"Professor Xu, did you come to Shashi this time?" In a teahouse near the Affiliated Hospital of Shonan University, Fang Xian asked the waiter to make tea.

Now that Professor Xu Fengnian is free, he has returned to West China Hospital, so no matter how much he abducts Fang Xian or meets with Fang Xian in private, it is not a violation.

Naturally, he can't turn away, and Fang Xian has signed a contract now.

"Of course, if I finish the damage disease, I will retire early and then enter the medical association to retire." Xu Fengnian said undeniably.

But Fang Xian didn't believe that Professor Xu Fengnian would really retire early, which was impossible.

Xu Fengnian is now in the prime of life, how can he retire.

"Thank you, Professor Xu, for your concern, but I don't go to West China Hospital, maybe I don't have time recently, Professor Xu, you also know, although I am currently entrusted with the regulations of the Medical Association, I have signed a contract and started to work......"

"But I recently took up a job at the First People's Hospital of Changshi, so I ran around studying at both ends, and I had no time at all." Fang Xian politely refused first, which also showed the truth.

Xu Fengnian was surprised: "Hey, Professor Zhou, do they really plan to let you take a trauma center at such a young age, so that they can rest assured?" ”

"Although your basic ability is good, there are some diseases that you can't win so casually."

"It's still studying, Professor Xu, where do you dare to talk about leading the group so far now!" Fang Xian hurriedly explained, don't let Xu Fengnian misunderstand.

This group of things is not something that can be done with ordinary ability.

Although Level 5 medical basic skills are particularly useful in first aid, they also need certain specialized skills to support, and if they can only save lives, they will definitely be difficult to convince the public.

This is a little joke, Fang Xian will not take it seriously so early.

Xu Fengnian then said: "Okay, I came to you this time, in fact, there is another thing. ”

"Professor Xu, you say." Fang Xian didn't dare to stand on the shelf at all, leaned forward slightly, and listened.

"You should have the bottom of your heart about what you did by yourself, right? Professor Zhu Guangyu, I have specially asked me to pay a visit to you and express my gratitude to you for the whipping. Xu Fengnian is so connotative, and he is not in a hurry to say the focus of this visit.

Fang Xian's face darkened slightly.

When he went to do the Level 1 Physician Level Certification, he really didn't take so many aspects into account, and even if he knew it in advance, Fang Xian would still do the Level Certification of Basic Skills.

This is a fair and just thing, the capable go up, the weak go down, if you are really good, wouldn't it be good for you to squeeze others down?

"This, Professor Xu, I really didn't mean it." Fang Xian was still quite polite.

Professor Zhu Guangyu does not have a grade 5 incision, at least a grade 5 incision certified by the medical association, and it is estimated that it is a bit extravagant to become a discipline leader in vascular surgery again.

My current skill pool is quite occupying the pit and not.

"It's not intentional, it's intentional, your Shonan University Affiliated Hospital, it's really not a good person at all."

"You are shaking the quota of discipline leaders inside, one Lin Hui is outside, wandering around, you two masters and apprentices, what are you going to do?"

"Now, your teacher Lin Hui happened to walk to our West China Hospital, what do you say? He said he wanted me to bring you over, and he stayed in our hospital. ”

When Fang Xian heard this, he was slightly stunned: "Teacher Lin Hui is now in West China Hospital?" Didn't you hear that he went to Guangdong Province? ”

Fang Xianxin said, what Teacher Lin Hui is going to do, I don't know myself.

At the moment, there are some clouds.

"That was a month ago, Lin Hui was over there, the performance was over, and now he went to our West China Hospital and began to vent his resentment. Let's see, he, a young man who has been dormant for eight years, is still young! ”

"Hey, I can only avoid the edge for the time being." Xu Fengnian sighed when he heard this.

When Fang Xian heard this, he suddenly thought of a possibility: "Professor Xu, what you said, in the Department of Urology of West China Hospital, someone has made a reconstruction of the damaged urinary function?" Won't it be? ”

Fang Xian's mind suddenly flashed.

yes, what have you been hesitating about?

What inspiration do you want to find, I have a cheap teacher Lin Hui there, more than a thousand level 4 skills, how broad and profound is the skill pool he knows?

Why do you need to go to other people to test what concept is the best, just go directly to Teacher Lin Hui, this is also a big killer.

"Yes and no, now he is entangled with a young man in the urology department of our hospital, and he is at a point where no one can convince anyone."

"The public says that the public is reasonable, and the mother says that the mother is reasonable."

"The theories and skills involved are complex and numerous, and if you want to notarize, you need more level 5 doctors or even level 6 doctors to understand it."

"No, our hospital has to invite so many discipline leaders at once, which is also time-consuming and laborious, so I thought, ask your hospital to borrow your small prescription."

"You go over and help settle the argument between the two of you, and then bring your teacher back." He ran out here, it was too much of a bully, otherwise, there would be a fight. Professor Xu Fengnian talked about his own hardships.

Fang Xian needs to smooth out his thoughts.

Lin Hui and the people in the urology department were arguing, and it was difficult to be reasonable now.

Let yourself help reason?

"Professor Xu, what's going on with this debate? How do I feel a little confused? Fang Xian asked.

"At the end of the day, it's about repeating two people at the same time with different actions and ideas, and keeping the skills at the same level of proficiency, and then distinguishing between the pros and cons."

"In this way, it is the most balanced and objective comparison of the applicability of skills."

"For example, is it appropriate to solve this problem in this way, or is it more appropriate to solve this problem in that way......"

"There's no way, the most suitable person to do this is you. There are so many basic medical skills that you can use to level 5, just in time for you to solve the problems they debate. ”

"Otherwise, it's not a problem that they've been arguing there all the time." Xu Fengnian made a comparison.

Fang Xian then understood.

Actually, it's like this.

Level 5 medical basic skills can derive all the different concepts of level 4 skills, so when doing the project, the level 5 skill holder can be very clear about which concept is more suitable for which disease, and can compare and test the pros and cons of different concepts.

Moreover, it is possible to control the operation level of both concepts at the same level.

Otherwise, it may be that the operation proficiency of this concept is level 3, and the other is level 4, and as a result, you say that the operation concept of level 4 proficiency is better than the operation concept of level 3 proficiency, then you directly say that you are the most awesome?

Randomized controlled trials, in fact, from the very beginning, were not absolute standard randomized controlled trials.

With the medical society grading medical skill proficiency, randomized control is becoming more and more standardized, and it is getting harder and harder to say that this is better than that.

Generally speaking, if you want to say which concept is better than the other, the applicability is stronger, and there is no level 5 skill certified by the medical association, other magazines and journals will not bother you.

People are selfish, and they will definitely say that their ideas are better, and they will step on the high and praise the low.

Hearing this, Fang Xian almost understood: "Professor Xu, I understand your words, but my proficiency in specialist skills is not high, and it is not quite deep, how can I understand these truths?" ”

Xu Fengnian touched his chin and was about to speak.

Tea is served.

He stopped speaking for a moment.

Immediately afterwards, he said, "Doctor Fang, the limitations of your field of vision are too small. Now that you know where the evolution of specialist skills comes from, you should know that there is a special profession among today's medical scholars. ”

"It's called a professor of medical theory dismantling."

"It is they who can disassemble different specialized skills into corresponding basic skills and corresponding theories, and then restore and compare them one by one, so as to analyze and explore and update the treatment ideas."

"Don't forget that the same disease is treated differently, and different diseases are treated at the same time, this is a culture that has lasted for thousands of years, and it is impossible not to be taken seriously."

"Moreover, the establishment of the current skill hierarchy system of the Medical Association, as well as the connection between the basic skills of medicine and the professional skills of medicine, its skeleton is actually similar to the traditional medicine of our country."

"It's just that it borrows the easy-to-learn skeleton and fills in the content of modern medicine."

"So-"

"You can repeat it."

"Of course, there is still a certain allowance for you to go back this time." Professor Xu Fengnian finally talked about money.

Fang Xian nodded: "Professor Xu, this kind of theoretical dismantling is actually a bit similar to the trauma center ward and the trauma center operating room. One is responsible for diagnosing and selecting the standard procedure, and the other is responsible for operating the corresponding procedure. ”

Xu Fengnian nodded: "Yes." ”

"It is difficult for medical students to learn, they need experience, and they also need patients to practice, but some patients are not suitable for novices to train, so they can only be split up, so that more students have the opportunity to learn, and at the same time can ensure the quality of medical care."

"You have to balance it."

"Will you promise to go? I've already agreed with your hospital, but your medical department doesn't do anything and doesn't directly send you over to help, but asks me to ask your opinion. Xu Fengnian's voice was slightly resentful.

Hey, Fang Xian's degree of freedom is too great. None of the Medical Services Section directly assigns assignments.

Fang Xian nodded first and agreed.

Things are like this, they must be solved, if it is easy to solve, Professor Xu Fengnian is a subject leader, there is no need to beg himself in a low voice.

Then he asked, "Professor Xu, what is the current medical development model?" How can you still fight, you can still challenge or something. Why does it sound so messy? ”

Xu Fengnian shook his head: "No, this is the era of free academics." ”

"If you're good, you'll be great, and you'll be given a chance to be great. Take your teacher Lin Hui, for example. ”

"If it was a few decades ago, then someone else was a subject leader, he was just a small chief physician, and he didn't even evaluate the professor. If there are grievances, you can hold back, and if you are dissatisfied, you can only endure it. ”

"At that time, the emphasis was on seniority and respect for seniors."

"But this concept is actually outdated."

"Ability comes first, and only in this way can we open up a relatively fairer environment and be more conducive to the development and breakthrough of disciplines."

"Didn't Professor Guang borrow what your teacher Lin Hui did back then to deceive people? Hey, Lin Hui was able to go directly to Huashan Hospital, and use his absolute ability to let everyone in Huashan Hospital see that Lin Hui's current professional ability is stronger than Guang Puyuan. ”

"You're going to have to shut up!"

"What happened back then was back then. Is there something wrong with that? That's right. ”

"The evaluation of the treatment effect is objectively placed there, and the combination of more than a thousand level 4 skills is stronger than the professional ability of your discipline leader, and even the scientific research ability is stronger, and the ability to adapt is also stronger."

"That's it, you can do it, medicine will give you a back-up, the whole country, you can move freely, it's convenient for you to study, it's convenient for you to do academics, do scientific research, medicine will give you a back-up, so that you can have a better research atmosphere."

"For another example, this time Lin Hui came to our West China Hospital to discuss theory and surgery with our urology team, which is also welcome."

"Not for success or failure, just for solving problems."

"There are also forums like this in the Shonan University Hospital, and there are all specialties in each specialty, but you may not have access to them before."

"For example, in this topic, your research is at the forefront, and I happen to be in the research of this topic, and I have some understanding and achievements, I can apply to the Medical Association, and I will come to your research group to participate in the research with you and promote the speed of research together."

"The premise is that you must be able to have this ability, otherwise the research team will directly close the door, and don't feel ashamed."

"But if you have the ability, then each research group will be very welcome to help."

"This is the free academic freedom, the medical association to come to the bottom, recommend talents, create topics, breakthroughs, create patents, build a medical circle of Huaguo University, for our patients, for our people, to solve problems."

"It can be fame and fortune for people, but in the end, what we do is the overall development of our medical level in China."

"This is the translational displacement mechanism, which is the 'translational displacement mechanism' deduced by Professor Zhou and the Medical Association based on the current development status of our country."

"The capable go up, and the weak go down. The scabies must be removed, and the jade must be digged. ”

"It doesn't matter if you don't meet Huaicai, there is always your chance. But what about a vegetarian meal in the corpse? ”

"It can be said that there is no shortage of people in Huaguo, and there is no shortage of people who can do things and want to do things. You don't want to eat this bowl of rice, you don't want to eat this bowl of rice in a down-to-earth manner, you go eat something else. "Professor Xu Fengnian said it righteously.

And this is the first time that Fang Xian has thoroughly understood the medical association and the concept of 'displacement system'.

Free working environment, free academic environment.

The era of big medicine.

Throwing away the various concepts of the previous lintel, academic, wild, and gate valves, we have created an era in which the results are relatively fair.

(End of chapter)