Zhou Cheng did not answer immediately, but thought for five seconds before asking: "Director Ding, did you ask this question, or did Director Lei ask it? Or did Dean Lei ask it?"
Zhou Cheng is no longer a newbie. These different names represent different people.
Director Ding is the ward, Director Lei Zhong is the department, and President Lei Zhong is asking at the hospital level.
It's really hard to tell if you know something but don't report it.
Ding Changle's tone was not so serious and he said with a smile: "Xiao Zhou, don't be nervous. In fact, Professor Lei Zhong came to ask me this question."
"Currently, the medical department and pharmacy department of our hospital have urgently launched in-hospital inspections. Currently, no special findings have been found in the entire hospital, except in our department."
"Your current resume does not belong to the Hunan Provincial Health Commission, so Professor Lei Zhong just asked more questions without blaming you."
"Professor Ding, I didn't know this before. Maybe I was lucky. I just took up the post of chief hospital officer and burned a few fires at the right time." Zhou Cheng didn't know about it in advance.
The Central Inspection Team exists in every place and will go there, but I would never have thought that I would be working in a local area at this time when I started working only this year.
"If I knew about it, I would definitely not hide it."
Zhou Cheng also knew that now that he was officially working, he had to balance all kinds of pressures on his own.
Professionalism, teaching, scientific research, nothing else can be left behind.
Relationships still need to be managed. Some things can be solved with strength, but with connections, they can be solved faster!
"Okay, I understand, Xiao Zhou, don't get me wrong!"
"Professor Ding, may I ask who the people from the Central Inspection Team are?" Zhou Cheng changed his title.
"We don't know yet..." Ding Changle's tone was also very complicated.
The next day, 7:57 in the morning.
The trauma surgery department is preparing for the morning shift. Today, all employees in the department, including professors, associate professors, attending physicians, various bedside physicians, and even all nurses, are all absent.
Even the nurses working the night shift came to the shift room immediately.
There was a room full of people standing around the big table where shifts were handed over, and everyone's face was very serious.
Ding Changle was sitting in the director's position, staring at the time above the projection screen with an expressionless face, motionless.
"07:57:36!"
"07:57:37!"
"."
On Ding Changle's right hand, sitting side by side with Ding Changle is the head nurse Xue Huan. The first person on the left is Professor Wang Yunfa, Professor Cai Dongfan, Associate Professor Fang Xiao, Associate Professor Qin Tianzhu, attending physician Du Xiaoshen and others...
To Xue Huan's right, sitting in a vertical row were several nurses in charge, and then the staff nurses in the department.
In two rows of the long table, labor dispatch nurses, graduate students, bedside doctors, etc. were standing. Of course, there were also intern doctors and intern nurses, who were also trembling and waiting for time to beat.
Today, even two professors, Wang Yunfa and Cai Dongfan, did not dare to take out their mobile phones. Instead, they turned their phones to silent, placed them on the table, and lay quietly.
And in the standing crowd, everyone was constantly checking the volume settings on their mobile phones, fearing that a sudden ringtone would break the silence and become the target of public criticism.
The breathing sounds of many people have become much quieter.
Finally, at eight o'clock, Xue Huan looked at Ding Changle, who was still expressionless and didn't want to talk, and said, "It's time, let's start handover."
The nurse in charge on the night shift just started the detailed handover of newly admitted patients, surgical patients and critically ill patients yesterday.
The shift handover is too detailed, including the diagnosis, age, bed, admission time of each newly admitted patient, accurate to the minute, postoperative patients, all drainage volumes, bleeding volume accurate to single digit milliliters, VAC duration
The time is accurate to the minute, and the current negative pressure drainage pressure of the VAC is accurate to 1KPA.
After the nurse has finished her shift, the doctor on duty will hand over the shift. It is not the kind of "nursing department handover that is detailed without special supplements," but starts from the beginning to the end and belongs to the doctor. It also includes detailed information about the newly admitted patients and the details of the department.
The results of the four inspections of critically ill patients, the blood loss and drainage volume of postoperative patients; the preparation status of patients before surgery...
"The remaining patient's condition is stable, there is no special shift, and the shift is completed." After the doctor on duty said a lot, the time came to 8:25, and the end of the shift came to the end of the nurse's shift.
If it were normal, this shift handover would have ended ten minutes ago.
After the doctor on duty finished speaking, Xue Huan reminded him again: "Director Ding, the shift has been handed over, should we go directly to the ward rounds?"
Ding Changle then blinked his eyes, and then said slowly: "I will delay everyone for a while today and say a few words."
"I believe everyone should be aware that in the past few days, the atmosphere in our hospital has been quite anxious. Not only our hospital, but all the hospitals in Shashi, one by one, from top to bottom, everyone must be tight-knit.
!「
"Although Mr. Zhou has corrected some problems in the past few days, at this time, we cannot afford to be careless, and we cannot let down our guard."
"I'm not afraid to tell you. As far as I know so far, among the personnel sent to Shashi by the Central Inspection Team this time, there are five senior professors in our Department of Orthopedics alone."
"So, you must not think that there is any loophole to take advantage of. These professors have practiced more tricks than you, even more than me. They know the unspoken rules!"
"We have to start regulating our medical practices."
After Ding Changle finished speaking, he changed another direction to prevent the atmosphere from becoming more solemn: "We are in the medical industry. We must manage our diagnosis and treatment process and our wards more carefully. Our nursing department also
It is necessary to implement the doctor's orders and implement the nursing work into the details and daily work."
"There is a knowledge gap between patients and our staff in the medical industry. The ones who have the most contact with patients are your nurses, and our bedside doctors, so the nurses and bedside doctors who are in charge of the beds are actually the ones who care about the patients.
the most important person."
"The patient's medical instructions, nursing work, and communication with the patient and their families are all the responsibility of you. You must shoulder your responsibilities."
"Detailed management is the focus of our future work. We must shift the focus of our work tasks."
After Ding Changle finished speaking, he paused for a moment and then said: "In addition, Professor Wang, Professor Cai and myself in our department, as well as all the senior doctors in our department, must also take up their own responsibilities. They must
Think more comprehensively about diagnosis, make medical orders and diagnosis and treatment processes more precise, and think deeply and reflect on each patient's diagnosis and treatment plan in an individualized and precise manner."
"Thinking is necessary, and reflection is extremely important. Don't have a one-size-fits-all model. All superior doctors must take responsibility. I don't want things like applying medical order templates to happen in our department."
"Moreover, the superior doctors of each group must also carefully manage the writing status of each group's medical records, the quality of the writing of the medical records, the completeness of the interviews and signatures, and the contents of the signed consent forms. They must not
There is an error."
Then, Ding Changle lowered his voice slightly and said: "This is not to scare or force everyone. This time, we must make great efforts to rectify it. Just yesterday, Director Lei Zhong of our department no longer
It is the position of the dean. He was dismissed from the position of dean after being blamed, and now dean Lin is acting as dean."
"The head nurse of the operating room was dismissed, and the director of the urology department, general surgery department, and breast and nail surgery department were also dismissed on the spot."
"Currently, the performance coefficients of all departments have been reduced by one-quarter. The performance of operating rooms, anesthesia departments and above departments has been reduced to half of the previous level. This is an order personally issued by Dean Lin! "
"Pursuing responsibility to the end, this sentence
What I said is really not a joke."
"And our bedside doctors must also manage their own behavior. Although there are currently no postgraduate students and regular training students being dropped out of school or training, it is not impossible! Although you are students, you cannot feel that
As a student myself, I can completely avoid punishment."
"Although the school and health system have protection mechanisms for you students, they are definitely not a protective umbrella..."
After Ding Changle finished speaking, Wang Yunfa said: "Although we professors no longer directly manage the ward, we are all well aware of what you, the doctor in charge of the bed, are doing."
"Nowadays, it is said that studying medicine is not easy. However, in the student stage and the learning stage, what you have to learn is professional knowledge and skills, rather than learning some messy things."
"Of course, I think our superior doctors have also failed to do their job well. The current teaching process in our department is still too little. Therefore, in the future, more tasks will be added to the department and the chief resident will be responsible."
"From now on, in our department, each group will conduct a teaching round once a week. A large teaching round once a month, and group discussions twice a week..."
After finishing the morning shift, Ding Changle didn't say much. He just asked as everyone was leaving: "Xue Huan, how many surgeries are there today? Which group is it from?"
"Professor Wang Yunfa's group. There are only two surgeries in total. The pace of our department has slowed down in recent days. "Xue Huan is very familiar with the situation in the department. She has not gone home in the past two days and even yesterday. She is a resident.
In the department.
"Yeah!" Ding Changle nodded.
Slow down the pace and do the surgery more carefully, so that the patient can be managed more appropriately. It doesn’t matter, there is no need to deliberately pursue the speed of the surgery.”
"Okay, Director Ding." Xue Huan nodded.
After Ding Changle finished chatting with Xue Huan, he said, "Xiao Zhou, come with me. I have something to do with you."
Zhou Cheng was preparing to take people to do ward rounds at this moment. After all, Ding Changle had been extremely busy in the past few days, so he was the one who led people to do ward rounds.
Said: "Okay, Director Ding."
Zhou Chengcheng followed Ding Changle all the way to the office.
Say nothing.
Ever since the Central Inspection Team turned from darkness to light, Ding Changle has rarely been seen in the department, and the directors of several other wards have also been dragged to countless meetings somewhere.
I know that every ward director and every department chief has a lot of things to do right now.
Zhou Cheng did not dare to ask Ding Changle, so he was not particularly clear about all the changes.
Moreover, even during special periods, Zhou Cheng is also the chief resident and needs to fulfill his responsibilities as chief resident.
Ding Changle pursed his lips and said, "You heard it this morning too. The hospital is in a troubled state now."
"Of course, not only our hospital, but also the three hospitals affiliated with Shonan University and several large hospitals in Shashi have traces of the undercover investigation team. There are also many people from the Health Commission who have been arrested."
"The more we are at this time, the more we need to be more vigilant. Since the Jinyi Group is here, there may be more than one wave, and there may be people from the secret investigation group who have not yet come to light. They are just waiting for us to relax our vigilance."
"In a few months, the medical reform is expected to undergo major changes, such as bulk purchasing and centralized purchasing. By then, a steel plate will cost several hundred yuan, and the total cost of a fracture operation will only be four to five thousand yuan.
「
"The cost of surgery will also be reduced. The hospital will take a portion of it, and the operating room will operate according to the rental model. For each operation, the operating model is anesthesiologist, roving, instrument nurse, and the operating room will be charged based on time."
"The department is responsible for its own profits and losses. It's really not certain whether the people in the department will be able to eat."
"You are the chief resident now. You have to pay attention to this. There are some minor surgeries. If you perform one surgery, you will lose money. Don't destroy all the performance of the department by then. Then the department will have a big opinion on you.
of……"
Zhou Cheng has actually known about the medical reform for a long time. Today's medical industry itself is in a period of major reform. It's just a matter of reform.
The people are not from clinical background or even from the medical industry, so everything is changed in a drastic way and not based on the facts at all...
Nowadays, the salary of a middle-level employee in a company is just as high as that of a professor in a tertiary hospital.
Some people may say that to be a doctor is to have medical ethics, to treat illnesses and save people, and to practice medicine for good.
However, people who say this generally don’t have family members who are doctors or nurses. They don’t even consider whether some people can survive. Anyway, they judge people from the highest point of morality from the beginning.
It is true that if you want to make money, don't become a doctor.
However, this does not mean that you are not qualified to live as a doctor. It is a bad idea to even support your family. If you cannot even support your family, how ridiculous is the so-called superior medical ethics?
Currently, China's medical industry has a huge talent gap, especially in pediatrics and emergency departments.
Why, one is the doctor-patient relationship, and the other is salary.
Except for a small number of passionate people who are not short of money, who is willing to dig into that nook and cranny?
When I see incidents related to doctors, I scold the butchers in white and wish I could kill all the doctors in the world. When I go to see a doctor, I resent the lack of doctors in the hospital. I have to wait here and there.
but?
if not?
I don’t know how many years it will take to fill this gap, or even whether it will ever be possible to fill it.
After all, the total time required from high school graduation to doctoral degree is eleven years. After graduation, even if you go to a provincial-level tertiary hospital, the salary is only about 10,000 yuan, after deducting five insurances and one housing fund.
Later, I got six thousand...
How come anyone who is not a doctor in the medical field is so cheap?
Zhou Cheng can actually understand the pain in Ding Changle's words, which is closely related to him. He can still make some money through scientific research, but what about those who don't do scientific research?
What should they do?
Most of them should be like what they say on the Internet. If they don't have the medical ethics that they say is reckless and sacrificial, then they shouldn't be doctors.
They just went and did that, right?
The rate of students changing careers in the Department of Medicine is increasing year by year.
The number of people applying for medical majors is gradually decreasing every year...
This should be what most people like to hear. Anyway, what Chinese people need are doctors with medical ethics. Rather than doctors who can cure diseases, evaluating a diagnosis and treatment based on medical expenses is what many people like to do.
things.
It is medical ethics to think that a cold can be cured with just a few cents. Don’t you know that medicines costing only a few cents are medicines that have been abandoned in front-line clinical practice for many years?
What are the side effects to worry about? Just save money.
"Director Ding, Professor Lei, everything is fine, right?" Zhou Cheng asked worriedly.
Ding Changle said: "I don't know, but there are rumors that Professor Lei Zhong may resign and go to a private hospital. The Shenzhen City in Guangzhou Province has offered him an annual salary of 3 million plus salary commission."
"ah?"
Zhou Cheng was stunned when he heard Ding Changle's sudden words.
Lei Zhong might resign and go to a private hospital?
"Actually, it's not just Lei Zhong. Several people in the dermatology department of our hospital have switched careers to medical aesthetics. The annual salary now is pretty good. It's easier than being a doctor, and they earn more than being a doctor..."
"Someone has also contacted me, I haven't thought about it yet!" Ding Changle said so bluntly, looking at Zhou Cheng with no expression at all.
Zhou Cheng felt quite uneasy.
When he was in Shanghai, he also met a doctor who resigned and changed his career to other industries.
"Professor Ding, Professor Lei and you won't do the same?" Zhou Cheng really doesn't want these two to leave.
The Affiliated Hospital of Shonan University is currently developing relatively slowly. If these two people leave, its current status in the world may drop again and again.
Zhou Cheng originally had no feelings for this place, but
Now that he has settled down, he hopes that the hospital will develop better.
"I won't be in such a hurry. I'm still watching." Ding Changle smiled and asked Zhou Cheng.
Then he made another joke: "At least for your sake, we won't decide so easily. After all, it took a lot of effort to bring you in. You can still survive. I'm afraid there won't be too much fresh blood coming in in the future."
"Then our industry will be in trouble. If we continue like this, there will only be one result."
"Either doctors' performance and salaries are fully funded, or medical insurance provides full coverage to patients! Otherwise, neither side can continue."
"Medicine is moving forward. Either it is cheap or it is conscience!"
"Conscience from a large scale and from big data is conscience. We must believe in scientific facts."