If you want to become a doctor in the United States, you need to complete your college education at the same time, take pre-medical courses, and have excellent graduation grades, medical school entrance test scores, social work experience, and letters of recommendation from teachers and professors to be admitted to medical school.

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

Of course, at this time, the hospital will arrange which department these people start from first according to the requirements of the interns, that is, as Bernard asks to start in the emergency room, then the school will take his requirements as the first condition.

It's just that during his internship, Bernard still has a long way to go, and he has to use up all his energy every day to prepare for the STEP 2 exam of the USMLE, which is the MD degree exam to obtain an MD degree.

And this is only the first step to becoming a doctor, and the subsequent residency program is also like a college student entering medical school, and the MD who gets the MD degree needs to compete with all the MDs in the United States, that is, all MDs including previous and current MDs to compete for residency training places.

As with previous medical schools for college students, the residency training program is also a two-way choice, and major hospitals across the United States will select applicants based on their academic qualifications (university), work experience (medical schools in the United States do not have previous years, as long as it is a bachelor's degree, many college students can continue to apply if they are not satisfied with the status quo after graduation), research experience (college thesis results) for merit-based admission.

However, even with such a rigorous residency training program, there are three directions: MD residency and PhD residency and a hybrid MD and PhD joint training program, which is simply clinical and scientific research and clinical research that mixes the two - that is, the doctor-scientist training program that Zheng Jianguo is now participating in.

The training program enrolls only about 500 people worldwide every year.

Therefore, while Bernard follows Bertha to participate in the 24-hour and 36-hour shift training programs every day, Zheng Jianguo can live a more comfortable learning experience than Wall Street financiers from 8 to 5 in the morning every day.

Of course, even if Zheng Jianguo can participate in this training program, he still has to abide by the mandatory learning process, and he has been in the emergency room for more than two months, except for debridement and suturing surgery for patients, he has not even entered the door of the operating room, and he only participates as an observer at the morning meeting every Monday.

It's just that after such a long time, Zheng Jianguo also has a personal understanding of this kind of requirement, and the first year of residency is mainly to learn how to manage patients, that is, to face the patients who have been admitted to the hospital, to track the course of the disease and confirm the doctor's order, which is also a special word to describe in English - Intern.

Interns do not have the right to accept patients themselves, and they need to be supervised by senior residents, that is, residents who are at least in the second year of training.

At this time, the resident doctor has a greater right, in addition to managing patients, they can also participate in the morning meeting every Monday, summarize and learn about the incurable diseases or medical problems that occurred in the previous week, and can go to the operating room to help when they have nothing to do, that is, at this time, they will have the opportunity to come into contact with surgery.

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

It's a pity that until this time, the two attending doctors in the emergency room, Nathan Beckson and Oliver Agas, have not let Zheng Jianguo enter the operating room, although his performance is still extremely dazzling, but he has only done sutures with the permission of Priny in the residential stage.

Like the first two, the third-year residents have greater rights, and the Chief Resident, represented by Bertha, is not recognized with the number of years of training, and only a very small number of Residents are good enough to become the Chief Resident.

Bertha has the second most authority in the emergency room after the two attending doctors, in addition to managing the inpatients, but also managing the junior Resident and the Intern, and organizes teaching rounds and the discussion of deaths and difficult cases at the Monday morning meeting, and can also arrange surgeries, consultations, scheduling shifts, and can participate in any operation herself.

In addition to getting Intern into the operating room and exposing him to scientific research -

And this is also the reason why Zheng Jianguo found Bertha, she is now an excellent resident chief physician, and the next step is to work for another two years and wait until the training is completed, so that she can obtain the qualification to practice medicine independently and become a real doctor.

It's just that the doctors who have reached this step are really just doctors, and this position is only in the second layer of the pyramid of the medical care system, and then if you want to climb to the upper level, that is, the highest attending doctor in this system, you still need to go through different lengths of specialist training.

The reason for the different lengths is that according to the scope of the department, the lowest internist needs three years of training, while the longest neurosurgery takes seven years, which is why most of the attending doctors are over 40 years old.

Because according to the normal age of 18 years old to enter the university, 4 years of college, 4 years of medical school, 5 years of residency, 3 years of internal medicine specialists, this is all going to be 35 years old, if there is any delay in the meantime, no matter how old it is, it is about 40 years old.

Even if Zheng Jianguo became a resident doctor at the age of 18, it would take him 8 years to graduate according to the shortest internal medicine specialist training, which is why he chose the emergency room as a resident training.

As one of the 23 local medical institutions that was recognized by the American medical institution only last year, everything in emergency medicine is still being consolidated, and just looking at the dignified Massachusetts General Hospital emergency room does not even have an ICU, you know that the construction of this medicine still has a long way to go.

Of course, as a new and emerging discipline, the residency and specialty training system of emergency medicine is not yet mature, and there is no rigid plan formulated by the medical management agency like internal medicine and neurosurgery, and it is all carried out by local hospitals themselves.

For Zheng Jianguo, this is like seeing the graduate enrollment method before entering Qi Provincial Medical College, because the goal of specialist training is mainly based on the research results of scientific research, that is, after getting the specialist training plan, you need to go to the laboratory to do scientific research.

So the point is that Zheng Jianguo is receiving the training program of the MD joint PhD program at this time, although the PhD content is not the Helicobacter pylori project in the emergency room, and even the HIV virus laboratory that has not yet 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 his fingertips, from the multi-department consultation of critically ill patients, the classification of the emergency system and the establishment of the ICU, any one of them can allow him to complete the training of specialists in emergency medicine, you must know that these are not even available in the emergency room of Massachusetts General Hospital.

It's just that Zheng Jianguo knows that these things can't be achieved overnight, plus since the whole Helicobacter pylori was discovered, the whole quantum Hall effect published by him and Professor Thomas of the Massachusetts Institute of Technology, and the fractional quantum Hall effect published by Fisher of Harvard University, let him know that if he wants to win the Nobel Prize as quickly as possible, he can't eat alone!

As the saying goes, eating alone and pulling green, Zheng Jianguo holds the name of the discoverer of Helicobacter pylori in his hand, which is enough for him, and distributing the graphene achievements with uncertain prospects to Thomas and Fisher will increase the cascading effect of the halo on his head to a certain extent.

Many people have won the Nobel Prize, that is also the Nobel Prize winner, and it will not reduce its authority in the field because of the number of winners, and even can form its own sphere of influence with these relationships, if he and Thomas and Fisher win the award together for graphene, people will also know that he discovered graphene!

Talk and laugh with a promise, and there is no red blood in the exchange!

How is this a theory valve made?

Just a few days after joining the Harvard Club, Zheng Jianguo realized the importance of power and circles, especially when this power and circle are above ordinary people, imagine that he is now almost the leader of graphene and Helicobacter research direction, has gathered Thomas and Fisher professors and the American Society of Gastroenterology.

At this time, a new hot circle was fostered by HIV, and the research results in the direction of emergency medicine were later developed - so as the resident chief physician in the emergency department of Massachusetts General Hospital, Bertha became the target of Zheng Jianguo's wooing.

Aside from some dazzling appearances, Bertha, who became a resident physician at the age of 28, is young enough, got a bachelor's degree in classics at the age of 22, graduated from Columbia Medical College at the age of 26, and received a residency program at Massachusetts General Hospital in that year, and successfully became a resident physician in the emergency room in the third year.

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

After all, some people may like to listen to gossip from their mouths, but no one likes their gossip to be spread everywhere, not to mention that if HIV, a research hotspot in the next two or three decades, leaks out, it will attract many competitors.

It's just that Zheng Jianguo is not necessarily sure about attracting Bertha, according to the conventional residency training model, she is now in the critical period of resident chief physician, as long as she maintains this state for another two years, she is afraid that she will be able to become a 30-year-old to get a specialist training place.

Fortunately, as mentioned earlier, the training of specialists in emergency medicine is still being explored, and it is still unknown how to carry out research in this field.

Curiosity is an essential trait for all good researchers, and this fits perfectly with Bertha's professional training two years later, in other words, her motivation in the field of research.

Forward-looking, on the other hand, is based on curiosity, combined with the analysis and concentration and adaptability to meet the standards, and then make cognitive judgments about the direction of the research content, simply put, whether Bertha can see the value brought by this unknown virus, although this is somewhat devaluing her comprehensive basic qualities.

Because people are curious, similar to that, there is no doctor who doesn't like unknown viruses, so it turned out that Bertha agreed to this request without thinking about it, although Zheng Jianguo had pulled her before and gave her the job of tracking Jacqueline's blood virus analysis.

It's just that in this way, Bertha's residency chief physician position can no longer be continued, and she needs to be transferred to the digestive center laboratory as a researcher across departments.

Zheng Jianguo knew that it was HIV, and he also had the ability to bring Bertha back to the emergency room in the future, complete the residency training program, and even take her to complete the later specialist training program.

However, Bertha didn't know all this, and she only relied on her personal comprehensive quality judgment to see the importance of the HIV virus, and even gave up the training program that had been launched for three years!

In Zheng's opinion, Bertha already had all the qualities he needed for a partner, and of course this idea only ended when he heard from Bernard about her conversation with George.

"I found a boyfriend who is 12 years older, and Bertha is afraid that she has a father-love plot that is not light-"

The faces of Bertha and George flashed in his mind, and Zheng Jianguo's mind that he had put down before was already a little worried at this time, but fortunately, the principle of his person was to do his best, and then he could just leave it to fate, so he wore a short-sleeved shirt and tie and walked out of the emergency room.

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

Soon, Zheng Jianguo got into the Plymouth sedan in the parking lot, endured the heat from his buttocks, and quickly turned on the air conditioner and radio, and then left the parking lot against the alarm sound from a distance after the ignition.

It's just that I didn't expect that when Zheng Jianguo drove the car onto Federal Avenue, a sonorous voice containing anger suddenly came out of the radio: "——The Republic of China will launch a launch vehicle test from May 12 to June 10, 1980, from the mainland of the Republic to the circular sea area with a radius of 70 nautical miles from the mainland of the Republic to the Pacific Ocean centered at 7 degrees 0 minutes south latitude and 172 degrees 33 minutes east longitude, with a radius of 70 nautical miles——"