medical simulator

Zhou Cheng nodded.

The better the talent, the more paths they can try. Anyway, it's a big deal to go back and start again, which is also faster than the average person's learning speed.

Undergraduates or postgraduates who can come to the Third Affiliated Hospital of Kyoto University, at least in terms of study, are outstanding!

"So, the cost of trial and error that others cannot afford, our school and our hospital can."

"The orthopedics department of our third hospital can afford losses that others cannot afford in the teaching of orthopedics!"

"This is the charm of the platform, and it is the top platform."

Gui Yuanping spoke proudly.

It can be said that among the national universities, Kyoto University and Tsinghua University are at the highest peak, so they can be proud and leave other universities behind.

And the orthopedic departments of Jishuitan Hospital Affiliated to Kyoto University and the Third Affiliated Hospital of Kyoto University are the leaders in Huaguo, so he has the confidence to say that even if I have tried and made mistakes for several years, I can still lead the way. Because I have such background.

And this condition is not met by the Affiliated Hospital of Shonan University. Perhaps the medicine there was top-notch in the past, but the development in recent decades has not been fast enough, so they cannot afford too much trial and error costs.

But Gui Yuanping can do it!

He is also an academician, the only academician of sports medicine.

Seeing that Zhou Cheng didn't speak, Gui Yuanping asked again: "Fortunately, you spoke in a timely manner, so I haven't completely retired, teacher. Fortunately, I still have a certain amount of weight in the orthopedics department in China to say something. "

"Fortunately, your teacher, I can teach you again. I can hold the pen in my hand."

"Do you want to watch a Wanjia fireworks? What kind of scene is it?" Gui Yuanping's words were very soft, but they had a unique charm and allure.

Hearing this, Zhou Cheng was thoughtful——

Once, someone told him that Zeng Diwei wrote peaches and plums, and then offered sacrifices to peaches and plums.

Zhou Cheng had personally witnessed it.

I also heard that one of my teachers, Academician Gui Yuanping, wrote about fireworks, Wanjia fireworks, and now Teacher Gui Yuanping said that he wants to show me what Wanjia fireworks is?

Could it be that he also sacrificed?

"Whether you want it or not, I will show it to you once. It will take time, but the color after it is released is always good-looking."

"The fireworks in one place are not strong enough, and the colors are not heavy enough, but the fireworks in Wanjia are humane and colorful." Gui Yuanping said so at the beginning.

After speaking, Gui Yuanping made several phone calls in front of Zhou Cheng.

Among the people on the phone, there were those Zhou Cheng was familiar with and those he was not familiar with.

Zeng Diwei was Gui Yuanping's first caller.

Then Zhang Xingze, Zhang Lei, Yan Xuedong, Guo Lanzhi...

Guo Lanzhi and other old people, Zhou Cheng is not very clear, but the first few, one is his teacher, one of the academicians of orthopedics, and the other three are members of the academician defense committee when he is defending himself. .

All academicians.

Then Gui Yuanping made some more phone calls. First of all, Zhou Cheng was more familiar with Peng Peng, who he had met in Gui Yuanping's small training before, then Lu Ganzhou, and then Zhou Muyun's teacher and other well-known professors...

After a round of phone calls, there were more than [-] calls.

Then Gui Yuanping put down the phone, his mouth was a little dry, and he took a sip of tea first.

Said: "It happens to be during our mid-year meeting of sports medicine, so some of our sports medicine professors are in Kyoto."

"For people from other sub-specialties, I only call some old friends, and I don't call others."

"My idea is that since you want to create a hierarchy of doctors and medical skills, let's start a pilot first."

"The scope doesn't have to be very large, just use us old guys as your experimental materials, isn't that all right?"

"Then you yourself, based on your thoughts and experience, redefine the doctor's title and what are the different levels of medical skills?"

"I think your idea is very good. At least from the perspective of clinical expertise, if you can quantify which doctor's level is high, and then everyone can uniformly recognize his level in a fair and just way, this idea is great!"

"So Master, I will take you into this platform and take you one step further!"

"..."

When Zhou Cheng heard this, his eyes became a little nervous.

This step forward is at least two years ahead of his expectation, at least in the simulator world compared with reality, it is now two years ahead of schedule, and this variable factor is Academician Gui Yuanping.

……

Gui Yuanping is a person who does what he thinks. Because of his relationship with Zeng Diwei, it goes without saying that he has a great appeal. It is said that there is a big event, so other people except the two academicians were not present.

Huaguo Academy of Sciences, eleven academicians of orthopedics, all came.

After getting together, first a small meeting was held in a restaurant, and among the participants, apart from the academician level, only Zhou Cheng was left who was not at the academician level.

Gui Yuanping started to express his thoughts, but Zeng Diwei didn't say anything.

Zhang Xingze, who was tall and strong, immediately raised a question: "Professor Gui, your idea is good, and it is also conducive to the development of medicine and doctors. In recent years, the state has also proposed to separate majors from scientific research."

"If it is possible to use simple indicators to divide the ability of professional technical level into grades similar to pianos, then I think it is better and more objective."

"In this way, the doctor's level can be more accurately linked to the corresponding disease types and clinical applications, reducing the probability of leapfrog surgery, and can avoid some buried talents and dig them out."

"This is an excellent thing, ability comes first."

"It's the level certification of this professional title. How will it be evaluated in the end? I wonder if Professor Gui has a solution?"

Of course Gui Yuanping didn't know so many details, so he looked at Zhou Cheng.

"Xiao Zhou, what do you think about? Tell the teachers what you think. Let's discuss it together. After all, if this matter is promoted in the end, it will definitely not affect a certain person or a certain period of time. but all."

"Therefore, we have to weigh the pros and cons in advance."

Zhou Cheng took a deep breath when he heard the words, and then said slowly: "Mr. Zhang, my temporary thoughts are like this, which may not be correct, but I think it is more appropriate to draw conclusions like this."

"First of all, the first one is to parallelize the old and new professional title assessment systems, not abandon the current professional title assessment and surgical authorization scheme and route, and add a new professional title assessment and surgical authorization scheme."

"The main details are as follows."

"Now, the evaluation of professional titles of doctors mainly includes primary, intermediate, deputy high, and senior high."

"The primary professional title, I think it will remain unchanged for the time being, with the qualification certificate as the dividing line, but I suggest that the certificate can be obtained in advance, in the fifth year of undergraduate, the first year after graduation, you can choose a year to apply for the exam. "

"However, those who apply for the exam in advance need to meet the following conditions. The establishment of this condition is linked to the average title of junior doctors in my country."

"My idea is to randomly select a thousand resident physicians with junior professional titles, and assess their average level as a reference line for junior professional titles. If those who are assessed later can exceed this level, they will be given junior professional titles."

"Or, take the average level of the top [-] resident doctors as the critical point. If you want to apply for the exam in advance and enjoy the same treatment, then you must have exceptional strength..."

"Otherwise, we will still follow the old professional title evaluation route step by step, that is, to obtain a medical practitioner qualification certificate."

"The same is true for intermediate professional titles. Our current intermediate professional titles can be upgraded to intermediate professional titles after five years of working with primary professional titles."

"But my idea is that if someone can surpass the average level of the [-] best doctors, then we can make an exception in advance and authorize professional titles with the provincial medical association as the comprehensive consideration unit. The assessment process is open and transparent. The whole process is videotaped and checked to avoid cheating..."

After Zhou Cheng finished speaking, he saw that many people were thoughtful, so he continued.

"As for the level system of skills, I think it is still necessary to ask the professional committee to conduct a detailed evaluation of the skills of each profession. I have prepared some reference settings. If the professors can gather together and discuss, Objective standards should be set.”

"Then it is the most suitable."

"In this way, we can minimize the situation of vegetarian diet, mismatch between ability and professional title, and insufficient promotion of professional skills. It is also in line with our national policy requirements of building a more professional team of clinicians..." Now that Zhou Cheng has spoken, it is also possible. He let out his own thoughts.

Thinking questions must be comprehensive and thoughtful.

The old and new systems run side by side, and will not kill everyone with one stick, but it leaves the geniuses with the most lenient avenue.

I am not comparing with ordinary people, I am only comparing with the most powerful people, if I can squeeze in, then I am strong enough, as long as enough people squeeze in, then the average level will naturally be strong, and, Some people who don't live up to their name can be screened.

Zhou Cheng then went on to say: "Such a standard can be raised or cut every five years, to avoid some special conditions that will get stuck on some people!"

"Then, if there is a doctor who is particularly good at a certain skill, it can make up for other basic skills that are not solid enough. After all, the main purpose of our hospital now is to undertake the task of diagnosis and treatment, not the task of grade examination..."

"Teachers, this is my preliminary idea." After Zhou Cheng finished speaking, he said the concluding remarks in a neither humble nor overbearing way.

After listening to Zhou Cheng's words, Zhang Xingze and others' eyelids twitched.

Academician Yan Xuedong even said directly: "Xiao Zhou, I am afraid that you have been wanting to rectify the current doctor title system for a long time, so you have such detailed ideas and measures?"

Zhou Cheng smiled slightly when he heard this, and said, "Teacher Yan, actually, the reason why I have such an idea is because of my own selfishness, that is, many teachers now have relatively nothing to do after retirement."

"The clinical tasks are too hard, and the teaching tasks are rather scattered. If they can go to the Medical Association to continue to shine, I think these teachers are very willing, and they are relaxed and important!"

Zhou Cheng once again threw out an idea to please all the old professors.

After retiring, I feel like I just leave the tea, and I can't afford to work in the clinic. The teaching tasks, some odd and small tasks for a week are very complicated, but the vision and strength of these professors must not be doubted.

If their physical conditions permit, they can shine in the medical association, then they can make the most of it, and it all depends on freedom.

But I believe that many professors are used to work, and all the burdens are relieved at once. They will feel unaccustomed and want to do something, so this is the best place...

Chapter 494 Professor Zhou's suffix

Yan Xuedong took a deep breath when he heard the words, and then analyzed very appreciatively: "Xiao Zhou, I can understand your proposal. Of course, I also think such an idea is quite good."

"It's just that it takes a lot of manpower, material and financial resources to accomplish this. For example, let's not mention how many people are needed to participate in the skill assessment."

"It's difficult to achieve with this skill level tester alone. How we can accurately evaluate a person's skill level is also difficult to be objective. Of course, maybe you already have a corresponding idea."

"However, I still feel that even a small-scale pilot project requires a lot of manpower!"

This is a big problem. According to the objective standard Zhou Cheng is now describing, although it is detailed enough, it is also very impressive and highly enforceable.

But this involves many aspects -

Just in the residency stage, how do you find the best or relatively excellent residents, and digitize and objectify their technical level? This is a difficult point.

Not to mention attending physicians, associate professors, professors, etc.

Zhang Xingze was not idle either. After Yan Xuedong finished speaking and gave everyone about half a minute to think, he said, "Xiao Zhou, I'm here to ask a question."

"That is, if, before the development of new research directions, everyone's understanding and opinion of each skill is different, before any matter is inconclusive, how do you determine who is right and who is wrong where?"

"You can't say that because you set objective indicators, then you are right and everyone else is wrong, and you can't say that you are wrong. In the academic field, such differences must be allowed to exist..."

Both Zhang Xingze and Yan Xuedong consider things from a very comprehensive and objective perspective, which is also a problem.

Of course, Zhou Cheng was already prepared for such a problem. For half a month, he was simulating and thinking about the solution to this problem.

"Mr. Zhang, thank you for your questions and pointers. I have spent time conducting more objective research on this issue."

"First of all, whether it is our clinical surgery or our understanding of diseases, in the early stage, that is, when we clinicians are studying, we must go through three levels: apprenticeship, proficiency, and specialization."

"Apprentices are easy to understand. Each of us comes from seeing it, understanding it, and mastering it. I think that only when you are proficient in the existing field can you have your own understanding. Otherwise, you will be able to understand it out of thin air. And the new thinking that arises will definitely be divorced from reality.”

"Introducing the old and bringing forth the new is the principle."

"Under normal circumstances, only at the stage of professor or associate professor, or equivalent to this level, will one have his own understanding of a disease."

"Teachers, I'm not one-sided. What I'm talking about is equivalent to this level."

"Then when they have different understandings but cannot explain each other, then we temporarily think that this issue is not perfect for the time being, at least not in an absolutely perfect state, and there is still a relatively large controversy."

"Everyone has their own understanding, which is a bit similar to different sects with different theories and theories. Then, under such circumstances, I will define a deeper level of skill as wishful thinking."

"This Ruyi is not just random, but represents infinite possibilities, and above the possibilities, there is that little bit of perfection, and perfection will then reincarnate to Ruyi."

"Take the meaning of wishful thinking, don't rigidify and lock all thinking, but before the redefined perfection appears, I think the word wishful is the most appropriate."

Zhou Cheng explained his thoughts and understanding.

"Ruyi?" Zhang Xingze repeated, smacking his lips, and then nodded: "This word sounds nice, and the meaning is quite good."

"You have already answered my question. Now you can answer Professor Yan's question." Zhang Xingze pointed in Yan Xuedong's direction.

Generally speaking, academician is not a professional title, but an honor of being in the Academy of Sciences. Among academicians, the title of academician is not called, especially when professionals communicate with each other.

Zhou Cheng thanked Zhang Xingze, and then said: "Actually, the students have thought deeply about the question raised by Teacher Zhang."

"Of course, it is quite difficult to invest a huge amount of manpower and material resources in the early stages of direct standardization of grades."

"So, Mr. Zhang, I thought of many ways, and finally simplified this solution into a small program game. It can be regarded as a recreation, and I can collect some information. If I can promote this, this is a relative method. Simplified screening mode."

"What I mean is, if he can play this game well, then his technical and cognitive level must be good. At least, in my opinion, he can contribute to the improvement of such a system." A lot to contribute."

"The above is a purpose."

"Secondly, when I was planning to develop this small game, my original intention was to fragment, make interesting, and systematize some of the existing medical knowledge, so that players can roughly know a little bit about it during the process of playing. What factors are needed and what details need to be considered in the first surgery.”

"In the process of acquiring in the game, they can understand and dabble, and drive learning with interest."

"Third, if this game can be successfully developed, then it can provide a large amount of data for the standardization and objectification of skill training instruments, and provide a large amount of reference data with the level and depth of knowledge of our current clinicians."