"2065438+On March 30, 2008, Gu Jian, a graduate student of the First People's Hospital of Zhenjiang City, Jiangsu Province, died suddenly while working the night shift. According to many media reports, before his sudden death, he had been working continuously 15 hours, which was almost the normal state of his work. "
However, when the parents of their children asked the relevant hospitals for explanations after the loss of their beloved son, they suddenly found that the special group of "punished students" was a blank in China's labor protection law. The focus of the dispute between family members and the hospital is whether Gu Jian's work-related death is a work-related injury.
The local labor and personnel dispute arbitration commission quickly gave such an answer.
It turns out that the essence of "trainee" is to count as a student, not a "worker", let alone a "work injury".
Well, as a teenager who has used the rules for six years, I want to ask, what have I learned as a student?
The most direct answer is that from the beginning of my internship, I was a young doctor with ideals and ambitions, flexible hands and full of enthusiasm. My eyes were gradually blindfolded by the helpless reality, and I kept turning around on the millstone for a little food.
For hospitals, the vast majority of students are just cheap laborers who are "smelly in writing medical records", "hanging dead hooks" and "broken on duty". It's cheap, but not rigorous. Many of my friends in the training process, first of all, their own departments will not give a penny, and at the same time their rotation departments will not give a penny. Only the labor contract signed with your own hospital will give you a basic salary of several thousand yuan.
But for an older man and woman about 30 years old, I believe you can only talk about survival, not dignity.
What is even sadder is that we use these youths to "keep the rules". What do the rules and regulations return to youth?
As for what I have learned as a surgical trainee, I think every trainee has an answer in his heart.
When I was training in the hospital, I learned a word called "red, yellow, blue and green".
This department is a hepatobiliary major, but the intrigue in the department is chaotic, and the old doctors disagree, so a small department is divided into four groups and labeled as red, yellow, blue and green by nurses. Each label represents an old doctor.
As a resident of Guipei, we received such training on the first day we entered this department. Many people will think that since you are a hepatobiliary major, you must have received training in the treatment of hepatobiliary diseases.
Wrong.
We are trained in the routine medication of each group, such as nutrient solution, antibiotics, acid inhibitors and drugs to enhance immunity in the red group, which is completely different from the green group, yellow group and blue group. Every patient needs more than a dozen drugs after operation, and what we residents need to do most is to prescribe more than a dozen drugs in each group correctly, and don't prescribe drugs in the green group to patients in the red group.
Otherwise, the old doctor will severely scold you and doubt your life.
Even once, I took the patient's ECG of myocardial ischemia and asked the old doctor of Huang Group. The old doctor carefully looked at the electrocardiogram and said.
"Use antacids and remember not to make mistakes."
Walter Zephyr. ...
So if you ask me what I have learned, I can only say that I have learned these "rules".
But perhaps most importantly, I may not have learned what kind of doctor I want to be, but I know what kind of doctor I must not be.
In fact, there is a saying that there are too few doctors in China, but there are too many.
Too little is too small an absolute value. For a vast country, only these doctors are not enough.
But for a top department in China, there are too many people in each department, so it is impossible to let everyone take the lead as soon as they graduate. In other words, if you are a teenager, you should take the lead, so what shall we eat?
The most terrible thing is not that a group of people have politics together, but that a group of doctors who graduated from famous schools are under one roof. This is not politics, this is a coup.
So every department is willing to see such rules, so that you can grow slowly. Since you are five or six years behind me, you can wait five or six years before doing my present job. I haven't had enough operations. Why should I let you do it?
Then Guipei was born naturally.
So, I really didn't want to train you at first, but I wanted you to walk slowly at first.
The heat hasn't arrived yet. What's the hurry?
It's interesting about which events to train. This is the same as parents judging what extracurricular classes their children should attend.
"I think we should learn some foreign languages."
"Well, you have to learn an instrument to play music."
"You must learn a physical education class."
"Well, I think the Olympic Games must be reported."
So every child's schedule has become ... "Piano, swimming, English, Olympiad, composition, dance, calligraphy ..."
So is Gui Pei. In everyone's cognition, of course, it is best for every doctor to know about women's eyes, ears, nose and mouth, and to operate on them, prescribe medicine and acupuncture. Therefore, there will only be more and more training programs, but no one will really care what you learn in the end.
When you submit the graduation record of the training program, you should write down the number of operations you have participated in and the number of patients you have managed. You will find that what you care about is what your youth has achieved, and what they really care about is whether you have completed this procedure as required.
And what kind of doctor you will become, they don't care much.
The author recently visited a hospital in Taiwan Province Province, and felt the discipline of this hospital, and began to doubt life.
On the operating table, a little girl about the same age as the author, yes, a little girl, flexibly operates a single-hole endoscope with immature hands, and her surgical skills and first aid ability are far crushing the author. And this little girl is Gui Pei's resident doctor for five years.
More precisely, he not only crushed the author, but also crushed most of the old doctors I have ever seen.
Where the operation is difficult, we are all thinking that the director should be able to attend soon. After all, outsiders come to visit and can't do teaching on the spot.
Surprisingly, the director not only didn't go to class, but also didn't command anxiously under the stage, but watched quietly.
When we left the operating room, a colleague asked, why didn't you go, director? The operation doesn't look so good.
The director said that she has been a resident for the fifth year and will graduate next year to become an attending physician in a hospital. Theoretically, she must learn to deal with emergencies and even emergencies independently now, otherwise our hospital will lose the qualification of regulation training. Then she was on the operating table. She was a surgeon. She should choose whether to seek help from other doctors. If she doesn't, then I will respect her.
It is because of this kind of letting go that such an excellent surgical woman has been created. And the author himself, basically, was blown to pieces by a ring of Thanos.
In fact, if the goal of training is to train an excellent doctor, then whether a doctor is excellent actually defines the success of training. It's not how many operations the doctor has performed or how many medical records he has written.
Imagine if a trained doctor was promoted to an attending doctor, but his skills were not as good as that of a resident. Is this kind of training just a beautiful bubble?
But in fact, it is not that the management department does not understand this problem, but that the relationship between the teaching management department and the implementing hospital/department is very unclear. In order not to drink tea, ten thousand words are omitted below.
As a caring little brother, in fact, I can't say that everyone "gives up discipline" and "discipline is a pit". The training process can give you a broader vision, and you will contact more departments, more people and more environments.
But many things need you to take the initiative to do.
If you want, you can teach yourself the skills you think you will use in the future. As long as you have the heart, you can certainly find corresponding methods to hone your skills.
Although you don't have much money, you have a lot of time. You can choose to continue studying your favorite field. You can use the internet to become a slash youth. You can find your own characteristics and talents, find your own future orientation and life planning.
Six years of training is not necessarily a waste of six years. Because as long as you work hard, your life will not be in vain.