"My father used to say that when I was competing for academic titles and titles, I was a rival and had no friends for five years. In addition to academic competition, it is another friendship. ”

Zhou Xiyin's meal was not large, and after eating a bowl and a half of rice, he decisively did not continue, but watched Fang Xian eat, while pulling homely dishes.

Fang Xian ate very naturally, chewed carefully and swallowed a mouthful of food, and replied: "Then I estimate that I will not have friends for ten years." ”

According to the medical association's management and accreditation method for the physician hierarchy system, I have now improved not only the evaluation standards of first-level physicians in trauma surgery, but also the second-level physician standards in trauma surgery, gastrointestinal surgery and urology.

Isn't this ten years like no friends?

Zhou Xiyin covered his mouth and joked: "The last ten years are too long, but it is estimated that the next ten years are a bit short." ”

Fang Xian's influence is not only the next ten years, but from this moment, there is a generation, from the moment the standard is raised, if the medical association does not revise the evaluation method, then the regulations will be stuck here, higher and higher.

Fang Xian lowered his head and cooked silently first.

Zhou Xiyin may have felt that his joke was too much, so he said: "Senior Brother Fang, in fact, it is not so exaggerated, for a group of people who really want to achieve a leap through the medical association, they will not care about this little improvement. ”

"People who really care, their opinions are dispensable."

Ordinary people's thoughts are basically not cared about. Otherwise, there will be countless people complaining that the admission score of Kyoto University and Tsinghua University is too high every year, but this has a yarn to ......

Fang Xian shook his head: "I don't know, be yourself, if you deliberately maintain it in order to maintain some kind of balance, it is too tiring to live like this." ”

This situation reminded Fang Xian of when he was still a small resident trainee, and Fan Chengpeng, a master's student in his first class, warned him not to be too eye-catching in the residency training stage, otherwise he would crowd out other master's students, so that many residents did not have the opportunity to teach teachers.

At that time, Fang Xian was soft-spoken, and naturally he did not dare to disobey the meaning of being the director of the trauma surgery ward at that time.

I didn't go to the medical society for the level certification of medical skills, but only performed within the group.

But in this way, it is actually too restrained, really too tiring.

"Senior Brother Fang, in the face of the current situation in Cixian, does Senior Brother Fang have any better ways to deal with it in his heart?" Zhou Xiyin changed the topic.

At the same time, he poured himself another glass of water, and seeing that the water cup in front of Fang Xian was empty, he poured it full for Fang Xian.

"Thank you." Fang Xian thanked him and shook his head.

"What can I do in such a situation?" Fang Xian said helplessly.

This is the sequelae of the emergence of the medical association system, and if you want to change this situation, unless you can use the contract to get stuck here with the doctor, or just eliminate the ladder system of the medical association, so that people do not cross through shortcuts.

Zhou Xiyin pushed the water cup in front of Fang Xian forward, and asked cautiously, "Senior Brother Fang, don't you want to think about it anymore?" Actually, you've already done something similar. ”

As Zhou Xiyin spoke, her eyes narrowed slightly, and for a moment, it seemed that her IQ was on par with her beauty.

Fang Xian paused the action of stretching out his chopsticks and began to chew slowly, and the whole person was contemplative.

I've done something like that myself, can't I? How can you change your own pounds and taels?

But.

Suddenly, Fang Xian suddenly remembered one thing, that is, during Professor Xu Fengnian's time in the trauma center, Fang Xian used his super large number of level 5 skills to get to the bottom, and once made a "standard treatment process for damage damage", a youth version, and an enhanced version.

"What do you mean? Let me continue to simplify the process of managing common diseases in county hospitals, or rather, simplify the treatment of existing procedures that have already been established? ”

"So that some young doctors can also get started quickly, to a level that is acceptable to a patient?" Fang Xian asked rhetorically.

In just this moment, Fang Xian's gaze at Zhou Xiyin changed.

Is this the so-called IQ crushing?

Fang Xian had never considered it in this direction.

As a doctor, one of the most essential principles is the principle of not harming patients.

There is also the principle of superiority.

From the simplicity of thinking about the medical resources provided for patients when they come to the clinic, the more advanced the better, and the standard should be lowered at this moment, which is really contrary to the mainstream thinking.

But?

If we say that in such an environment, many patients still choose to be treated in the county hospital, most of them have a part of the burden, which may be a financial burden, or it may be other factors, so that they have to come to the county hospital for treatment.

In such a situation, instead of not being able to do it, it is better to provide an alternative treatment plan that can be basically satisfactory and the treatment effect is not as good as the complete version.

This is equivalent to downgrading the difficulty of the operation, and the reduced expectation of the final treatment effect can ensure satisfaction, first to satisfy peers, and then to satisfy patients.

In this case, it is really a feasible and effective method.

"That's pretty much what it means."

"Senior Brother Fang, in fact, if you carefully analyze the current situation, it is nothing more than that the patient's treatment requirements are higher than the medical level and treatment quality that the local county hospital can provide."

"There is a gap in such a supply and demand relationship."

"Rather than missing out, try some treatment options that don't work so well first."

"And starting from elective diseases and elective surgery, the impact on patients is actually very small."

"Naturally, from the very beginning, such a solution exploration requires the participation of a team with multiple level 5 skills, especially level 5 basic skills."

"Under normal circumstances, such a luxurious team will not take the time to deal with the simplification of the treatment procedures for some common diseases, which will waste a lot of time and have low benefits, for them, to overcome new treatment methods, new diseases, is the first task."

"However, our current positioning is a little low, Senior Brother Fang, you are only the attending now, and there is no need to participate in the breakthrough competition in the world, so you can first complete the implementation of some of the existing treatment plans to the lower level hospitals."

"It's actually very beneficial for patients." Zhou Xiyin pursed her lips after speaking, and looked at Fang Xian a little nervously, and it could be seen from her eyes that she was a little afraid that Fang Xian would be angry.

In the current state, in fact, the development of high-end medical technology has reached a high level, but how to make these technologies land in more hospitals and let more doctors learn the corresponding treatment methods has always been a headache.

Especially after the emergence of the medical association system, everyone is surging to the big cities, resulting in the shortage of talents in the county hospitals, which is a very headache.

"I'm going to have to think about it." Fang Xian felt that Zhou Xiyin's idea was very good.

Anyway, now that I am in the county hospital, I will definitely not be able to do major surgery, and even if I have such ability, I will not have such an opportunity.

Instead of mechanically and repetitively doing some surgeries that are not available in county hospitals, it is better to find a way to simplify these surgeries and see if they can be treated, and through the combination of basic skills, these diseases can be taken down and some 'youth versions' of the operation can be formed.

Perhaps the final result is not so good, for example, after a complex fracture, there may be some complications such as vague pain.

This is also better than some, due to limited economic conditions, in the county hospital, if you can't get treatment, you can just drag it home and wait for death.

After all, not all people can accept the cost of going to a prefecture-level hospital for treatment, and not everyone is convenient and willing to be referred to a higher-level hospital.

Fang Xian's own family is from a poor background, and Fang Xian himself came up from a young doctor, so it can't be said that after he has been lifted out of poverty now, he can't consider and see poverty at all.

Don't say anything else.

How did his uncle, Uncle Fang Yun's grandmother, die?

At the end of the day, TM is the poor who die.

Although it was cruel to understand it in this way, this had always been the softest piece of Fang Yun's heart in his heart, even if he didn't show it, Fang Xian knew this.

If Uncle Fang Yun was very rich at that time, and even only needed one percent of his current wealth, maybe his grandmother would have died a good life.

"Senior Brother Fang, I can help you in this regard, I am more leisurely, I can help you count the types of diseases that are more frequent, the diseases that are expensive to treat, and the diseases that cannot be handled in the county hospital."

"More diseases, due to economic reasons or various other reasons, have been abandoned for treatment...... Zhou Xiyin has obviously done some homework before coming to Ci County.

"Senior Sister Zhou, how did you come up with this?" Fang Xian was a little curious.

MD, it's a shame to say.

He has done similar things, but in terms of touch bypass, he is not as good as Zhou Xiyin, an outsider, which makes Fang Xian feel an inexplicable sense of defeat.

This bonus can only improve one's ability, not IQ.

"Because there are many similar patients in the First People's Hospital of Changshi, in fact, I thought about it at that time, Senior Brother Fang, you may be able to think of a way."

"But at that time, Senior Brother Fang, you were not in the Affiliated Hospital of Shonan University, and functional reconstruction is a discipline at the forefront of medical development, which is beneficial to more patients."

"I don't have any suggestions, but now, Senior Brother Fang, if you have time, I think you can choose one or two diseases, and you can do as much as you can."

"Senior Brother Fang, do you think this will disturb your other arrangements?" Zhou Xiyin asked cautiously, as if the person sitting opposite was not Fang Xian, but a big person.

Zhou Xiyin's caution is to save face, and Fang Xianzi will not hold the shelf: "I think it should be possible to try it, but how to try it and which direction to choose, you have to grind it well." ”

If you can make a simplified version, it's a very large source of skill points.

It's just that Fang Xian is thinking about whether such a plan can be approved by the Ethics Society.

After all, the principle of not harming is here.

Damage is a near-death disease, and the downgraded treatment process can ensure the principle of saving lives first, then treating the disease.

The downgrading of elective diseases may not be approved, after all, it reduces the treatment effect of the patient's disease to a certain extent.

This practical problem must also be taken into account, otherwise this matter will be used by someone with a heart.

I will once again be put on the shelf of shame, saying that in order to perform surgery and make a name for myself, I will suck the blood of patients, and I can provide better medical care, but I deliberately keep a hand.

Once he is labeled as such, Fang Xian may be doomed on the road of medicine.

Fang Xian does not discriminate against others to be a great good person, but Fang Xian himself, unless it is a national disaster at present, he does not sacrifice himself to achieve the overall situation.

"It's better to sum it up, and even if you want to do something like this, it's best to find a teacher to take the lead."

"My current job title and qualifications are not suitable for such a thing." Fang Xian finished his return, slashed two mouthfuls of rice, and then continued to chew.

But it was obvious that Fang Xian's attention at the moment was already difficult to focus on eating and satisfying his hunger.

It is almost impossible for a junior doctor to handle a difficult operation according to the normal path and learning curve. And the reality is that once these doctors learn, they don't stay in their original units, but run outside.

Therefore, the downgraded version of the processing process proposed by Zhou Xiyin is actually feasible.

But before that, Fang Xian must carefully study the laws and regulations related to medicine, so as not to make any more oolongs, and bring all the procedures to the rules and reasonable, and then promote such a thing.

If you can do it, it can be regarded as a good thing that you can be useful during your idle work.

……

Zhou Xiyin's dormitory is located in the same community as Fang Xian, but in a different building.

After saying goodbye at the gate of the community, Fang Xian went back to his house directly.

There are three things that are mainly grinding, one thing is tomorrow's surgery, tomorrow's surgery, we must grind the surgical process again and strive to ensure the quality of the operation, which is the first priority.

Before the downgraded version of the processing process is not approved, or before such a project is approved, Fang Xian will never do such a thing in the clinic.

The second thing, naturally, is that if you want to do such a thing, which teacher should be called to take the lead.

Your own teacher is definitely not suitable.

Uncle Fang Yun or Professor Yang and others are suitable, but they are all super professors, and they may not have the kung fu to pay attention to what they have to do now.

You should be old enough to be able to speak clearly......

The third thing is about functional reconstruction.

Now that they are shelved in the county hospital and have no way to go out, many patients who need functional reconstruction surgery can only turn hope into despair, and good medical technology will be shelved and dusted.

However, who can take over such an operation in a short period of time?

Each of these problems is actually very tricky.

Naturally, the thing Fang Xian still has to think about is how to be promoted to associate professor. Associate professor is a teaching title, and in a teaching hospital, the title of deputy chief physician and chief physician is not valuable, and the teacher Lin Hui is a precedent.

That......

(End of chapter)