

But for Zheng Jianguo, the scientific research projects that can be done in the emergency room are at your fingertips. From the multi-department consultation of critically ill patients, the classification of the emergency system and the establishment of ICU, any one can allow him to complete the training of specialists in emergency medicine. You must know that these are currently not even available in the emergency room of Massachusetts General Hospital.

It’s just that Zheng Jianguo knows that these things can’t be done overnight, plus since the introduction of Helicobacter pylori, he has published the integer quantum Hall effect with Professor Thomas of MIT, and the fractional quantum Hall published with Fisher of Harvard University The thinking brought by the effect made him know that if he wants to get the Nobel Prize as quickly as possible, he cannot eat alone!

As the saying goes, eating alone and making green shit, Zheng Jianguo holds the name of the discoverer of Helicobacter pylori in his hand, which is enough for him, and divides the unclear graphene results to Thomas and Fei. Scheer, will increase the cascading effect of the halo on his head to some extent.

If many people win the Nobel Prize, they are also the Nobel Prize winners. They will not reduce their authority in the field because of the number of winners. They can even build their own sphere of influence by relying on these relationships. Together with Thomas and Fisher for the graphene award, people will also know that he discovered graphene!

Talk and laugh with promises, no red blood!

This is how the scholarly clan was made?

A few days after joining the Harvard Club, Zheng Jianguo realized the importance of power and circle, especially when this power and circle surpassed ordinary people, imagine the research direction of graphene and Helicobacter he is now the dominant player. It has gathered two academic groups, namely Professor Thomas and Fisher and the American Society of Gastroenterology.

At this time, new hot spots were fostered by HIV, as well as the subsequent research results in the direction of emergency medicine-so as the chief resident of the emergency room of Massachusetts General Hospital, Bertha became the target of Zheng Jianguo.

Putting aside some dazzling appearances, Bertha, who became chief resident physician at 28, is young enough. He received his undergraduate diploma in classical literature at 22, graduated from Columbia Medical School at 26, and received the Massachusetts General Manager in that year. In the hospital's resident plan, he successfully became the chief resident of the emergency room in the third year. By now, he has a perfect student life.

Of course, the reason why Zheng Jianguo chose Bertha over Pliny was not because of the contrasting appearance, but the latter's big mouth made it difficult for him to give him discoveries and follow-up studies at the level of HIV.

After all, there may be people who like to listen to gossip from the big mouth, but no one likes their gossip being spread everywhere. What's more, if HIV, a research hotspot in the next 20 to 30 years, leaks out, it might not happen. Attracted many competitors.

It’s just that Zheng Jianguo has no certainty about attracting Bertha. According to the conventional resident training model, she is now in the critical period of chief resident. As long as she stays in this state for two more years, she is afraid that she will become At the age of 30, he got a place for specialist training.

Fortunately, as mentioned earlier, the training of emergency medicine specialists is still being explored, and how to conduct research in this field is still unknown. Zheng Jianguo put HIV in front of her at this time, and also wants to see if she has research skills. The characteristics of the personnel-a combination of curiosity and forward-looking in the basic subject area.

Curiosity is the basic characteristic of all outstanding scientific research workers. This has a high degree of compatibility with Bertha's professional training two years later. In other words, it is her power source in the field of scientific research.

Foresight is based on curiosity, coupled with up-to-standard analysis, focus and adaptability, and then make a cognitive judgment on the direction of the research content. Simply put, whether Bertha can see The value brought by this unknown virus, although this is a bit demeaning her comprehensive basic qualities.

Because people are curious, and similarly, there is no doctor who does not like unknown viruses. As a result, Bertha agreed to this request without even thinking about it, even though Zheng Jianguo had given her a hand before. Give her the job of tracking Jacqueline's blood virus analysis.

Only in this way, Bertha’s post of chief resident physician cannot continue. She needs to be transferred to the laboratory of the Digestive Center across departments to be a researcher. Putting aside the unknown prospects of HIV, how can she not talk about it? The training of the chief resident physician is even in vain.

Zheng Jianguo knows that this is HIV, and he has the ability to bring Bertha back to the emergency room in the future to complete the inpatient training program, and even take her to complete the subsequent specialist training projects.

However, Bertha didn't know all of this. She only relied on her personal comprehensive quality to judge the importance of the HIV virus, and even gave up the three-year training program for this!

In Zheng Jianguo's view, Bertha has all the qualities his partner needs. Of course, this idea only ends when he hears the conversation between Bernard and George.

"I found a boyfriend who is 12 years older. Bertha is afraid that he has a serious Electra plot—"

The faces of Bertha and George flashed in his mind. Zheng Jianguo's previous thoughts were already a little worried at this time. Fortunately, his principle of doing things is to do his best, and then he can resign. Out of the emergency room in a short sleeve coat and tie.

At 9:38 in the evening, the temperature in Boston was still as high as 30 degrees. Zheng Jianguo, who had just left the emergency room, was blown by the oncoming heat wave, and the crocodile sandals on his feet accelerated the frequency of his steps.

Soon, Zheng Jianguo got into the Plymouth sedan in the parking lot and quickly turned on the air conditioner and radio, enduring the hotness from his butt, and then he went out of the parking lot with the sirens coming from a distance.

It’s just that when Zheng Jianguo drove the car on Federal Avenue, a sonorous voice was suddenly heard from the radio: "——The People’s Republic of China will be from May 12 to June 10, 1980. From the mainland of the Republic, to the Pacific Ocean at 7 degrees 0 minutes south latitude, 172 degrees 33 east longitude divided into the center, with a radius of 70 nautical miles in a circular sea area, launch a launch vehicle test—"