"Ladies and gentlemen, I came here on behalf of the emperor to rectify the Imperial Doctor's Office, this is the order given to me by the emperor. The emperor said that in the Imperial Physician's Office, any official can be appointed by me to temporarily suspend his powers, what do you think? Zhang Chao asked.

"Well, Director Zhang did a good job, and we are all convinced." "Yes! If it weren't for Director Zhang, the emperor would not have issued that edict, and the shackles around the neck of our Imperial Physician were finally freed, since Chief Zhang could understand our Imperial Physician so well, then we are all willing to obey Chief Zhang. "Yes, that's right!" "We'd love to hear from you!" ……

Zhang Chao asked Li Yuan to issue a letter on the treatment of court nobles and other figures, if the object of treatment is not good, if the imperial doctor does not make mistakes in the use of medicine, then he cannot be angry with the imperial doctor. And even if there is a medication error, it can't anger the family of the imperial doctor, which is equivalent to liberating a shackle around the neck of those imperial doctors, or even a steel knife across the neck of the imperial doctor. Therefore, the imperial doctors are also very grateful to Zhang Chao, because Zhang Chao understands the difficulties of the imperial doctor very much, and this person who makes the imperial doctor not be killed by the new emperor because he can't save an emperor who is dying or the emperor's favor. Therefore, this is a great piece of good news, so the doctors also feel very grateful, and their gratitude to Zhang Chao cannot be described in words. So this time, Zhang Chao was in charge of rectifying the Imperial Doctor's Department, which made everyone feel very recognized, because they thought that they were also people who understood their Imperial Doctor.

"First of all, I want to reform the internal structure of the Taiyi Department, and the current internal structural division of labor is seriously not suitable for the functional needs of the Taiyi Department, so I think it must be changed." Zhang Chao said first.

"Change the structure of the Imperial Physician's Department?" People don't quite understand the meaning of this new word.

And Zhang Chao began to explain the current management structure of the Imperial Medical Department, in Zhang Chao's eyes, this Imperial Medical Department is simply a cheating thing. The Tang Dynasty's Imperial Physician Office had many functions, not only responsible for treating the emperor and the dignitaries in the palace, but also responsible for managing the affairs of the world's medical administration, which was equivalent to the health department in later generations. As for the last, it also has to assume the function of medical teaching, that is, the Tai Yi of the Tai Yi Department will teach the students, and then this is also a medical school.

And among the three division of labor functions, the people here are also very chaotic, obviously mixed. There is no distinction between those in charge of administration and those in charge of medical care, and those who are good at medicine are responsible for administration, and those high-ranking officials and nobles also think that they should let doctors with good medical skills be responsible for leadership. But this is very wrong in Zhang Chao's eyes, because good medical skills often mean that he belongs to technical personnel, and technical personnel are responsible for administration, which can be said to be putting the cart before the horse. Even internally, the structure is completely unscientific. There is no specific division of labor between those in charge of medical administration, those in charge of curing diseases, and those in charge of teaching. The internal division of labor is simply a mess, today is responsible for treatment, tomorrow is responsible for teaching, the day after tomorrow is responsible for administration, this is completely without a rule, it is completely the boss needs to do anything. This is completely revolving around the leader, and there is no proper law for everything, and there is no proper division of labor within it.

This kind of chaotic management system, how can this be able to effectively manage the world's medical administration, so not to mention whether those medical and political matters can be handled well, let's just say that those students who are studying medicine, how many can learn medical skills well! It's a mess, and nothing gets in the end.

"First of all, we want to divide this imperial medical office into two parts, one part is responsible for the world's medical affairs, and the other part is responsible for managing medical teaching, treating the emperor and the nobles in the palace, and responsible for the next medical teaching practice. The person in charge of these two aspects will be in charge of two orders from the Imperial Medical Department, so you should have no problem, right? Zhang Chao asked.

Hearing Zhang Chao's division, everyone had no opinions, especially the orders of the two imperial doctors. Because one is in charge of the world's medical administration, he is in charge of the affairs of the world's medicine, and his power is not small. The other is responsible for treating the nobles in the palace, and is also responsible for medical teaching, so they are all nobles close to the palace, and their indirect authority is not small. So on the whole, there is basically a balance between the two, and this division method is quite acceptable. Originally, there were two signatories in the Imperial Doctor's Office, but these two seven-rank signatories were of the same level, and neither side could do anything to the other, so their subordinates were at a loss. In the same yamen, the level is the same, but the relationship is equal. In this way, just like the party committee and government in later generations, sometimes the leaders of the two sets of teams will fight. Especially when the division of the scope of rights is not clear, this makes subordinates feel helpless. If you follow this leader, what should you do if another leader finds you bad luck?

So now Zhang Chao suggested dividing this imperial medical office, one is in charge of medical administration, and the other is in charge of medicine, so that the division of power between the two sides is clear, and everyone will not fight for power, and the subordinates also have their own scope of responsibility, so they will not fall into the struggle between the two leaders and are not human beings inside and out. This is good news, so everyone also recognized Zhang Chao's suggestion.

"Next, we have to ask all the doctors to go out to receive treatments. We will set up a royal hospital to be responsible for paying for external treatments. Zhang Chao said.

And Zhang Chao's words couldn't help but shock everyone, and now everyone is shocked by Zhang Chao's statement. Because they are all imperial doctors, imperial doctors are doctors who specialize in treating those high-ranking officials and nobles, and their status is very respectful, and many of them are high-ranking officials, and their status is really very high. And now, according to Zhang Chao's suggestion, he actually wants to go outside to open a hospital and then charge for treatment, which is obviously surprising to everyone. This simply involved those imperial doctors in ordinary patients, and then greatly knocked off the halo on the imperial doctors' heads, and then made them all relegated to the mortal dust, and then went to diagnose those ordinary people. So, where are their identities?

"Hmph, the doctor is not curing the disease, so what are you here for?" Zhang Chao asked.

"However, we are all imperial doctors, wouldn't it be a waste if we were asked to treat those ordinary people?" Someone asked.

Zhang Chao immediately asked with a sneer: "Then you have nothing to do when you are full of food here every day, and then you are saving money by entertaining and passing the time here?" ”

These imperial doctors, can Zhang Chao not understand? Although they treat the diseases of high-ranking officials and nobles, how many of those high-ranking officials and nobles can come, there are only dozens of people who come and go, and at most there are only hundreds. But for the medical treatment of hundreds of people, there is actually a team of hundreds of people from the Tai Medical Department, which is simply a one-to-one targeted treatment, and this is simply ten sheep and nine herds. What's more, those high-ranking officials and nobles are not likely to get sick at any time, and the probability of getting sick is a minority after all, so most of the time, the doctors in the Tai Hospital are a group of idle guys.

In later generations, Zhang Chao knew that many of the "imperial doctors" in the central health care department were also idle, and the probability of the central leaders getting sick was a small part after all, and it was more about maintaining the body. But it doesn't take much time to maintain the body, that is, to prescribe some medicines, and then there will be no doctor or anything, and the secretary will do it according to the prescription. Therefore, these imperial doctors are all very idle, and they are simply retired in advance. However, the state spent a lot of resources to feed these imperial doctors, and then raised them for so long, and finally used too little.

However, there is a great lack of medical resources among the people, especially doctors with a certain level of medical skills. The Imperial Medical Department has concentrated so many doctors with middle and upper medical skills, but they are idle here. A large number of wounded and sick people are in urgent need of doctors, and these doctors from the Imperial Medical Department are idle here, which is obviously an imbalance in resource allocation. You can't ask for what you need, but you don't need it, but you have a lot of medical resources, and you spend a lot of resources here to support these doctors who don't need it, which is simply ridiculous.

Therefore, Zhang Chao proposed that these doctors must be allowed to treat the people of the people, as long as they treat the people of the people, then they can also liberate the medical resources in the palace, which can also bring a certain amount of income. According to Zhang Chao's plan, he wants to transform the Taiyi Department from a medical institution dedicated to serving the royal family into a large hospital that can operate to the outside world. In this way, not only can the Imperial Medical Department generate income, but it can not only save money for the state to a large extent, but also the people can enjoy the serious surplus doctor resources in the palace, so this is the best of both worlds. But the ancients couldn't do it at all, or they didn't want to do it.

"Director Zhang, no! We are doctors, and we can't treat ordinary people! "There are still people who have opinions.

But Zhang Chao immediately asked: "Dignitaries and nobles may not have a sick number for ten days, they are all idle and painful, can medical skills improve?" ”

"We are all reading medical books, in ......"

Zhang Chao immediately shouted: "Okay, don't give me any medical books." Since you entered the hospital, you have rarely come into contact with patients, how do you understand the current pathology? Are you familiar with the latest medical skills in the world, and can you master them as soon as possible? Also, after you entered the Tai Hospital, have your medical skills improved? You are also chatting here every day, even if a small number of people read medical books, but they don't have much experience in diagnosis and treatment. Even if you treat those dignitaries, how many of these people are likely to be sick? So in the end you only have a very small number of patients, and you have very little contact with them at all. You haven't been in contact with patients for so long, how much clinical experience can you have? ”

"Also, those ordinary physician trainees, they may be able to memorize medical books well, but not many of them can have actual experience in diagnosis and treatment. If those dignitaries are sick, you can't give them the opportunity to diagnose and treat, resulting in them having almost no experience, so even if you memorize the medical book well, what's the use? Could it be that this is how you are a Zhao Kuo who talks on paper? ”

Zhang Chao sprayed these guys very unceremoniously, obviously because these doctors have too little clinical experience. Even Zhang Chao, a layman who is not a medical student, knows the importance of clinical experience, and you must know that the profession of doctor is known as the more popular the older they are in later generations, that is, because the older they are, the more experience they have in treating diseases, and they have rich clinical experience. However, there are hundreds of people in this group of imperial doctors, and there are only a few hundred people, or even fewer dignitaries than them, so how many opportunities can they have to find a patient number to practice and increase their clinical experience? Even if there are one or two patients, they don't dare to let those doctors and trainees come to diagnose and treat, and as a result, everyone has a lot of theory, but in fact, they don't have any clinical experience at all, and this kind of doctor can cure the disease.

Therefore, the Taiyi Department is almost always a place where wine bags and rice bags gather, and a large part of them have no theories but no clinical experience at all. Zhang Chao asked everyone to go to the outside world, in fact, he hoped that they could accumulate clinical experience, and be able to generate income for the Tai Hospital, and further accumulate some funds for Emperor Li Yuan's private small treasury. In this way, the imperial doctors of the Imperial Physician Department have also become senior staff of the Royal Hospital, so that they can make money for the emperor while also being able to exercise their medical skills. Even those physician trainees who are learning medical skills can have a hands-on internship opportunity, which is a good model. Otherwise, in the past, the model of the Tai Hospital was completely at a huge cost to the government, and then raised a group of guys who ate idle all day long and had nothing to do, and entered the Tai Hospital, not only could not increase medical skills and serve the emperor better, but the medical skills continued to regress, which was simply a waste of the emperor's economic resources.

"Now, let me know clearly, three days, three days, in three days you must set up the team of this royal hospital. If someone can't build it, then I'll clean it up. This is a problem related to the emperor's hospital, so no one should try to hide from it. The court has spent so much money on you, not to let you eat here for empty salaries, if you can't serve the court, then don't blame me for being unkind. ”