Back in 1996, the eldest daughter of Oldman Xie’s Family, Xie Wanying, said that she wanted to be a surgeon, to which many people laughed at her .
“ A Phoenix gives birth to a phoenix. And a ...
My childhood friend and Dr. Yin were in their sweet period before they ate together, and my childhood friend often brought Dr. Yin midnight snacks.
Xie Wanying smiled and said, "Yes, the hospital arranges doctors to take turns to go to the emergency room."
"Isn't he from the ward? How do your doctors take shifts? He is not an emergency doctor, so why is he working in the emergency room?" As a layman, Wu Lixuan didn't quite understand the doctors' duty system.
"The emergency department has very few doctors of its own because we have not established regional emergency centers in our country. Each hospital has its own emergency room. This may be more economical," said Xie Wanying.
The medical construction system of each country is different, and each has its own advantages and disadvantages, which can only be said to be suitable for its own national conditions. The domestic population base is large, and the establishment of regional emergency centers may not be able to meet the conditions of too many patients. Now so many hospitals cannot solve the problem of the difficulty of medical treatment for the people, let alone building some emergency centers to meet the needs of the people.
Each hospital builds its own emergency department. If it recruits emergency doctors, it will be equivalent to paying another labor cost. Domestic economic conditions are average for the time being, and there is no such capital. Hospitals want to operate at a low cost, and the calculation is once again on doctors. Doctors who usually work in various departments are transferred to the emergency department to take shifts, saving labor costs. The domestic emergency system has been running in this way for a long time, and it has not been unworkable, so it has been continued all the way. Anyway, cases that emergency doctors cannot handle still need to be consulted by specialists above.
Departments are already competing for business, so is it necessary to have a dedicated emergency doctor compete with other departments for business? Hospital leaders need to think about whether it is necessary. Including the National Association, most hospitals will not consider this strategy at this stage.
It will not be too late to talk about it until the economy develops, becomes closer to developed countries, people's living standards improve, and they are willing to spend more on medical care.
Specifically speaking, regarding the personnel situation of the National Association's emergency department, the doctors on duty in the emergency department are resident doctors and attending physicians.
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Yin Fengchun is the attending physician, and unless he is an associate senior professor, he cannot escape the duty in the emergency department.
"You don't have to work the night shift until you become an associate professor." Wu Lixuan heard this information for the first time and asked, "Yingying, where is your senior brother Huang?"
"Brother Huang is not an associate professor, but an attending physician. He is even busier this year when he is hospitalized. When he returns to the department next year, he will continue to rotate the night shift in the ward and the emergency department."
"So, there is no difference between attending as a doctor and being hospitalized, right?"
Of course not. The main force of emergency department rotation should be first-year residents who need to accumulate clinical experience and training. However, most of the medical students recruited by the National Association for the Promotion of Intensive Care Medicine are PhD students, and PhD students are promoted to attending physicians very quickly, resulting in the proportion of residents and attending physicians on duty in the National Association for the Promotion of Intensive Care Medicine to half of the staff.
"How long will it take for you and him to take turns in the emergency room?" Wu Lixuan asked again.
How often the rotation is made depends on how many doctors in the hospital are on duty in the emergency department. As for which department sends out emergency personnel on duty, we can only say that the emergency department of the National Association of General Hospital is the same as most general hospitals, and the emergency department is divided into two parts: general internal medicine and general surgery. No matter who meets the requirements, they will be required to be on duty in the emergency department according to the principle of fairness.
The specific scheduling situation is that the department whose turn it is will prepare the personnel list in advance and hand it over to the director of the emergency department, who will then make the specific duty roster.