Chapter 284

If you want to be a doctor in the United States, you need to complete the education at the university stage. At the same time, you also need to learn well the pre medical courses. Only with excellent graduation results, entrance examination results of medical school, social work experience and recommendation letters from teachers and professors can you be admitted to medical school.

If everything goes well, that is, the academic performance is good and there is sufficient tuition support, a college student must study basic medical courses for two years after being admitted to the medical school, so that he can enter the hospital to learn clinical knowledge with the teachers at the beginning of the third academic year, and officially become an intern like Bernard in the fourth year, Rotate in various departments of the hospital according to the length of time.

Of course, at this time, the hospital will arrange which department these people start from according to the requirements of interns, that is, if Bernard asks to start from the emergency room first, then the school will take his requirements as the first condition.

Only during his internship, Bernard still has a long way to go. He has to spend all his energy every day to prepare for the step 2 test of USMLE, that is, the MD degree test for obtaining a doctor of medicine.

This is only the first step to becoming a doctor. The subsequent resident program is also like that college students are admitted to medical school. MD who has obtained the medical doctor's degree also needs to compete with all MD's in the United States - that is, all MD's including previous and recent years to compete for resident training places.

The same as the previous medical schools facing college students, the resident training program is also a two-way choice. Major hospitals across the United States refer to the applicants' educational background (University) and work experience (the enrollment of medical schools in the United States is not different from that in the past, as long as it is a bachelor's diploma, and many college students who are not satisfied with the current situation after graduation can continue to apply for the examination) Research experience (thesis achievements at the university stage) shall be selected for admission.

However, even such a strict inpatient training program has three directions: MD inpatients and PhD inpatients, and the joint training program of MD and PhD. In short, it is clinical and scientific research, and clinical and scientific research mixed with both - that is, the doctor scientist training program Zheng Jianguo is now participating in.

Only about 500 people are enrolled in the training program worldwide every year.

Therefore, when Bernard follows Bertha to participate in the 24-hour and 36 hour shift training programs every day, Zheng Jianguo can enjoy eight early and five late every day, living a more comfortable learning experience than Wall Street financiers.

Of course, even if Zheng Jianguo can participate in this training program, he must abide by the mandatory learning process. He has been in the emergency room for more than two months. In addition to performing debridement and suture surgery for patients, he has not even entered the door of the operating room. He only attends the morning meeting every Monday as an observer.

After such a long time, Zheng Jianguo also had a personal understanding of this requirement. In the first year, inpatients mainly learned how to manage patients, that is, to track the course of disease and confirm doctors' orders in the face of hospitalized patients, which is also described by a special word in English - intern.

Intern has no right to receive patients. It needs to be a senior inpatient, that is, at least under the leadership of resident inpatients in the second year of training.

At this time, residents have greater rights. In addition to managing patients, they can also participate in the weekly morning meeting to summarize and learn about the difficult and miscellaneous diseases or medical problems that occurred last week, and can help in the operating room when they are free. That is when they will have the opportunity to contact the operation.

However, this is not absolute. With the permission of the attending doctor, that is, with authorization, for example, after Zheng Jianguo entered the emergency room, director Nathan BECKSON gave him the right to participate in the Monday morning meeting.

Unfortunately, until this time, the two attending doctors in the emergency room, Nathan BECKSON and Oliver argas, did not let Zheng Jianguo enter the operating room. Although his performance was still extremely dazzling, he only did hand suturing with the permission of Pliny at the resident stage.

Like the first two, the residents in the third year have greater rights. The chief resident represented by Bertha, that is, the chief resident - this is not recognized with the increase of training years. Only a few residents are good enough to become the chief resident.

Bertha's right in the emergency room is second only to the two attending doctors. In addition to managing inpatients, she also manages junior resident and intern, organizes teaching ward rounds and discussion of death and difficult cases at Monday morning meetings, and can also arrange surgery, consultation and scheduling. She can participate in any operation.

In addition to giving intern access to the operating room and scientific research——

This is why Zheng Jianguo found Bertha. Now she is an excellent chief resident physician. The next step is to work for another two years. When the training is completed, she can obtain the qualification of independent medical practice and become a real doctor.

Only the doctors who have reached this stage are really just doctors. Therefore, this position is only on the second floor of the pyramid of the health care system. If you want to climb to the upper floor, that is, the highest attending doctor in the system, you also need to go through different specialist training at the same time.

The reason why it is not long at the same time is that according to the scope of the Department, the lowest physician needs three years of training, while the longest neurosurgery needs seven years, which is why most of the attending doctors are over the age of 40.

Because according to the normal age of 18 years to enter the University, four years of University, four years of medical school, five years of hospitalization and three years of internal medicine specialist, they are all running at the age of 35. If there is any further delay, they are all about 40 years old.

Even if Zheng Jianguo became a resident at the age of 18, his graduation time is conservatively estimated according to the shortest internal medicine specialist training, it will take another 8 years, which is the reason why he chose the emergency room as the resident training.

As the 23 local medicine recognized by the American medical institution last year, everything in emergency medicine is still being explored and consolidated. Looking only at the emergency room of Massachusetts General Hospital, there is no ICU, we know that the construction of this medicine still has a long way to go.

Of course, as a new and emerging discipline, the inpatient and specialist training system of emergency medicine is not mature. There is no rigid plan formulated by medical management institutions like internal medicine and Neurosurgery, which is groped and carried out by local hospitals themselves.

As far as Zheng Jianguo is concerned, it's like he saw the graduate enrollment method before entering the Medical College of Qi Province, because the goal of specialist training is to focus on the research results of scientific research, that is, after getting the specialist training plan, he needs to go to the laboratory to do scientific research.

So the focus comes. Zheng Jianguo is now receiving the training plan of MD joint PhD project. Although the PhD content is not the Helicobacter pylori project in the emergency room, even the HIV virus laboratory that has not been completed is not in this category.

But for Zheng Jianguo, the scientific research projects that can be done in the emergency room are readily available. From the multi department consultation of severe patients, the classification of the first aid system and the establishment of ICU, any one can let him complete the specialist training in emergency medicine. You know, these are not even available in the emergency room of Massachusetts General Hospital at present.

But Zheng Jianguo knows that these things can't be achieved overnight. In addition, since the emergence of Helicobacter pylori, he and Professor Thomas of MIT published the integer quantum Hall effect and the fractional quantum Hall effect published by Fisher of Harvard University. He knows that he can't eat alone if he wants to win the Nobel Prize as soon as possible!

As the saying goes, eating alone and taking green shit, Zheng Jianguo holds the name of the discoverer of Helicobacter pylori, which is enough for him. Giving Thomas and Fisher the graphene results with uncertain prospects will increase the collateral effect of the halo on his head to some extent.

Many people have won the Nobel Prize, which is also the winner of the Nobel Prize. It will not reduce its authority in this field because of the number of winners. It can even build its own sphere of influence by virtue of these relationship groups. If he, Thomas and Fisher win the prize together because of graphene, people will know that he discovered graphene!

Talk and laugh with promise, no red blood!

This is how the academic valve was refined?

Just a few days after joining the Harvard Club, Zheng Jianguo woke up to the importance of power and circle. Especially when this power and circle are above ordinary people, imagine that his research direction of graphene and Helicobacter has gathered two academic groups, including professors Thomas and Fisher and the American Society of Gastroenterology.

At this time, a new hot circle was established through HIV, as well as the later research results in the direction of emergency medicine - so as the chief resident in the emergency room of Massachusetts General Hospital, Bertha became the target of Zheng Jianguo.

Despite her dazzling appearance, Bertha, who became the chief resident at the age of 28, is young enough. She got her undergraduate diploma in classical literature at the age of 22, graduated from Columbia Medical School at the age of 26, and got the inpatient plan of Massachusetts General Hospital that year. In the third year, she successfully became the chief resident in the emergency room. Up to now, she has a perfect Xueba life.

Of course, the reason why Zheng Jianguo chose Bertha instead of Pliny is not based on the appearance of huge contrast, but the big mouth of the latter makes it difficult for him to hand over the discovery and follow-up research of HIV to him.

After all, some people may like to listen to the gossip in their big mouth, but no one will like their gossip to be spread everywhere. Moreover, if HIV, a research hotspot in the next 20 or 30 years, is leaked, it may attract many competitors.

However, Zheng Jianguo is not sure about attracting Bertha. According to the conventional inpatient training mode, she is now in the critical period of chief resident doctor. As long as she maintains this state for another two years, she is afraid that she can become a 30-year-old and get the quota of specialist training.

Fortunately, as mentioned above, the specialist training of emergency medicine is still under exploration, and how to carry out research in this field is still unknown. Zheng Jianguo put HIV in front of her at this time to see if she has the characteristics of researchers - a combination of curiosity and foresight in the field of basic disciplines.

Curiosity is the basic characteristic of all excellent scientific researchers, which is highly consistent with Bertha's professional training two years later. In other words, it is her driving force in the field of scientific research.

Foresight is based on curiosity, coupled with up to standard analysis, concentration and adaptability, and then make a cognitive judgment on the direction of the research content. In short, it is whether Bertha can see the value brought by this unknown virus, although it belittles her comprehensive basic quality.

Because people are curious. Similarly, no doctor doesn't like unknown viruses, so Bertha agreed to this request without thinking. Although Zheng Jianguo pulled her before and gave her the job of tracking Jacqueline's blood virus analysis.

Only in this way, Bertha's chief resident position can not continue. She needs to be transferred to the laboratory of the digestive center as a researcher across departments. Regardless of the unknown prospect of HIV, her three-year chief resident training has been wasted.

Zheng Jianguo knows that this is HIV and has the ability to take Bertha back to the emergency room to complete the inpatient training plan, and even take her to complete the subsequent specialist training program.

However, Bertha did not know all this. Relying on her personal comprehensive quality judgment, she saw the importance of HIV and even gave up the three-year training plan!

In Zheng Jianguo's opinion, Bertha already has all the characteristics he needs as a partner. Of course, this idea only ends when he hears about her dialogue with George from Bernard.

"I found a 12-year-old boyfriend. Bertha may have a lot of love for her father -"

The faces of Bertha and George flashed in his mind. Zheng Jianguo's mind had been put down before. At this time, he had some worries. Fortunately, his principle of doing things was to try his best, and then listen to fate. He walked out of the emergency room in a short sleeved lined jacket and tie.

At 9:38 p.m., the temperature in Boston was still as high as 30 degrees. Zheng Jianguo, who had just left the emergency room, was blown by the oncoming heat wave, and the crocodile sandals on his feet accelerated the pace.

Soon, Zheng Jianguo got into the Plymouth car in the parking lot and quickly turned on the air conditioner and radio despite the heat from his ass. after the fire, he went out of the parking lot against the alarm from a distance.

But unexpectedly, when Zheng Jianguo drove onto the federal Avenue, there suddenly came a sonorous voice on the radio: "the people's Republic of China will launch a carrier rocket test from the mainland of the Republic to the circular sea area with a radius of 70 nautical miles from 7 degrees and 0 minutes south latitude and 172 degrees and 33 minutes east longitude in the Pacific Ocean from May 12 to June 10, 1980."