Zhou Fuyong is the name of Dean Zhou, he is not tall, but he is very shrewd: "Doctor Fang has come to the department in advance?" ”

It was not the first time that Zhou Fuyong had received and politely sent the counterpart support doctors from the Affiliated Hospital of Shonan University to the department with the highest specifications, but this kind of situation was rarely known 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 elevated and introduced to the people in the department."

"After all, before I came, I had heard that Cixian was quite a hospitable place." Fang Xian praised slightly.

After the formal work, a certain amount of sophistication will make things smoother, not just a bend.

Zhou Fuyong felt very comfortable when he heard it: "Doctor Fang must also be capable, Doctor Fang, our hospital is located in a remote area and the conditions are simple. ”

"I sincerely hope that Dr. Fang, you can pay more attention to the development of orthopedics in our hospital, and I have the cheekiness to 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 performance, when he was in the medical department, he could come in front of more people generously, but now there are no outsiders around, so polite, it makes Fang Xian feel that Zhou Fuyong is not tall, but he is also a person with a heart.

"Dean Zhou, you are too polite."

"I'm going to do my best. However, it may be of average level and limited capacity. "Fang Xian doesn't hold it up.

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

Zhou Fuyong didn't bring any manuscripts, it was all memorization, and some of Fang Xian's advantages were also clearly explained. This process is not long, about three or four minutes.

After speaking, he said: "Director Huang, Dr. Fang is an expert in the Affiliated Hospital of Shonan University, if I hear him say that you don't cooperate or anything else, I will only ask you to be responsible." ”

"That's definitely not going to happen, Dean Zhou, don't worry." Huang Bohang has a lot of respect for Zhou Fuyong and brings honorific titles.

"Then I'll go back to the department first." Zhou Fuyong nodded like this and left the shift room.

Fang Xian was still standing at this moment to accept the attention of everyone in the department.

And Huang Bohang also gave a lot of face, and said: "Now, I will officially introduce you to you, Fang Xian, Doctor Fang, is only twenty-seven years old now, but he is a level 2 physician certified by the Real Medical Association." ”

"There is no doubt about the level of level."

"Dr. Fang came back this time in response to the national policy and specially helped the orthopedic department of our hospital, which is a kind of sentiment and a kind of grace to our Cixian County, so we must cherish and grasp this opportunity to do more practical things for the patients who come to our hospital for treatment."

When Huang Bohang said this, he knocked on the table in advance: "I'll talk about it here in advance, Dr. Fang's stomach is not very good, in case there is a wine party, a dinner party or something like that in the future, everyone must know in their hearts, don't just take a sip, so that other people's face can't hang up." ”

"Drink in moderation, too much will hurt you."

"Doctor Fang, you don't mind, do you?" After Huang Bohang finished speaking, he also deliberately asked Fang Xian's opinion, as if he was afraid that he was an extraneous branch, and he was afraid that Fang Xian was a wine gourd.

"It's best not to drink, teachers, please give me more advice in the future." After Fang Xian bowed slightly, he sat down.

……

Although it was said that in the process of handing over the shift, Huang Bohang looked for incurable diseases in several departments and asked Fang Xian to perform, but Fang Xian didn't talk much, and directly thought that he was not familiar with the situation at present, and then pondered it carefully when he was doing ward rounds later, discussed it together, and prevaricated in the past.

Fang is not here to enjoy and accept the smuggling of horses.

If you have to listen to such praise, in the operating room of the trauma center, every operation, there can be a specialist professor to say a word about Xiaofang's basic skills.

And now, what Fang Xian needs is not such a compliment as solid basic skills.

Instead, it is necessary to improve one's professional ability and professional title, get out of the era of paying attention to basic skills, and formally participate in routine medical diagnosis and treatment.

Therefore, adhering to this principle, even when Fang Xian was making rounds, Huang Bohang gave face again and let Fang Xian talk more, but Fang Xian did not start to horn the horn as soon as possible, but chose to listen first.

From the side position, the professional level of the doctors in the group is first evaluated.

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

Huang Bohang's director group is only four people. In addition to Director Huang Bohang, there are also Chen Fangzhong and Du Lixiao, and another person who has just graduated from Gui Pei is resident doctor Ning Han.

Naturally, the thirty-two-year-old Chen Fangzhong and the thirty-one-year-old Du Lixiao have not yet passed the assessment of Level 1 physicians in the strength certification of the Medical Association.

It is only because of the help of policies in remote rural areas that he will be recognized by the Medical Association as an attending physician and enjoy treatment.

There is no way, Cixian County is not rich, and the economic development level of the county is average, if all are treated according to the absolute top hospital standards, whoever wants to come, should change careers, then it can't.

And if, at the age of thirty-one or twelve, you can pass the Level 1 physician certification of the Medical Association, then go to a prefecture-level city hospital, such as Zhangshi People's Hospital, then others will also be in attendance.

At the age of 312, although it is a year or two slower, if you want to go to a prefecture-level city hospital, you still won't be unable to enter.

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

That is to say, if you can pass the Level 2 specialist certification at this age, then you can also go to the Shonan University Hospital, but there will be fewer opportunities and places than young doctors, but it is not out of the question.

……

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

"Doctor Fang, I'm sorry to make you smile."

"The orthopedic department of our hospital is actually two or three large and small cats, and I have only barely passed the level assessment and certification of a level 2 physician." Huang Bohang said with a little humility.

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

The standard of assessment is the average of the best 100 attending physicians in five years.

The physician level certification of the medical association is to facilitate the genius to leapfrog and is the assessment of the ladder. For ordinary doctors, it is really a shackle and a burden.

People can tell at a glance that you don't live up to your name.

A second-level physician has the title of deputy chief physician, and a first-level physician has the title of attending physician, so can it not be ashamed?

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

He said: "Director Huang, being a doctor is mainly to do things and provide medical services to patients, not for exams. It's all false names, but I think the atmosphere here is good. ”

"If you can do the surgery, if you can't do it, if you can't do it, you will push it to the higher-level hospital, and it's good to be deeply engaged in the specialties and diseases that you can do."

Unlike a trauma center where professors walk all over the ground, associate professors are inferior to dogs.

With the professor leading the group, the associate professor with the group, the main treatment with the back of the buttocks, and the specialties with a pile of doctors and masters are not the same.

Why?

Ph.D. and master's in general, who would consider going to a county hospital?

Although it was rumored 20 years ago that all county hospitals only required a master's degree, the kind of county hospital that was referred to depends on which county it is. How different is the first and second hospitals in the top 100 counties from the hospitals in prefecture-level cities?

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

Even today's 21st and 40s can make you doubt life.

Because after studying for a master's degree and a doctorate, others will definitely want to go outside and develop in a big hospital, even if they can get mixed up in a private hospital in a developed area, they will have a better future and money than in a county hospital.

Huang Bohang pursed his lips and said, "Doctor Fang, it's convenient to tell you about the dilemma that our hospital and our county are facing now, even if you spit out, don't take it to heart, okay?" ”

Huang Bohang is in his forties, with a generous face, and his timbre has long had the calmness of an adult man.

Fang Xian hurriedly nodded: "It's better this way, Director Huang." ”

Huang Bohang started first: "Doctor Fang, I definitely didn't say that the hierarchy of physicians and the hierarchy of medical skills of the Medical Association is bad, and I don't have such thoughts at all. ”

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

Fang Xian thought for a moment: "Because the strength is concretized?" Glance? ”

"Nope! ~”

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

"For example, in our hospital, a new resident doctor, what will he do, we probably have the bottom in our hearts, so after being recruited, the annual salary is like this, the state pays it, and the performance distribution is not much."

"But if you go to the developed prefecture-level cities of Kyoto, Modu, and Guangdong Province, it doesn't matter which hospital it is. This number is indispensable. ”

"I'm just talking about the past after graduating." Huang Bohang raised two fingers, representing 20,000.

"That's the number for masters." Huang Bohang added another one.

Huang Bohang then said: "Others give me a clear price like this, if I choose again, I will go out too?" ”

"To put it mildly, where are you not going to work for a hospital in disguise and provide medical-related diagnosis and treatment services to patients?"

"The medical association has already arranged the strength, and when the hospital recruits, there is almost no need to conduct an assessment of ability, which is clear at a glance."

Fang Xian was speechless.

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

For example, from the moment he entered the Affiliated Hospital of Shonan University to become a regular trainee, all he thought about was how to become a master's degree and how to stay in the hospital.

I never thought of going back to my hometown in Longxian to build my hometown, nor did I think about returning to Changshi to build a second hometown.

People go to higher places, and water flows to lower places.

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

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

"The strength is digitized, the management of the surgical authority of the medical association is more clear and 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 there is no one in your hospital who can do such an operation."

"Whenever there is such a charge in your hospital, it is a big problem, and you can check it to the end."

"For patients, at least it can ensure the reliability of the visit, and there will be no situation where a small doctor does a major operation and cannot do the surgery forced, which is very good."

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

Huang Bohang smiled and shook his head again: "Actually, if it is really based on ability, I don't think I can be this director." But those old guys who have the ability are gone. ”

"If you jump from a prefecture-level city hospital, you can't jump, and you go out to make money, but only us are left, as if we are guarding our homes, and this seems to be a cycle."

"If I could make more money, I might be gone......"

Huang Bohang didn't hide it.

Hearing this, Fang Xian hissed, and then asked, "Director Huang, can I ask a more sensitive question?" ”

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

"The resident doctor has 10 lump sum a year, five insurances and one housing fund, etc., which will definitely not be bad in the county. But it's hard to get rich. ”

"The attending physician is a little higher, and he can get 12, and the deputy chief physician, for example, me, has almost 20." Huang Bohang knew that Fang Xian must have taken a higher price than him.

Now is the era of the annual salary system, the performance distribution is very small, it is a rewarding performance, you love to check it, anyway, it is funded by the government and the medical association, even if there is stolen money, it is also issued by you.

Fang Xian's brows furrowed again when he heard this.

Compared with 89,000 a month and 20,000 a month, that is more than twice as bad.

It is equivalent to staying, relying solely on feelings.

And after the ability is digitized, how much money are you worth, in the hospital outside, maybe when others apply, the price has been clearly marked.

This is indeed a difficult question.

"Director Huang, I think you are all unsung heroes. Seriously. Fang Xian sighed, feeling inexplicably bitter in his heart.

Before coming to the county hospital, Fang Xian also thought that such a system was actually very good. But it is true that it will face a greater dilemma.

Talent mobility is greater and stronger.

If it is too restrictive, it will kill a person's future, and everyone will not want to run upward, and they will not want to learn. This is actually a drawback.

If a person's life can see the head, I can mess around, why did I work hard for half a lifetime to get this job, I have to continue to study hard to improve my business ability, I don't know how to play?

In today's situation, it is certainly impossible for a simple horizontal displacement system to completely make up for it.

Huang Bohang said: "Anyway, hold on first, do what you can do, and push it out if you can't do it." Learn slowly, and run directly after the technology is completed. ”

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

(End of chapter)