"Good morning, oh, by the way, doctor, Doan, the intern who came to your department yesterday, is his myocarditis better? He fell downstairs before, which scared us."
"He is fine. After communicating with his family about the situation, he decided to take a year off from school. Now I only have 11 interns left."
"God, I don't know how you survived. Yesterday, when the intern in our department was testing blood sugar, he made a big cut on the patient's finger. We also received two complaints from family members."
"Who hasn't made a joke during their internship?" Schiller smiled and said, "As for internship jokes, the surgery department has the most jokes. Maybe in a few days you will see our Mr. Hand of God getting so angry.
Roaring like crazy."
The female doctor opposite smiled, waved her hand to Schiller and said, "I'm going to do the ward rounds first. A mirror man was sent to ward 1032 today. I have to take those little bastards to see it to prevent them from making a fuss every day.
of."
Schiller also waved goodbye to her and walked to his office holding the medical records. As soon as he sat down on the chair in the office, the phone rang.
"Hello."
"Hello, hello, this is the emergency room. A patient in the third trimester of pregnancy was found to have self-inflicted scars on her arm during a premature birth surgery. She may need emergency psychological intervention. Please go to the obstetrics department immediately. Repeat..."
Schiller put down the phone and hurried out the door. He bumped into a figure. Schiller stepped back and saw that it was an intern.
"Hello, doctor, I have a few questions while listening to the recording of yesterday's clinical intervention. I wonder when you..."
"Stop talking about this now, come to the obstetrics department with me." Schiller walked out and the intern hurriedly followed him. Schiller said as he went down the stairs: "A pregnant woman who had a premature birth was found by the doctor to have self-inflicted wounds on her arms during delivery.
Traces, what do you think the problem might be?"
"Prenatal anxiety? In fact, severe prenatal anxiety and depression may lead to premature birth. Early intervention and early treatment are needed. At the same time, if similar symptoms are found on the delivery table, emergency psychological intervention must be carried out to prevent
Ensuring a stable psychological and emotional state of pregnant women and returning hormone levels to normal can also effectively reduce the probability of postpartum depression..."
The intern answered clearly and clearly. Schiller nodded and expressed his affirmation. But in fact, this is not surprising. This is New York-Presbyterian Hospital after all. The doctors who can enter the internship here have no qualifications or abilities.
Picky.
When it comes to why Schiller suddenly returned to New York-Presbyterian to work as a doctor, it is actually because of the current background of New York.
Marvel's earth technology has grown explosively, and the amount of information people can access is also growing. Even the already quite developed new media industry can no longer carry so much information, because in addition to the information on the earth, people also
Continuously obtain information from the galaxy.
The official news from the three empires alone is beyond the 24-hour rotation of all news media in the United States, let alone all kinds of major cosmic events.
And due to the development of productivity, various types of inter-air rail transportation systems have replaced the traditional transportation industry, and the international situation has changed very suddenly. People living in this era have experienced earth-shaking changes in their lifestyles in just a few years.
This will inevitably cause many problems, the first of which is the people's growing demand for psychological counseling.
In fact, the psychological counseling industry in the United States is quite developed and professional, probably 30 to 50 years ahead of most developing countries. People with a little wealth will choose to make an appointment with a psychologist after they feel their emotional problems.
As long as you are a licensed doctor, you will have about 20 to 30 visits a week, and sometimes you will have to deal with five or six patients a day.
Because a psychiatrist is actually equivalent to a general practitioner in psychology, psychological consultation is not as detailed as in a regular hospital. This kind of disease can be seen here, and that kind of disease can be seen there. Therefore, a patient often needs to do several things from the beginning to the end of the examination in one visit.
hours, the work intensity is not only not low, but even exceeds the standard in many cases.
As times change, people are always more confused. In the United States, which has a tradition of providing psychological counseling services, the number of people making appointments for psychological counseling, psychotherapy, and psychiatric examinations has almost increased tenfold during this period.
Because psychotherapy developed relatively early in the United States, the training for psychiatrists is quite professional, and more importantly, the assessment is very strict. Let me just say one thing: all licensed psychiatrists have double master's degrees and double doctoral degrees from prestigious universities.
Not to mention an ordinary undergraduate degree, not even an undergraduate degree from a prestigious university, or even a master's degree or a doctorate from a prestigious university. Even if you meet the academic requirements, you must have more than 3,500 hours of clinical experience before you can take the joint licensing examination.
Qualifications.
This screening mechanism has indeed made the level of practicing psychologists in the United States relatively high, but the terrible cost of time and money has stopped the vast majority of people who want to take this path.
An obvious contradiction is that if you want to graduate, you have to study, but if you want to get these 3,500 hours of clinical experience, you have to go out for an internship. If you study first and then practice, you will probably have to delay your graduation.
Every year you graduate, you have to pay one more year of tuition, and the tuition for clinical psychology is even more heavyweight.
If you want to study and practice at the same time, it won’t cost you money, but your life.
Therefore, although practicing psychologists in the United States make a lot of money, the number of people who can obtain licenses is still getting smaller and smaller every year. Most normal people have more cost-effective majors that can obtain licensed psychologists.
This profession is impossible without a little love.
But now people's needs are increasing, but there are fewer and fewer doctors. After all, a doctor is a free man. He can stop working if he has to work too much. But ordinary people who cannot get formal psychological intervention because they can't get a doctor are very likely to
From ordinary anxiety, depression or just temporary mood problems, to aggressive mental illness.
S.H.I.E.L.D. has actually discovered this a long time ago. Many times someone calls the police and reports that there are super-powered terrorists, and the FBI transfers the case to them. S.H.I.E.L.D. agents go over to see what kind of super-powered terrorists they are.
Completely mentally ill.
Forget it once or twice, until one day, Nick wanted to send people to New Mexico to check the inventory, but found that all the agents had been sent out. After checking, he found out that there was a major kidnapping case in the east of the city, and 20 people had been transferred.
Multiple agents, a bomb terrorist attack occurred in the west of the city, and more than 10 agents were called in to deal with the aftermath.
If you ask why the FBI doesn't care, it's just that it can't handle it anymore. All kinds of vicious crimes, large and small, broke out at one point in time, as if they were rushing to achieve results at the end of the year.
Nick was not as stupid as the FBI people, who thought that the increase in crime rate was purely a natural phenomenon. He understood that either someone was causing trouble or something was wrong.
After a lot of searching, I couldn't find the culprit behind the scenes. To be precise, the culprit behind the scenes was myself.
After interviewing several murderers, Nick discovered one thing in common, that is, their mental state was not normal.
I thought it was a good deed done by a super criminal with the ability of mental intervention. The purple man was even caught and beaten. Finally, Schiller analyzed it and found that it had nothing to do with mental control. It was simply a matter of psychological harm caused by the change of times.
Emotional problems occur frequently, and the number of psychiatrists cannot keep up. As a result, New York's folk customs have begun to resemble Gotham.
But Gotham is getting better now, and New York is not enjoying this renaissance. A group of people did some research and felt that just manipulating public opinion to appease the people was ineffective, and that special treatment was needed.
The quality of the doctors who came out of the previous psychiatrist assessment process was indeed high. Regardless of what difficult and complicated diseases they had, as long as they could make an appointment and see them on time, even if they were not completely cured after one course of treatment, there would definitely be a big improvement, at least for sure.
It won't get worse.
But the problem is that there are too few people cultivated in this way. Compared with the current base of patients suffering from the disease, it is not enough to fill a gap in the teeth. SHIELD can only use every method to lobby Congress.
Things like lowering tuition fees, lowering tuition loan interest rates, relaxing entry barriers, etc. are all long-term plans. Now if we want to have results in the short term, we have to start from the group of interns who have already graduated to make up the manpower.
To be honest, judging from the educational standards of the top universities in the United States, none of the interns who have reached the stage of taking the license examination are weak. There are also many people who have practiced for more than 1,000 hours and basically understand everything. The rest is just in the
Mixing time.
Therefore, we first shorten the internship time, and then relax the entry threshold. At the same time, we bring back doctors who are already working as teachers to help the interns get enough supervision time, and also allow them to learn more real things in a short period of time.
Only in this way can such problems be solved more efficiently.
The so-called supervision time is actually one of the clinical internship time requirements. To put it simply, the clinical internship that is conducted with the instructor present is called the supervision time, which generally lasts about 400 to 500 hours.
However, this area is often very strict. It only takes an hour for two people to stand together. Dozens of minutes do not count. Not to mention that before participating in the internship, there is a link called self-feeling, which is for the intern to see a psychologist himself.
, if you don’t have enough time, you can’t participate in the internship.
The vast majority of practicing psychiatrists are still carrying loans. If they don't open private clinics to make a lot of money, how can they stay in your hospitals and schools as small doctors and professors?
This leads to an extreme shortage of teaching staff, which then leads to a further reduction in the graduation rate, which can even be as low as 40% in the lowest year. Only 40% of all students can successfully graduate that year, and the remaining ones who study for another year will
The graduation rate in two years may be less than 50%. Just read this book and keep silent.
There is no other way in this situation. Just pay for it. Whoever wants to go back to the hospital or school to take care of students will have their tuition fees and loans waived.
Some people may think that with such little welfare conditions, it is possible to lure practicing doctors who earn high salaries outside to come back, but don't forget how expensive tuition fees are in the United States.
Looking at the better-ranked Columbia University and Northwestern University in the United States, the tuition for graduate students in psychology is 70,000 and 80,000 a year, respectively. Traditionally prestigious schools such as Harvard, Yale, MIT, and Princeton also charge 50,000 to 60,000.
Even if you can graduate normally, the moment you graduate, your student loan will start to exceed hundreds of thousands of dollars.
The income of a psychiatrist is high, but don’t forget that the interest rate on graduate student tuition loans is about 7%. Unless you can repay all the loans within three years, many people will pay off more and more after a long time. Many people
My children have all gone to college, and their student loans have not yet been paid off.
Therefore, student loan exemption is very attractive to many practicing psychiatrists. At this time, SHIELD has thrown out a very tempting bargaining chip, which is the currently popular interstellar sociology.