The road to the rise of great doctors

Chapter 31 Seven to Eight?
Liu Dong returned to the room and no longer concealed his joy.He made a diving leap, jumped onto the bed, and made several shooting movements in the air.After a burst of excitement, fatigue followed.After a while, there was no sound and he fell asleep.

At 1 o'clock in the afternoon, Li Xiao walked out of the room and glanced at Liu Dong's closed door with a complicated expression.

After stopping at the door of Liu Dong's room for a while, he finally didn't knock on the door. He turned around and walked back to the room. When he came out again, he held a note in his hand and stuck it on the refrigerator door.

Then, he picked up the small bag and left here.

Liu Dong opened his eyes again, opened the curtains and looked outside. It was already evening.

He opened the door and found that Li Xiao's door was open and the person had left.He felt a little thirsty, so he walked to the restaurant and found a note on the refrigerator, with two lines of beautiful handwriting: "I'm going to do an experiment, have a good meal, don't wait for me."

Liu Dong suddenly felt a warmth flowing through his body.

The whole afternoon had been wasted, and he had no intention of cooking or going out to eat.Instead, I chose to heat up the leftovers from lunch in the microwave and eat them.

After the meal, Liu Dong poured a cup of coffee, returned to the room, turned on the phone, and began to read the literature on drug treatment of advanced renal cancer with great interest.

Kidney cancer is somewhat different from other tumors in terms of treatment departments.

Most patients with tumors such as lung cancer, breast cancer, and gastric cancer are hospitalized in oncology departments and receive chemotherapy, radiotherapy, or combined treatment.

Kidney cancer, whether it is early or late, is basically treated in urology.To some extent, kidney cancer adopts a surgical-based treatment strategy.

why?

Liu Dong was thinking about this issue while looking at the documents.

He thought: "Many advanced kidney cancers have symptoms such as hematuria and low back pain, and the treatment of these symptoms mainly relies on surgical treatment. This is one of the reasons."

"Second, with the improvement of diagnostic technology, especially the popularization of ultrasound or computed tomography, the diagnosis rate of early renal cancer is getting higher and higher, which highlights the value of surgery. Radical surgery or advanced renal cancer with a single metastasis For cancer, there is a chance to remove all the lesions. After the removal, no lesions remain to the naked eye. This may be one of the chances of being cured. Although it may recur, if all the lesions are removed, there is a certain percentage of no recurrence, or the time of recurrence will be Much delayed.”

"Third, surgical techniques are also improving. Operations that were previously impossible may now not only be possible, but the time required will also be greatly shortened. Except for those difficult operations with severe tumor thrombus, or the patient's physical condition is very poor In addition to the situation, the mortality rate on the operating table is also getting lower and lower. These have given the Department of Urology the initiative in managing patients, both from the patient's perspective and from the perspective of other departments."

"Fourth, the traditional view is that chemotherapy and radiotherapy have extremely limited effects on the treatment of kidney cancer, and treatments that are of little use will naturally not occupy much of a role."

"Fifth, the effectiveness of cytokine therapy is relatively low, but the difficulty of medication is also low. In clinical studies, targeted drugs that were later launched, compared with cytokine therapy, both in terms of tumor shrinkage ratio and disease control. The time, as well as the total living time after getting the disease are extended. Although the adverse reactions are some serious, oral drugs are not so troublesome to manage. These bring convenience and feasibility to surgeons to manage patients. Unlike chemotherapy It takes a long time for a patient to stay in the hospital like that, and the impact on the surgery-based ward is also small.”

Perhaps this is the reason why kidney cancer is more common in urology departments.

Of course, combined with the epidemiological data we saw at the beginning, it may be related to the incidence rate. The overall incidence rate of kidney cancer is lower than that of lung cancer, breast cancer, liver cancer, etc.Doctors in the oncology department are too busy to treat those tumor patients, and kidney cancer may not be uncommon.Looking at these contents, Liu Dong was quite emotional.

For a surgeon, holding a knife in one hand and medicine in the other are magical tools for treating diseases.But how to use it well is worth pondering for every doctor.

It still needs to be judged comprehensively based on the patient's physical status and the stage of the disease.

I took notes while reading, and finally wrote the framework of the paper near midnight tonight.

For those who have only taken a few classes and read a few documents, it is a rare opportunity to have a senior sister who is willing to help them write a thesis.

On Sunday morning, Liu Dong turned on his mobile phone and saw that the number of messages in the grade group had reached 99+.

After opening the group chat, I scrolled back until I reached the first one. It turned out that the medical school sent a notice "About organizing the first medical skills competition."The notice mentioned that this skills competition is only for the seven-year clinical medicine program. On the one hand, the purpose is to improve the clinical skills practice level of medical students, promote competition to promote learning, and improve the teaching system.

But the most important thing is the bold line in the school notice about talent selection. This is what caused heated discussion among the students: "The top five in the skills competition will be transferred from the seven-year clinical medicine program to clinical medicine." Extra points will be awarded in the eight-year examination.”

Although this is only part of the qualifying round, there are other indicators to consider comprehensively.But enough to cause a boil.Who wouldn't? !
You know, the training of medical students is notoriously long.Among high school classmates, after graduating from computer science and working until the age of 30, they may already have an annual salary of one million.For medical students, 30 years old may have just graduated with a Ph.D., and they are still earning thousands of dollars and working as a junior resident doctor.

Based on the model of doctoral graduation, in order of time, the best choice is the eight-year clinical medicine program, after which you will get a doctorate.The second is a seven-year clinical medicine program + 3 years for a PhD, or a five-year clinical medicine program + 5 years for a direct doctorate. The third is a five-year clinical medicine program + 3 years for a master's degree + 3 years for a PhD.Some schools have a 6-year undergraduate program in clinical medicine, and some doctoral programs usually delay graduation and take 4-5 years.

It was really a bitter tear. The real situation is that from senior brother and senior sister, they have become junior brother and junior sister.Some people say it’s not good, but when they are working, junior fellow students and junior fellow apprentices even become senior doctors!
……

Liu Dong carefully read the terms in the notice. It turned out that the school planned to follow the training models of other colleges and universities and foreign countries and launch an eight-year training program in clinical medicine.This is the first session, and the quota is expected to be adjusted from the doctoral training quota.

However, if you think about it deeply, you will find that it is not just the shortening of time, but also other advantages.

The exploration of the first new model will definitely have different meanings for the school.For example, if you want to be an instant hit and create an excellent benchmark, the training resources and teachers must be the strongest. You may also adopt joint training with the strongest domestic colleges and universities, that is, send them to excellent foreign or domestic colleges and universities. The strongest department training.For example, in terms of job assignments after training, in an era when they are already looking for jobs, the first batch of graduates may have a greater chance of staying in the hospital. The possibility of staying in the hospital is almost 100%, and there will be other changes. Good job opportunities.

The skills competition is just the beginning of the eight-year clinical medicine selection process and one of the changes in the medical student training model.

I took a look at the skills competition, including incision, suturing, knotting, four major punctures, catheterization, etc. in surgery; systemic examination, specialist examination, auscultation, etc. in internal medicine; and image reading.

He lowered his head and counted on his fingers, listing the potential competitors, still a little uneasy.

　Ask for recommendation, ask for collection
　　


(End of this chapter)